{
"description": "Angaben zum Versicherten im Versichertenstammdatenmanagement (VSDM) 2.0",
"_filename": "StructureDefinition-VSDMPatient.json",
"package_name": "de.gematik.vsdm2",
"date": "2023-12-31",
"derivation": "constraint",
"publisher": "gematik GmbH",
"fhirVersion": "4.0.1",
"name": "VSDMPatient",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
}, {
"uri": "http://hl7.org/v3/cda",
"name": "CDA (R2)",
"identity": "cda"
}, {
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping",
"identity": "w5"
}, {
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping",
"identity": "v2"
}, {
"uri": "http://loinc.org",
"name": "LOINC code for the element",
"identity": "loinc"
} ],
"abstract": false,
"type": "Patient",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": "Versicherter",
"package_version": "1.0.0-rc5",
"snapshot": {
"element": [ {
"constraint": [ {
"key": "dom-2",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/Patient",
"severity": "error",
"expression": "contained.contained.empty()"
}, {
"key": "dom-3",
"human": "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",
"xpath": "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='#'])]))",
"source": "http://hl7.org/fhir/StructureDefinition/Patient",
"severity": "error",
"expression": "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()"
}, {
"key": "dom-4",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/Patient",
"severity": "error",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
}, {
"key": "dom-5",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/Patient",
"severity": "error",
"expression": "contained.meta.security.empty()"
}, {
"key": "dom-6",
"human": "A resource should have narrative for robust management",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/Patient",
"severity": "warning",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "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."
} ],
"expression": "text.`div`.exists()"
}, {
"key": "pat-de-1",
"human": "Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist",
"source": "https://gematik.de/fhir/ti/StructureDefinition/ti-patient",
"severity": "error",
"expression": "gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()"
} ],
"path": "Patient",
"min": 0,
"definition": "Der VSDMPatient bildet einen Versicherten im Versichertenstammdatenmanagement (VSDM) 2.0 ab.\nDer VSDMPatient ist vom zentralen TIPatient abgeleitet. \nDer Ressource Server des VSDM stellt allerdings keinen FHIR Data Service im Sinne des Implementation Guide TI Common dar, so dass die meisten Anforderungen dieses IG auf den VSDMPatient nicht zutreffen.\nDieser Sachverhalt wird in einer Folgeversion des IG klargestellt.",
"isModifier": false,
"short": "Versicherter im VSDM",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "Patient[classCode=PAT]",
"identity": "rim"
}, {
"map": "ClinicalDocument.recordTarget.patientRole",
"identity": "cda"
} ],
"alias": [ "SubjectOfCare Client Resident" ],
"max": "*",
"id": "Patient",
"base": {
"max": "*",
"min": 0,
"path": "Patient"
},
"isSummary": false
}, {
"path": "Patient.id",
"min": 0,
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"isModifier": false,
"short": "Logical id of this artifact",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
} ]
} ],
"max": "1",
"id": "Patient.id",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.meta",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Metadata about the resource",
"type": [ {
"code": "Meta"
} ],
"max": "1",
"id": "Patient.meta",
"base": {
"max": "1",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.implicitRules",
"min": 0,
"definition": "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.",
"isModifier": true,
"short": "A set of rules under which this content was created",
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "Patient.implicitRules",
"comment": "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.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.implicitRules"
},
"isModifierReason": "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",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.language",
"min": 0,
"definition": "The base language in which the resource is written.",
"isModifier": false,
"short": "Language of the resource content",
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/languages|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
} ],
"description": "A human language."
},
"max": "1",
"id": "Patient.language",
"comment": "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).",
"base": {
"max": "1",
"min": 0,
"path": "Resource.language"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.text",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Text summary of the resource, for human interpretation",
"mapping": [ {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"id": "Patient.text",
"comment": "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.",
"base": {
"max": "1",
"min": 0,
"path": "DomainResource.text"
},
"isSummary": false
}, {
"path": "Patient.contained",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Contained, inline Resources",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"id": "Patient.contained",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.modifierExtension",
"requirements": "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).",
"min": 0,
"definition": "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.modifierExtension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.identifier",
"requirements": "Patients are almost always assigned specific numerical identifiers.",
"min": 1,
"definition": "An identifier for this patient.",
"isModifier": false,
"short": "An identifier for this patient",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)",
"identity": "v2"
}, {
"map": "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]",
"identity": "rim"
}, {
"map": "Identifier",
"identity": "servd"
}, {
"map": "FiveWs.identifier",
"identity": "w5"
}, {
"map": "PID-3",
"identity": "v2"
}, {
"map": "id",
"identity": "rim"
}, {
"map": ".id",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "pattern"
} ]
},
"type": [ {
"code": "Identifier"
} ],
"mustSupport": true,
"max": "*",
"id": "Patient.identifier",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Patient.identifier"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.identifier",
"requirements": "Die KVNR identifiziert den Versicherten, auf den sich die bereitgestellten Stammdaten beziehen.",
"min": 1,
"definition": "Es wird der zehnstellig (unveränderliche) Teil der KVNR verwendet. \nZur eindeutigen Identifikation muss genau eine KVNR angegeben werden.",
"isModifier": false,
"short": "Versichertennummer (KVNR)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)",
"identity": "v2"
}, {
"map": "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]",
"identity": "rim"
}, {
"map": "Identifier",
"identity": "servd"
}, {
"map": "FiveWs.identifier",
"identity": "w5"
}, {
"map": "PID-3",
"identity": "v2"
}, {
"map": "id",
"identity": "rim"
}, {
"map": ".id",
"identity": "cda"
} ],
"type": [ {
"code": "Identifier",
"profile": [ "http://fhir.de/StructureDefinition/identifier-kvid-10" ]
} ],
"mustSupport": true,
"sliceName": "KVNR",
"patternIdentifier": {
"system": "http://fhir.de/sid/gkv/kvid-10"
},
"max": "1",
"id": "Patient.identifier:KVNR",
"condition": [ "ele-1" ],
"comment": "Hinweise zur Verwendung und Beispiele siehe [Lebenslange Krankenversicherten-ID](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-LebenslangeKrankenversichertennummer10-stelligeKVID-Identifier.html) im deutschen Basisprofil.",
"base": {
"max": "*",
"min": 0,
"path": "Patient.identifier"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.active",
"requirements": "Need to be able to mark a patient record as not to be used because it was created in error.",
"min": 0,
"definition": "Whether this patient record is in active use. \nMany 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.\n\nIt is often used to filter patient lists to exclude inactive patients\n\nDeceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.",
"isModifier": true,
"short": "Whether this patient's record is in active use",
"mapping": [ {
"map": "FiveWs.status",
"identity": "w5"
}, {
"map": "statusCode",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "boolean"
} ],
"meaningWhenMissing": "This resource is generally assumed to be active if no value is provided for the active element",
"max": "1",
"id": "Patient.active",
"comment": "If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.",
"base": {
"max": "1",
"min": 0,
"path": "Patient.active"
},
"isModifierReason": "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",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name",
"requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
"min": 1,
"definition": "A name associated with the individual.",
"isModifier": false,
"short": "A name associated with the patient",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "XPN",
"identity": "v2"
}, {
"map": "EN (actually, PN)",
"identity": "rim"
}, {
"map": "ProviderName",
"identity": "servd"
}, {
"map": "PID-5, PID-9",
"identity": "v2"
}, {
"map": "name",
"identity": "rim"
}, {
"map": ".patient.name",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "value"
} ]
},
"type": [ {
"code": "HumanName"
} ],
"mustSupport": true,
"max": "*",
"id": "Patient.name",
"condition": [ "ele-1" ],
"comment": "Um die Unterscheidung der Namensbestandteile gemäß dem VSDM-Datensatz beizubehalten oder Präfixe als akademische Titel zu qualifizieren, können Anbieter die im deutschen HumanName-Basisprofil spezifizierten Erweiterungen unterstützen: HumanName DE Basis (https://simplifier.net/basisprofil-de-r4/humannamedebasis).\n\nDies ist jedoch nicht verpflichtend im Rahmen dieser Spezifikation.",
"base": {
"max": "*",
"min": 0,
"path": "Patient.name"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name",
"requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
"min": 1,
"definition": "A name associated with the individual.",
"isModifier": false,
"short": "A name associated with the patient",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "XPN",
"identity": "v2"
}, {
"map": "EN (actually, PN)",
"identity": "rim"
}, {
"map": "ProviderName",
"identity": "servd"
}, {
"map": "PID-5, PID-9",
"identity": "v2"
}, {
"map": "name",
"identity": "rim"
}, {
"map": ".patient.name",
"identity": "cda"
} ],
"type": [ {
"code": "HumanName",
"profile": [ "http://fhir.de/StructureDefinition/humanname-de-basis" ]
} ],
"mustSupport": true,
"sliceName": "Name",
"max": "1",
"id": "Patient.name:Name",
"condition": [ "ele-1" ],
"comment": "A patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns.",
"patternHumanName": {
"use": "official"
},
"base": {
"max": "*",
"min": 0,
"path": "Patient.name"
},
"isSummary": true
}, {
"path": "Patient.name.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.name:Name.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.name:Name.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name.use",
"requirements": "Allows the appropriate name for a particular context of use to be selected from among a set of names.",
"min": 1,
"definition": "Identifies the purpose for this name.",
"isModifier": true,
"short": "usual | official | temp | nickname | anonymous | old | maiden",
"mapping": [ {
"map": "XPN.7, but often indicated by which field contains the name",
"identity": "v2"
}, {
"map": "unique(./use)",
"identity": "rim"
}, {
"map": "./NamePurpose",
"identity": "servd"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/name-use|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "NameUse"
} ],
"description": "The use of a human name."
},
"max": "1",
"id": "Patient.name:Name.use",
"comment": "Applications can assume that a name is current unless it explicitly says that it is temporary or old.",
"base": {
"max": "1",
"min": 0,
"path": "HumanName.use"
},
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name.text",
"requirements": "A renderable, unencoded form.",
"min": 0,
"definition": "Zur besseren Lesbarkeit sowie zur leichteren Verarbeitung für Systeme, die die einzelnen Namensbestandteile nicht getrennt benötigen, SOLL dieses Attribut den gesamten Namen mit Titel, Vorsatzwort und Namenszusätzen enthalten.\nDie Bildungsregel ist dabei [Titel] [Vornamen] [Namenszusätze] [Vorsatzworte] [Nachnamen].",
"isModifier": false,
"short": "vollständiger zusammengesetzter Name",
"mapping": [ {
"map": "implied by XPN.11",
"identity": "v2"
}, {
"map": "./formatted",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Patient.name:Name.text",
"comment": "Hinweise und Beispiele siehe [Name (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Name) im deutschen Basisprofil",
"base": {
"max": "1",
"min": 0,
"path": "HumanName.text"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name.family",
"min": 1,
"definition": "Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.",
"isModifier": false,
"short": "Familienname",
"mapping": [ {
"map": "XPN.1/FN.1",
"identity": "v2"
}, {
"map": "./part[partType = FAM]",
"identity": "rim"
}, {
"map": "./FamilyName",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"alias": [ "surname" ],
"max": "1",
"id": "Patient.name:Name.family",
"comment": "Hinweise zur Bildung des gesamten Namenamens siehe [Name (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Name) im deutschen Basisprofil\nVerwender müssen mindestens 87 Zeichen verarbeiten können.",
"base": {
"max": "1",
"min": 0,
"path": "HumanName.family"
},
"isSummary": true
}, {
"path": "Patient.name.family.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.name:Name.family.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.family.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.name:Name.family.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.family.extension",
"min": 0,
"definition": "Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, \"eGK\") definiert.\r\nBeispiele: Gräfin, Prinz oder Fürst",
"isModifier": false,
"short": "Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, \"eGK\")",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://fhir.de/StructureDefinition/humanname-namenszusatz" ]
} ],
"mustSupport": true,
"sliceName": "namenszusatz",
"max": "1",
"id": "Patient.name:Name.family.extension:namenszusatz",
"condition": [ "ele-1" ],
"comment": "Hinweise zum Umgang mit dieser Erweiterung siehe [Name (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Name) im deutschen Basisprofil\nEine Tabelle der gültigen Namenszusätze findet sich in Anlage 7 zur DEÜV, siehe www.gkv-datenaustausch.de/arbeitgeber/deuev/gemeinsame_rundschreiben/gemeinsame_rundschreiben.jsp.\nUm die Verarbeitung ausländischer Namensangaben nicht zu verhindern, ist die Wertetabelle nur als \"preferred binding\" hinterlegt.\nVerwender müssen mindestens 20 Zeichen verarbeiten können.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.name.family.extension.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.name:Name.family.extension:namenszusatz.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.family.extension.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "0",
"id": "Patient.name:Name.family.extension:namenszusatz.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.name.family.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "http://fhir.de/StructureDefinition/humanname-namenszusatz",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.name:Name.family.extension:namenszusatz.url",
"comment": "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.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name.family.extension.value[x]",
"min": 0,
"definition": "Namenszusatz zum Nachnamen z.B. Gräfin, Prinz oder Fürst",
"isModifier": false,
"short": "Namenszusatz",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"binding": {
"strength": "preferred",
"valueSet": "https://gematik.de/fhir/vsdm2/ValueSet/VSDMNamenszusatzVS"
},
"max": "1",
"id": "Patient.name:Name.family.extension:namenszusatz.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.family.extension",
"min": 0,
"definition": "Diese Erweiterung kann den Nachnamen ohne Vorsatzworte und Zusätze aufnehmen.\nWenn weder Vorsatzworte noch Namenszusätze existieren, kann die Erweiterung entfallen.",
"isModifier": false,
"short": "Nachname ohne Vorsatzwort und Zusätze",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": "FN.3",
"identity": "v2"
}, {
"map": "ENXP where Qualifiers = (BR)",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/humanname-own-name" ]
} ],
"mustSupport": true,
"sliceName": "nachname",
"max": "1",
"id": "Patient.name:Name.family.extension:nachname",
"condition": [ "ele-1" ],
"comment": "Hinweise zum Umgang mit dieser Erweiterung siehe [Name (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Name) im deutschen Basisprofil.\nVerwender müssen mindestens 45 Zeichen verarbeiten können.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.family.extension",
"min": 0,
"definition": "Vorsatzwort zum Nachnamen des Patienten (z.B. \"van\" in \"Ludwig van Beethoven\").",
"isModifier": false,
"short": "Vorsatzwort",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": "FN.2",
"identity": "v2"
}, {
"map": "ENXP where Qualifiers = (VV, R)",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix" ]
} ],
"mustSupport": true,
"sliceName": "vorsatzwort",
"max": "1",
"id": "Patient.name:Name.family.extension:vorsatzwort",
"condition": [ "ele-1" ],
"comment": "Hinweise zum Umgang mit dieser Erweiterung siehe [Name (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Name) im deutschen Basisprofil.\nEine Tabelle der gültigen Vorsatzworte findet sich in Anlage 6 zur DEÜV, siehe www.gkv-datenaustausch.de/arbeitgeber/deuev/gemeinsame_rundschreiben/gemeinsame_rundschreiben.jsp.\nUm die Verarbeitung ausländischer Namensangaben nicht zu verhindern, ist die Wertetabelle nur als \"preferred binding\" hinterlegt.\nVerwender müssen mindestens 20 Zeichen verarbeiten können.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.name.family.extension.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.name:Name.family.extension:vorsatzwort.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.family.extension.extension",
"min": 0,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "0",
"id": "Patient.name:Name.family.extension:vorsatzwort.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.name.family.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.name:Name.family.extension:vorsatzwort.url",
"comment": "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.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name.family.extension.value[x]",
"min": 1,
"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
"isModifier": false,
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"binding": {
"strength": "preferred",
"valueSet": "https://gematik.de/fhir/vsdm2/ValueSet/VSDMVorsatzwortVS"
},
"max": "1",
"id": "Patient.name:Name.family.extension:vorsatzwort.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
}, {
"path": "Patient.name.family.value",
"min": 0,
"definition": "Primitive value for string",
"short": "Primitive value for string",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "[ \\r\\n\\t\\S]+"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.name:Name.family.value",
"maxLength": 1048576,
"base": {
"max": "1",
"min": 0,
"path": "string.value"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name.given",
"min": 1,
"definition": "Vorname der Person",
"isModifier": false,
"short": "Vorname",
"mapping": [ {
"map": "XPN.2 + XPN.3",
"identity": "v2"
}, {
"map": "./part[partType = GIV]",
"identity": "rim"
}, {
"map": "./GivenNames",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"alias": [ "first name", "middle name" ],
"max": "*",
"id": "Patient.name:Name.given",
"comment": "Mehrere Vornamen können durch Leerzeichen oder Bindestrich getrennt in einem Wert angegeben werden. \nVon der Wiederholung des given-Elemente SOLL kein Gebrauch gemacht werden; es wird zur besseren Interoperabilität allerdings nicht technisch verboten.\nVerwender müssen mindestens 45 Zeichen verarbeiten können.",
"orderMeaning": "Given Names appear in the correct order for presenting the name",
"base": {
"max": "*",
"min": 0,
"path": "HumanName.given"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name.prefix",
"min": 0,
"definition": "Namensteile vor dem Vornamen, z.B. akademischer Titel.\nWenn dieses Attribut zur Angabe des akademischen Titels verwendet wird, ist die Erweiterung prefix-qualifier mit dem Wert AC (academic) verpflichtend anzugeben.\nMehrere Titel werden durch Leerzeichen getrennt angegeben. \nVerwender müssen mindestens 20 Zeichen verarbeiten können.",
"isModifier": false,
"short": "Namensteile vor dem Vornamen",
"mapping": [ {
"map": "XPN.5",
"identity": "v2"
}, {
"map": "./part[partType = PFX]",
"identity": "rim"
}, {
"map": "./TitleCode",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "*",
"id": "Patient.name:Name.prefix",
"comment": "Beispiele zur Verwendung siehe [Name (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Name) im deutschen Basisprofil.",
"orderMeaning": "Prefixes appear in the correct order for presenting the name",
"base": {
"max": "*",
"min": 0,
"path": "HumanName.prefix"
},
"isSummary": true
}, {
"path": "Patient.name.prefix.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.name:Name.prefix.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.prefix.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.name:Name.prefix.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.prefix.extension",
"min": 0,
"definition": "Kodierte Angabe der Art des Namenspräfix zur technischen Unterscheidung zwischen verschieden Präfixen wie akademischem Titel.\nAchtung: Für das Vorsatzwort ist das Attribut family.extension[vorsatzwort] zu verwenden.\nFür akademische Titel ist verpflichtend die Kennzeichnung AC (academic) zu verwenden.",
"isModifier": false,
"short": "Art des Namenspräfix",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": "ENXP.qualifier",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" ]
} ],
"mustSupport": true,
"sliceName": "prefix-qualifier",
"max": "1",
"id": "Patient.name:Name.prefix.extension:prefix-qualifier",
"condition": [ "ele-1" ],
"comment": "Beispiele zur Verwendung siehe [Name (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Name) im deutschen Basisprofil.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.name.prefix.extension.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.name:Name.prefix.extension:prefix-qualifier.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.prefix.extension.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "0",
"id": "Patient.name:Name.prefix.extension:prefix-qualifier.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.name.prefix.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.name:Name.prefix.extension:prefix-qualifier.url",
"comment": "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.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name.prefix.extension.value[x]",
"fixedCode": "AC",
"min": 1,
"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
"isModifier": false,
"short": "Value of extension",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/name-part-qualifier",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EntityNamePartQualifier"
} ]
},
"max": "1",
"id": "Patient.name:Name.prefix.extension:prefix-qualifier.value[x]",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Patient.name.prefix.value",
"min": 0,
"definition": "Primitive value for string",
"short": "Primitive value for string",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "[ \\r\\n\\t\\S]+"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.name:Name.prefix.value",
"maxLength": 1048576,
"base": {
"max": "1",
"min": 0,
"path": "string.value"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name.suffix",
"min": 0,
"definition": "Namensteile nach dem Nachnamen",
"isModifier": false,
"short": "Namensteile nach dem Nachnamen",
"mapping": [ {
"map": "XPN/4",
"identity": "v2"
}, {
"map": "./part[partType = SFX]",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "*",
"id": "Patient.name:Name.suffix",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"orderMeaning": "Suffixes appear in the correct order for presenting the name",
"base": {
"max": "*",
"min": 0,
"path": "HumanName.suffix"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "per-1",
"human": "If present, start SHALL have a lower value than end",
"xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
"source": "http://hl7.org/fhir/StructureDefinition/Period",
"severity": "error",
"expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)"
} ],
"path": "Patient.name.period",
"requirements": "Allows names to be placed in historical context.",
"min": 0,
"definition": "Indicates the period of time when this name was valid for the named person.",
"isModifier": false,
"short": "Time period when name was/is in use",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "DR",
"identity": "v2"
}, {
"map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]",
"identity": "rim"
}, {
"map": "XPN.13 + XPN.14",
"identity": "v2"
}, {
"map": "./usablePeriod[type=\"IVL\"]",
"identity": "rim"
}, {
"map": "./StartDate and ./EndDate",
"identity": "servd"
} ],
"type": [ {
"code": "Period"
} ],
"max": "1",
"id": "Patient.name:Name.period",
"condition": [ "ele-1" ],
"comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).",
"base": {
"max": "1",
"min": 0,
"path": "HumanName.period"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name",
"requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
"min": 0,
"definition": "A name associated with the individual.",
"isModifier": false,
"short": "A name associated with the patient",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "XPN",
"identity": "v2"
}, {
"map": "EN (actually, PN)",
"identity": "rim"
}, {
"map": "ProviderName",
"identity": "servd"
}, {
"map": "PID-5, PID-9",
"identity": "v2"
}, {
"map": "name",
"identity": "rim"
}, {
"map": ".patient.name",
"identity": "cda"
} ],
"type": [ {
"code": "HumanName",
"profile": [ "http://fhir.de/StructureDefinition/humanname-de-basis" ]
} ],
"mustSupport": true,
"sliceName": "Geburtsname",
"max": "1",
"id": "Patient.name:Geburtsname",
"condition": [ "ele-1" ],
"comment": "A patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns.",
"patternHumanName": {
"use": "maiden"
},
"base": {
"max": "*",
"min": 0,
"path": "Patient.name"
},
"isSummary": true
}, {
"path": "Patient.name.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.name:Geburtsname.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.name:Geburtsname.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name.use",
"requirements": "Allows the appropriate name for a particular context of use to be selected from among a set of names.",
"min": 1,
"definition": "Identifies the purpose for this name.",
"isModifier": true,
"short": "usual | official | temp | nickname | anonymous | old | maiden",
"mapping": [ {
"map": "XPN.7, but often indicated by which field contains the name",
"identity": "v2"
}, {
"map": "unique(./use)",
"identity": "rim"
}, {
"map": "./NamePurpose",
"identity": "servd"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/name-use|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "NameUse"
} ],
"description": "The use of a human name."
},
"max": "1",
"id": "Patient.name:Geburtsname.use",
"comment": "Applications can assume that a name is current unless it explicitly says that it is temporary or old.",
"base": {
"max": "1",
"min": 0,
"path": "HumanName.use"
},
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name.text",
"requirements": "A renderable, unencoded form.",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Text representation of the full name",
"mapping": [ {
"map": "implied by XPN.11",
"identity": "v2"
}, {
"map": "./formatted",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Patient.name:Geburtsname.text",
"comment": "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.",
"base": {
"max": "1",
"min": 0,
"path": "HumanName.text"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name.family",
"min": 1,
"definition": "Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.",
"isModifier": false,
"short": "Familienname",
"mapping": [ {
"map": "XPN.1/FN.1",
"identity": "v2"
}, {
"map": "./part[partType = FAM]",
"identity": "rim"
}, {
"map": "./FamilyName",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"alias": [ "surname" ],
"max": "1",
"id": "Patient.name:Geburtsname.family",
"comment": "Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).",
"base": {
"max": "1",
"min": 0,
"path": "HumanName.family"
},
"isSummary": true
}, {
"path": "Patient.name.family.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.name:Geburtsname.family.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.family.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.name:Geburtsname.family.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.family.extension",
"min": 0,
"definition": "Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, \"eGK\") definiert.\r\nBeispiele: Gräfin, Prinz oder Fürst",
"isModifier": false,
"short": "Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, \"eGK\")",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://fhir.de/StructureDefinition/humanname-namenszusatz" ]
} ],
"mustSupport": true,
"sliceName": "namenszusatz",
"max": "1",
"id": "Patient.name:Geburtsname.family.extension:namenszusatz",
"condition": [ "ele-1" ],
"comment": "Die Extension wurde erstellt aufgrund der Anforderung, die auf der eGK vorhandenen Patientenstammdaten in FHIR abbilden zu können. Auf der eGK werden die Namensbestandteile \"Namenszusatz\" und \"Vorsatzwort\" getrennt vom Nachnamen gespeichert. Anhand der Liste der zulässigen Namenszusätze ist deutlich erkennbar, dass es sich hierbei sinngemäß um Adelstitel handelt.\r\nDas Vorsatzwort kann durch die Core-Extension own-prefix\t(Canonical: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix) abgebildet werden, für den Namenszusatz ergibt sich jedoch die Notwendikeit einer nationalen Extension, da in andern Ländern Adelstitel entweder gar nicht oder als reguläres Namenspräfix erfasst werden.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.family.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Portion derived from person's own surname",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": "FN.3",
"identity": "v2"
}, {
"map": "ENXP where Qualifiers = (BR)",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/humanname-own-name" ]
} ],
"mustSupport": true,
"sliceName": "nachname",
"max": "1",
"id": "Patient.name:Geburtsname.family.extension:nachname",
"condition": [ "ele-1" ],
"comment": "If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's \"maiden name\".",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.family.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Voorvoegsel derived from person's own surname",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": "FN.2",
"identity": "v2"
}, {
"map": "ENXP where Qualifiers = (VV, R)",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix" ]
} ],
"mustSupport": true,
"sliceName": "vorsatzwort",
"max": "1",
"id": "Patient.name:Geburtsname.family.extension:vorsatzwort",
"condition": [ "ele-1" ],
"comment": "An example of a voorvoegsel is the \"van\" in \"Ludwig van Beethoven\". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.name.family.value",
"min": 0,
"definition": "Primitive value for string",
"short": "Primitive value for string",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "[ \\r\\n\\t\\S]+"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.name:Geburtsname.family.value",
"maxLength": 1048576,
"base": {
"max": "1",
"min": 0,
"path": "string.value"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name.given",
"min": 0,
"definition": "Vorname der Person",
"isModifier": false,
"short": "Vorname",
"mapping": [ {
"map": "XPN.2 + XPN.3",
"identity": "v2"
}, {
"map": "./part[partType = GIV]",
"identity": "rim"
}, {
"map": "./GivenNames",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "first name", "middle name" ],
"max": "0",
"id": "Patient.name:Geburtsname.given",
"comment": "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.",
"orderMeaning": "Given Names appear in the correct order for presenting the name",
"base": {
"max": "*",
"min": 0,
"path": "HumanName.given"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name.prefix",
"min": 0,
"definition": "Namensteile vor dem Vornamen, z.B. akademischer Titel.",
"isModifier": false,
"short": "Namensteile vor dem Vornamen",
"mapping": [ {
"map": "XPN.5",
"identity": "v2"
}, {
"map": "./part[partType = PFX]",
"identity": "rim"
}, {
"map": "./TitleCode",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"max": "0",
"id": "Patient.name:Geburtsname.prefix",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"orderMeaning": "Prefixes appear in the correct order for presenting the name",
"base": {
"max": "*",
"min": 0,
"path": "HumanName.prefix"
},
"isSummary": true
}, {
"path": "Patient.name.prefix.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.name:Geburtsname.prefix.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.prefix.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.name:Geburtsname.prefix.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.name.prefix.extension",
"min": 0,
"definition": "Spezialisierung der Art des Präfixes, z.B. \"AC\" für Akademische Titel",
"isModifier": false,
"short": "LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
}, {
"map": "ENXP.qualifier",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" ]
} ],
"sliceName": "prefix-qualifier",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Patient.name:Geburtsname.prefix.extension:prefix-qualifier",
"condition": [ "ele-1" ],
"comment": "Used to indicate additional information about the name part and how it should be used.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.name.prefix.value",
"min": 0,
"definition": "Primitive value for string",
"short": "Primitive value for string",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "[ \\r\\n\\t\\S]+"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.name:Geburtsname.prefix.value",
"maxLength": 1048576,
"base": {
"max": "1",
"min": 0,
"path": "string.value"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.name.suffix",
"min": 0,
"definition": "Namensteile nach dem Nachnamen",
"isModifier": false,
"short": "Namensteile nach dem Nachnamen",
"mapping": [ {
"map": "XPN/4",
"identity": "v2"
}, {
"map": "./part[partType = SFX]",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "0",
"id": "Patient.name:Geburtsname.suffix",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"orderMeaning": "Suffixes appear in the correct order for presenting the name",
"base": {
"max": "*",
"min": 0,
"path": "HumanName.suffix"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "per-1",
"human": "If present, start SHALL have a lower value than end",
"xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
"source": "http://hl7.org/fhir/StructureDefinition/Period",
"severity": "error",
"expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)"
} ],
"path": "Patient.name.period",
"requirements": "Allows names to be placed in historical context.",
"min": 0,
"definition": "Indicates the period of time when this name was valid for the named person.",
"isModifier": false,
"short": "Time period when name was/is in use",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "DR",
"identity": "v2"
}, {
"map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]",
"identity": "rim"
}, {
"map": "XPN.13 + XPN.14",
"identity": "v2"
}, {
"map": "./usablePeriod[type=\"IVL\"]",
"identity": "rim"
}, {
"map": "./StartDate and ./EndDate",
"identity": "servd"
} ],
"type": [ {
"code": "Period"
} ],
"max": "1",
"id": "Patient.name:Geburtsname.period",
"condition": [ "ele-1" ],
"comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).",
"base": {
"max": "1",
"min": 0,
"path": "HumanName.period"
},
"isSummary": true
}, {
"constraint": [ {
"key": "cpt-2",
"human": "A system is required if a value is provided.",
"xpath": "not(exists(f:value)) or exists(f:system)",
"source": "http://hl7.org/fhir/StructureDefinition/ContactPoint",
"severity": "error",
"expression": "value.empty() or system.exists()"
}, {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.telecom",
"requirements": "People have (primary) ways to contact them in some way such as phone, email.",
"min": 0,
"definition": "A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.",
"isModifier": false,
"short": "A contact detail for the individual",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "XTN",
"identity": "v2"
}, {
"map": "TEL",
"identity": "rim"
}, {
"map": "ContactPoint",
"identity": "servd"
}, {
"map": "PID-13, PID-14, PID-40",
"identity": "v2"
}, {
"map": "telecom",
"identity": "rim"
}, {
"map": ".telecom",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "system",
"type": "profile"
} ]
},
"type": [ {
"code": "ContactPoint"
} ],
"max": "*",
"id": "Patient.telecom",
"condition": [ "ele-1" ],
"comment": "A Patient 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. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).",
"base": {
"max": "*",
"min": 0,
"path": "Patient.telecom"
},
"isSummary": true
}, {
"constraint": [ {
"key": "cpt-2",
"human": "A system is required if a value is provided.",
"xpath": "not(exists(f:value)) or exists(f:system)",
"source": "http://hl7.org/fhir/StructureDefinition/ContactPoint",
"severity": "error",
"expression": "value.empty() or system.exists()"
}, {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.telecom",
"requirements": "People have (primary) ways to contact them in some way such as phone, email.",
"min": 0,
"definition": "A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.",
"isModifier": false,
"short": "A contact detail for the individual",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "XTN",
"identity": "v2"
}, {
"map": "TEL",
"identity": "rim"
}, {
"map": "ContactPoint",
"identity": "servd"
}, {
"map": "PID-13, PID-14, PID-40",
"identity": "v2"
}, {
"map": "telecom",
"identity": "rim"
}, {
"map": ".telecom",
"identity": "cda"
} ],
"type": [ {
"code": "ContactPoint",
"profile": [ "https://gematik.de/fhir/vsdm2/StructureDefinition/VSDMContactPointTIM" ]
} ],
"sliceName": "TIMessengerID",
"max": "1",
"id": "Patient.telecom:TIMessengerID",
"condition": [ "ele-1" ],
"comment": "A Patient 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. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).",
"base": {
"max": "*",
"min": 0,
"path": "Patient.telecom"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.gender",
"requirements": "Needed for identification of the individual, in combination with (at least) name and birth date.",
"min": 0,
"definition": "Administrative Geschlechtsangabe gemäß den Unterlagen des Kostenträgers, kodiert nach FHIR-Standard.",
"isModifier": false,
"short": "Administrative Geschlechtsangabe (FHIR-Kodierung)",
"mapping": [ {
"map": "PID-8",
"identity": "v2"
}, {
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender",
"identity": "rim"
}, {
"map": ".patient.administrativeGenderCode",
"identity": "cda"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "AdministrativeGender"
} ],
"description": "The gender of a person used for administrative purposes."
},
"max": "1",
"id": "Patient.gender",
"comment": "Hinweise zur Verwendung dieses Attributs und der Erweiterung siehe [Geschlecht (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Geschlecht) im deutschen Basisprofil.",
"base": {
"max": "1",
"min": 0,
"path": "Patient.gender"
},
"isSummary": true
}, {
"path": "Patient.gender.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references)",
"isModifier": false,
"short": "xml:id (or equivalent in JSON)",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.gender.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.gender.extension",
"min": 0,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Patient.gender.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.gender.extension",
"min": 0,
"definition": "Administrative Geschlechtsangabe gemäß den Unterlagen des Kostenträgers, kodiert nach Wertetabelle zur Unterscheidung zwischen \"divers\" und \"unbestimmt\".",
"isModifier": false,
"short": "Administrative Geschlechtsangabe (deutsche Kodierung)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://fhir.de/StructureDefinition/gender-amtlich-de" ]
} ],
"mustSupport": true,
"sliceName": "other-amtlich",
"max": "1",
"id": "Patient.gender.extension:other-amtlich",
"condition": [ "ele-1" ],
"comment": "Hinweise zur Verwendung dieses Attributs und der Erweiterung siehe [Geschlecht (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Geschlecht) im deutschen Basisprofil.\nNur bei FHIR-Kodierung \"other\" zu verwenden (vgl. Constraint pat-de-1).",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.gender.value",
"min": 0,
"definition": "Primitive value for code",
"isModifier": false,
"short": "Primitive value for code",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "code"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "[^\\s]+(\\s[^\\s]+)*"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.gender.value",
"maxLength": 1048576,
"base": {
"max": "1",
"min": 0,
"path": "string.value"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.birthDate",
"requirements": "Age of the individual drives many clinical processes.",
"min": 1,
"definition": "Das Geburtsdatum des Versicherten ist in den VSD eine Pflichtangabe. \nPartielle Datumsangaben sind allerdings zulässig.",
"isModifier": false,
"short": "Geburtsdatum",
"mapping": [ {
"map": "PID-7",
"identity": "v2"
}, {
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime",
"identity": "rim"
}, {
"map": ".patient.birthTime",
"identity": "cda"
}, {
"map": "21112-8",
"identity": "loinc"
} ],
"type": [ {
"code": "date"
} ],
"mustSupport": true,
"max": "1",
"id": "Patient.birthDate",
"comment": "Hinweise insbesondere zur Angabe unvollständiger Datumswerte siehe [Geburtsdatum (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Geburtsdatum).",
"base": {
"max": "1",
"min": 0,
"path": "Patient.birthDate"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.deceased[x]",
"requirements": "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.",
"min": 0,
"definition": "Indicates if the individual is deceased or not.",
"isModifier": true,
"short": "Indicates if the individual is deceased or not",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "PID-30 (bool) and PID-29 (datetime)",
"identity": "v2"
}, {
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "boolean"
}, {
"code": "dateTime"
} ],
"max": "1",
"id": "Patient.deceased[x]",
"condition": [ "ele-1" ],
"comment": "If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.",
"base": {
"max": "1",
"min": 0,
"path": "Patient.deceased[x]"
},
"isModifierReason": "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.",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address",
"requirements": "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.",
"min": 0,
"definition": "An address for the individual.",
"isModifier": false,
"short": "An address for the individual",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "XAD",
"identity": "v2"
}, {
"map": "AD",
"identity": "rim"
}, {
"map": "Address",
"identity": "servd"
}, {
"map": "PID-11",
"identity": "v2"
}, {
"map": "addr",
"identity": "rim"
}, {
"map": ".addr",
"identity": "cda"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "type",
"type": "value"
} ]
},
"type": [ {
"code": "Address"
} ],
"max": "*",
"id": "Patient.address",
"condition": [ "ele-1" ],
"comment": "Patient may have multiple addresses with different uses or applicable periods.",
"base": {
"max": "*",
"min": 0,
"path": "Patient.address"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address",
"requirements": "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.",
"min": 0,
"definition": "An address for the individual.",
"isModifier": false,
"short": "An address for the individual",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "XAD",
"identity": "v2"
}, {
"map": "AD",
"identity": "rim"
}, {
"map": "Address",
"identity": "servd"
}, {
"map": "PID-11",
"identity": "v2"
}, {
"map": "addr",
"identity": "rim"
}, {
"map": ".addr",
"identity": "cda"
} ],
"type": [ {
"code": "Address",
"profile": [ "http://fhir.de/StructureDefinition/address-de-basis" ]
} ],
"mustSupport": true,
"sliceName": "StrassenAdresse",
"max": "1",
"id": "Patient.address:StrassenAdresse",
"condition": [ "ele-1" ],
"comment": "Patient may have multiple addresses with different uses or applicable periods.",
"base": {
"max": "*",
"min": 0,
"path": "Patient.address"
},
"isSummary": true
}, {
"path": "Patient.address.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.address:StrassenAdresse.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.extension",
"min": 0,
"definition": "A subsection of a municipality.",
"isModifier": false,
"short": "Stadt- oder Ortsteil",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "ADXP[partType=PRE]",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct" ]
} ],
"sliceName": "Stadtteil",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.extension:Stadtteil",
"condition": [ "ele-1" ],
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.use",
"requirements": "Allows an appropriate address to be chosen from a list of many.",
"min": 0,
"definition": "The purpose of this address.",
"isModifier": true,
"short": "home | work | temp | old | billing - purpose of this address",
"mapping": [ {
"map": "XAD.7",
"identity": "v2"
}, {
"map": "unique(./use)",
"identity": "rim"
}, {
"map": "./AddressPurpose",
"identity": "servd"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/address-use|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "AddressUse"
} ],
"description": "The use of an address."
},
"max": "1",
"id": "Patient.address:StrassenAdresse.use",
"comment": "Applications can assume that an address is current unless it explicitly says that it is temporary or old.",
"example": [ {
"label": "General",
"valueCode": "home"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Address.use"
},
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old address etc.for a current/permanent one",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.type",
"min": 1,
"definition": "Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.",
"isModifier": false,
"short": "postal | physical | both",
"mapping": [ {
"map": "XAD.18",
"identity": "v2"
}, {
"map": "unique(./use)",
"identity": "rim"
}, {
"map": "address type parameter",
"identity": "vcard"
} ],
"type": [ {
"code": "code"
} ],
"patternCode": "physical",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/address-type|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "AddressType"
} ],
"description": "The type of an address (physical / postal)."
},
"max": "1",
"id": "Patient.address:StrassenAdresse.type",
"comment": "The definition of Address states that \"address is intended to describe postal addresses, not physical locations\". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](location.html#) resource).",
"example": [ {
"label": "General",
"valueCode": "both"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Address.type"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.text",
"requirements": "A renderable, unencoded form.",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Text representation of the address",
"mapping": [ {
"map": "XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6",
"identity": "v2"
}, {
"map": "./formatted",
"identity": "rim"
}, {
"map": "address label parameter",
"identity": "vcard"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Patient.address:StrassenAdresse.text",
"comment": "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.",
"example": [ {
"label": "General",
"valueString": "137 Nowhere Street, Erewhon 9132"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Address.text"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.line",
"min": 0,
"definition": "Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden.\r\nBei 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.",
"isModifier": false,
"short": "Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung",
"mapping": [ {
"map": "XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)",
"identity": "v2"
}, {
"map": "AD.part[parttype = AL]",
"identity": "rim"
}, {
"map": "street",
"identity": "vcard"
}, {
"map": "./StreetAddress (newline delimitted)",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"max": "3",
"id": "Patient.address:StrassenAdresse.line",
"comment": "Hinweise zur Abbildung von Adressen und Beispiele siehe [Adresse (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Addresse) im deutschen Basisprofil.",
"example": [ {
"label": "General",
"valueString": "137 Nowhere Street"
}, {
"label": "Beipiel für Adresszeile mit Extensions für Straße und Hausnummer",
"valueString": "Musterweg 42",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString": "Musterweg"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString": "42"
} ]
}
} ],
"orderMeaning": "The order in which lines should appear in an address label",
"base": {
"max": "*",
"min": 0,
"path": "Address.line"
},
"isSummary": true
}, {
"path": "Patient.address.line.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references)",
"isModifier": false,
"short": "xml:id (or equivalent in JSON)",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.line.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.line.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.address:StrassenAdresse.line.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.line.extension",
"min": 0,
"definition": "Strassenname (ohne Hausnummer)\r\nBei 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.",
"isModifier": false,
"short": "Strassenname (ohne Hausnummer)",
"mapping": [ {
"map": "ADXP[partType=STR]",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName" ]
} ],
"sliceName": "Strasse",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.line.extension:Strasse",
"condition": [ "ele-1" ],
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.line.extension",
"min": 0,
"definition": "Hausnummer, sowie Zusätze (Appartmentnummer, Etage...)\r\nBei 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.",
"isModifier": false,
"short": "Hausnummer",
"mapping": [ {
"map": "ADXP[partType=BNR]",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber" ]
} ],
"sliceName": "Hausnummer",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.line.extension:Hausnummer",
"condition": [ "ele-1" ],
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.line.extension",
"min": 0,
"definition": "Zusätzliche Informationen, wie z.B. \"3. Etage\", \"Appartment C\"\r\nBei 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.",
"isModifier": false,
"short": "Adresszusatz",
"mapping": [ {
"map": "ADXP[partType=ADL]",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator" ]
} ],
"sliceName": "Adresszusatz",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.line.extension:Adresszusatz",
"condition": [ "ele-1" ],
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.line.extension",
"min": 0,
"definition": "Postfach-Adresse.\r\nBei 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.\r\nEine Postfach-Adresse darf nicht in Verbindung mit Address.type \"physical\" oder \"both\" verwendet werden.",
"isModifier": false,
"short": "Postfach",
"mapping": [ {
"map": "ADXP[partType=POB]",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox" ]
} ],
"sliceName": "Postfach",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.line.extension:Postfach",
"condition": [ "ele-1" ],
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.address.line.value",
"min": 0,
"definition": "The actual value",
"isModifier": false,
"short": "Primitive value for string",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "[ \\r\\n\\t\\S]+"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.line.value",
"maxLength": 1048576,
"base": {
"max": "1",
"min": 0,
"path": "string.value"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.city",
"min": 0,
"definition": "The name of the city, town, suburb, village or other community or delivery center.",
"isModifier": false,
"short": "Name of city, town etc.",
"mapping": [ {
"map": "XAD.3",
"identity": "v2"
}, {
"map": "AD.part[parttype = CTY]",
"identity": "rim"
}, {
"map": "locality",
"identity": "vcard"
}, {
"map": "./Jurisdiction",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "Municpality" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.city",
"example": [ {
"label": "General",
"valueString": "Erewhon"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Address.city"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.district",
"min": 0,
"definition": "The name of the administrative area (county).",
"isModifier": false,
"short": "District name (aka county)",
"mapping": [ {
"map": "XAD.9",
"identity": "v2"
}, {
"map": "AD.part[parttype = CNT | CPA]",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "County" ],
"max": "0",
"id": "Patient.address:StrassenAdresse.district",
"comment": "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.",
"example": [ {
"label": "General",
"valueString": "Madison"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Address.district"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.state",
"min": 0,
"definition": "Name (oder Kürzel) des Bundeslandes.",
"isModifier": false,
"short": "Bundesland",
"mapping": [ {
"map": "XAD.4",
"identity": "v2"
}, {
"map": "AD.part[parttype = STA]",
"identity": "rim"
}, {
"map": "region",
"identity": "vcard"
}, {
"map": "./Region",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://fhir.de/ValueSet/iso/bundeslaender"
},
"alias": [ "Province", "Territory" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.state",
"base": {
"max": "1",
"min": 0,
"path": "Address.state"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.postalCode",
"min": 0,
"definition": "Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen",
"isModifier": false,
"short": "Postleitzahl",
"mapping": [ {
"map": "XAD.5",
"identity": "v2"
}, {
"map": "AD.part[parttype = ZIP]",
"identity": "rim"
}, {
"map": "code",
"identity": "vcard"
}, {
"map": "./PostalIdentificationCode",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "Zip" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.postalCode",
"example": [ {
"label": "General",
"valueString": "9132"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Address.postalCode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country",
"min": 0,
"definition": "Staatsangabe",
"isModifier": false,
"short": "Staat",
"mapping": [ {
"map": "XAD.6",
"identity": "v2"
}, {
"map": "AD.part[parttype = CNT]",
"identity": "rim"
}, {
"map": "country",
"identity": "vcard"
}, {
"map": "./Country",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/iso3166-1-2"
},
"max": "1",
"id": "Patient.address:StrassenAdresse.country",
"comment": "Hier ist die Staatsangabe im Volltext (z.B. zur postalischen Adressierung) anzugeben.",
"base": {
"max": "1",
"min": 0,
"path": "Address.country"
},
"isSummary": true
}, {
"path": "Patient.address.country.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references)",
"isModifier": false,
"short": "xml:id (or equivalent in JSON)",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.country.extension",
"min": 1,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
}, {
"path": "value.ofType(Coding).system",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.address:StrassenAdresse.country.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.country.extension",
"min": 1,
"definition": "Kodierte Angabe des Länderkennzeichens nach ISO 3166-2. ",
"isModifier": false,
"short": "Länderkennzeichen nach ISO 3166-2",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-codedString" ]
} ],
"mustSupport": true,
"sliceName": "countryCode",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:countryCode",
"comment": "Diese Abbildung entspricht der auf EU-Ebene in Abstimmung befindlichen Profilierung zur [Kodierung der Landesangabe](https://build.fhir.org/ig/hl7-eu/base/StructureDefinition-Address-eu.html).\nDurch die Verwendung der internationalen Kodierung wird die interoperable Verwendung der Adressangabe erleichtert.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.address.country.extension.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:countryCode.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.country.extension.extension",
"min": 0,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "0",
"id": "Patient.address:StrassenAdresse.country.extension:countryCode.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.address.country.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:countryCode.url",
"comment": "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.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x]",
"min": 1,
"definition": "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).",
"isModifier": false,
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Coding"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/iso3166-1-2"
},
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:countryCode.value[x]",
"condition": [ "ext-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
}, {
"path": "Patient.address.country.extension.value[x].id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:countryCode.value[x].id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.country.extension.value[x].extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.address:StrassenAdresse.country.extension:countryCode.value[x].extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].system",
"requirements": "Need to be unambiguous about the source of the definition of the symbol.",
"min": 0,
"definition": "The identification of the code system that defines the meaning of the symbol in the code.",
"isModifier": false,
"short": "Identity of the terminology system",
"fixedUri": "urn:iso:std:iso:3166",
"mapping": [ {
"map": "C*E.3",
"identity": "v2"
}, {
"map": "./codeSystem",
"identity": "rim"
}, {
"map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem",
"identity": "orim"
} ],
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:countryCode.value[x].system",
"comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
"base": {
"max": "1",
"min": 0,
"path": "Coding.system"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].version",
"min": 0,
"definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"isModifier": false,
"short": "Version of the system - if relevant",
"mapping": [ {
"map": "C*E.7",
"identity": "v2"
}, {
"map": "./codeSystemVersion",
"identity": "rim"
}, {
"map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:countryCode.value[x].version",
"comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
"base": {
"max": "1",
"min": 0,
"path": "Coding.version"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].code",
"requirements": "Need to refer to a particular code in the system.",
"min": 0,
"definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"isModifier": false,
"short": "Symbol in syntax defined by the system",
"mapping": [ {
"map": "C*E.1",
"identity": "v2"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code",
"identity": "orim"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:countryCode.value[x].code",
"base": {
"max": "1",
"min": 0,
"path": "Coding.code"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].display",
"requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min": 0,
"definition": "A representation of the meaning of the code in the system, following the rules of the system.",
"isModifier": false,
"short": "Representation defined by the system",
"mapping": [ {
"map": "C*E.2 - but note this is not well followed",
"identity": "v2"
}, {
"map": "CV.displayName",
"identity": "rim"
}, {
"map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:countryCode.value[x].display",
"base": {
"max": "1",
"min": 0,
"path": "Coding.display"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].userSelected",
"requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min": 0,
"definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
"isModifier": false,
"short": "If this coding was chosen directly by the user",
"mapping": [ {
"map": "Sometimes implied by being first",
"identity": "v2"
}, {
"map": "CD.codingRationale",
"identity": "rim"
}, {
"map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]",
"identity": "orim"
} ],
"type": [ {
"code": "boolean"
} ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:countryCode.value[x].userSelected",
"comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"base": {
"max": "1",
"min": 0,
"path": "Coding.userSelected"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.country.extension",
"min": 0,
"definition": "Kodierte Angabe des Länderkennzeichens nach DEÜV, Anlage 8. ",
"isModifier": false,
"short": "Länderkennzeichen nach DEÜV Anlage 8",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-codedString" ]
} ],
"mustSupport": true,
"sliceName": "anlage8",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:anlage8",
"comment": "Diese Erweiterung dient zur Wahrung der Abwärtskompatibilität für Systeme, die den gemäß DEÜV kodierten Wert benötigen.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.address.country.extension.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:anlage8.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.country.extension.extension",
"min": 0,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "0",
"id": "Patient.address:StrassenAdresse.country.extension:anlage8.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.address.country.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:anlage8.url",
"comment": "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.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x]",
"min": 1,
"definition": "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).",
"isModifier": false,
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Coding"
} ],
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_Base_Deuev_Anlage_8"
},
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:anlage8.value[x]",
"condition": [ "ext-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
}, {
"path": "Patient.address.country.extension.value[x].id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:anlage8.value[x].id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.country.extension.value[x].extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.address:StrassenAdresse.country.extension:anlage8.value[x].extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].system",
"requirements": "Need to be unambiguous about the source of the definition of the symbol.",
"min": 0,
"definition": "The identification of the code system that defines the meaning of the symbol in the code.",
"isModifier": false,
"short": "Identity of the terminology system",
"fixedUri": "http://fhir.de/CodeSystem/deuev/anlage-8-laenderkennzeichen",
"mapping": [ {
"map": "C*E.3",
"identity": "v2"
}, {
"map": "./codeSystem",
"identity": "rim"
}, {
"map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem",
"identity": "orim"
} ],
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:anlage8.value[x].system",
"comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
"base": {
"max": "1",
"min": 0,
"path": "Coding.system"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].version",
"min": 0,
"definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"isModifier": false,
"short": "Version of the system - if relevant",
"mapping": [ {
"map": "C*E.7",
"identity": "v2"
}, {
"map": "./codeSystemVersion",
"identity": "rim"
}, {
"map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:anlage8.value[x].version",
"comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
"base": {
"max": "1",
"min": 0,
"path": "Coding.version"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].code",
"requirements": "Need to refer to a particular code in the system.",
"min": 0,
"definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"isModifier": false,
"short": "Symbol in syntax defined by the system",
"mapping": [ {
"map": "C*E.1",
"identity": "v2"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code",
"identity": "orim"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:anlage8.value[x].code",
"base": {
"max": "1",
"min": 0,
"path": "Coding.code"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].display",
"requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min": 0,
"definition": "A representation of the meaning of the code in the system, following the rules of the system.",
"isModifier": false,
"short": "Representation defined by the system",
"mapping": [ {
"map": "C*E.2 - but note this is not well followed",
"identity": "v2"
}, {
"map": "CV.displayName",
"identity": "rim"
}, {
"map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:anlage8.value[x].display",
"base": {
"max": "1",
"min": 0,
"path": "Coding.display"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].userSelected",
"requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min": 0,
"definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
"isModifier": false,
"short": "If this coding was chosen directly by the user",
"mapping": [ {
"map": "Sometimes implied by being first",
"identity": "v2"
}, {
"map": "CD.codingRationale",
"identity": "rim"
}, {
"map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]",
"identity": "orim"
} ],
"type": [ {
"code": "boolean"
} ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:anlage8.value[x].userSelected",
"comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"base": {
"max": "1",
"min": 0,
"path": "Coding.userSelected"
},
"isSummary": true
}, {
"path": "Patient.address.country.value",
"min": 0,
"definition": "The actual value",
"isModifier": false,
"short": "Primitive value for string",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "[ \\r\\n\\t\\S]+"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:StrassenAdresse.country.value",
"maxLength": 1048576,
"base": {
"max": "1",
"min": 0,
"path": "string.value"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.period",
"requirements": "Allows addresses to be placed in historical context.",
"min": 0,
"definition": "Time period when address was/is in use.",
"isModifier": false,
"short": "Time period when address was/is in use",
"mapping": [ {
"map": "XAD.12 / XAD.13 + XAD.14",
"identity": "v2"
}, {
"map": "./usablePeriod[type=\"IVL\"]",
"identity": "rim"
}, {
"map": "./StartDate and ./EndDate",
"identity": "servd"
} ],
"type": [ {
"code": "Period"
} ],
"max": "1",
"id": "Patient.address:StrassenAdresse.period",
"example": [ {
"label": "General",
"valuePeriod": {
"end": "2010-07-01",
"start": "2010-03-23"
}
} ],
"base": {
"max": "1",
"min": 0,
"path": "Address.period"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address",
"requirements": "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.",
"min": 0,
"definition": "An address for the individual.",
"isModifier": false,
"short": "An address for the individual",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "XAD",
"identity": "v2"
}, {
"map": "AD",
"identity": "rim"
}, {
"map": "Address",
"identity": "servd"
}, {
"map": "PID-11",
"identity": "v2"
}, {
"map": "addr",
"identity": "rim"
}, {
"map": ".addr",
"identity": "cda"
} ],
"type": [ {
"code": "Address",
"profile": [ "http://fhir.de/StructureDefinition/address-de-basis" ]
} ],
"mustSupport": true,
"sliceName": "PostfachAdresse",
"max": "1",
"id": "Patient.address:PostfachAdresse",
"condition": [ "ele-1" ],
"comment": "Patient may have multiple addresses with different uses or applicable periods.",
"base": {
"max": "*",
"min": 0,
"path": "Patient.address"
},
"isSummary": true
}, {
"path": "Patient.address.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.address:PostfachAdresse.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.extension",
"min": 0,
"definition": "A subsection of a municipality.",
"isModifier": false,
"short": "Stadt- oder Ortsteil",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "ADXP[partType=PRE]",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct" ]
} ],
"sliceName": "Stadtteil",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.extension:Stadtteil",
"condition": [ "ele-1" ],
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.use",
"requirements": "Allows an appropriate address to be chosen from a list of many.",
"min": 0,
"definition": "The purpose of this address.",
"isModifier": true,
"short": "home | work | temp | old | billing - purpose of this address",
"mapping": [ {
"map": "XAD.7",
"identity": "v2"
}, {
"map": "unique(./use)",
"identity": "rim"
}, {
"map": "./AddressPurpose",
"identity": "servd"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/address-use|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "AddressUse"
} ],
"description": "The use of an address."
},
"max": "1",
"id": "Patient.address:PostfachAdresse.use",
"comment": "Applications can assume that an address is current unless it explicitly says that it is temporary or old.",
"example": [ {
"label": "General",
"valueCode": "home"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Address.use"
},
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old address etc.for a current/permanent one",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.type",
"min": 1,
"definition": "Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.",
"isModifier": false,
"short": "postal | physical | both",
"mapping": [ {
"map": "XAD.18",
"identity": "v2"
}, {
"map": "unique(./use)",
"identity": "rim"
}, {
"map": "address type parameter",
"identity": "vcard"
} ],
"type": [ {
"code": "code"
} ],
"patternCode": "postal",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/address-type|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "AddressType"
} ],
"description": "The type of an address (physical / postal)."
},
"max": "1",
"id": "Patient.address:PostfachAdresse.type",
"comment": "The definition of Address states that \"address is intended to describe postal addresses, not physical locations\". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](location.html#) resource).",
"example": [ {
"label": "General",
"valueCode": "both"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Address.type"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.text",
"requirements": "A renderable, unencoded form.",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Text representation of the address",
"mapping": [ {
"map": "XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6",
"identity": "v2"
}, {
"map": "./formatted",
"identity": "rim"
}, {
"map": "address label parameter",
"identity": "vcard"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Patient.address:PostfachAdresse.text",
"comment": "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.",
"example": [ {
"label": "General",
"valueString": "137 Nowhere Street, Erewhon 9132"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Address.text"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.line",
"min": 0,
"definition": "Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden.\r\nBei 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.",
"isModifier": false,
"short": "Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung",
"mapping": [ {
"map": "XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)",
"identity": "v2"
}, {
"map": "AD.part[parttype = AL]",
"identity": "rim"
}, {
"map": "street",
"identity": "vcard"
}, {
"map": "./StreetAddress (newline delimitted)",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"max": "3",
"id": "Patient.address:PostfachAdresse.line",
"comment": "Hinweise zur Abbildung von Adressen und Beispiele siehe [Adresse (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Addresse) im deutschen Basisprofil.",
"example": [ {
"label": "General",
"valueString": "137 Nowhere Street"
}, {
"label": "Beipiel für Adresszeile mit Extensions für Straße und Hausnummer",
"valueString": "Musterweg 42",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString": "Musterweg"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString": "42"
} ]
}
} ],
"orderMeaning": "The order in which lines should appear in an address label",
"base": {
"max": "*",
"min": 0,
"path": "Address.line"
},
"isSummary": true
}, {
"path": "Patient.address.line.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references)",
"isModifier": false,
"short": "xml:id (or equivalent in JSON)",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.line.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.line.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.address:PostfachAdresse.line.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.line.extension",
"min": 0,
"definition": "Strassenname (ohne Hausnummer)\r\nBei 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.",
"isModifier": false,
"short": "Strassenname (ohne Hausnummer)",
"mapping": [ {
"map": "ADXP[partType=STR]",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName" ]
} ],
"sliceName": "Strasse",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.line.extension:Strasse",
"condition": [ "ele-1" ],
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.line.extension",
"min": 0,
"definition": "Hausnummer, sowie Zusätze (Appartmentnummer, Etage...)\r\nBei 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.",
"isModifier": false,
"short": "Hausnummer",
"mapping": [ {
"map": "ADXP[partType=BNR]",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber" ]
} ],
"sliceName": "Hausnummer",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.line.extension:Hausnummer",
"condition": [ "ele-1" ],
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.line.extension",
"min": 0,
"definition": "Zusätzliche Informationen, wie z.B. \"3. Etage\", \"Appartment C\"\r\nBei 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.",
"isModifier": false,
"short": "Adresszusatz",
"mapping": [ {
"map": "ADXP[partType=ADL]",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator" ]
} ],
"sliceName": "Adresszusatz",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.line.extension:Adresszusatz",
"condition": [ "ele-1" ],
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.line.extension",
"min": 0,
"definition": "Postfach-Adresse.\r\nBei 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.\r\nEine Postfach-Adresse darf nicht in Verbindung mit Address.type \"physical\" oder \"both\" verwendet werden.",
"isModifier": false,
"short": "Postfach",
"mapping": [ {
"map": "ADXP[partType=POB]",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox" ]
} ],
"sliceName": "Postfach",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.line.extension:Postfach",
"condition": [ "ele-1" ],
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.address.line.value",
"min": 0,
"definition": "The actual value",
"isModifier": false,
"short": "Primitive value for string",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "[ \\r\\n\\t\\S]+"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.line.value",
"maxLength": 1048576,
"base": {
"max": "1",
"min": 0,
"path": "string.value"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.city",
"min": 0,
"definition": "The name of the city, town, suburb, village or other community or delivery center.",
"isModifier": false,
"short": "Name of city, town etc.",
"mapping": [ {
"map": "XAD.3",
"identity": "v2"
}, {
"map": "AD.part[parttype = CTY]",
"identity": "rim"
}, {
"map": "locality",
"identity": "vcard"
}, {
"map": "./Jurisdiction",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "Municpality" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.city",
"example": [ {
"label": "General",
"valueString": "Erewhon"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Address.city"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.district",
"min": 0,
"definition": "The name of the administrative area (county).",
"isModifier": false,
"short": "District name (aka county)",
"mapping": [ {
"map": "XAD.9",
"identity": "v2"
}, {
"map": "AD.part[parttype = CNT | CPA]",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "County" ],
"max": "0",
"id": "Patient.address:PostfachAdresse.district",
"comment": "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.",
"example": [ {
"label": "General",
"valueString": "Madison"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Address.district"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.state",
"min": 0,
"definition": "Name (oder Kürzel) des Bundeslandes.",
"isModifier": false,
"short": "Bundesland",
"mapping": [ {
"map": "XAD.4",
"identity": "v2"
}, {
"map": "AD.part[parttype = STA]",
"identity": "rim"
}, {
"map": "region",
"identity": "vcard"
}, {
"map": "./Region",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://fhir.de/ValueSet/iso/bundeslaender"
},
"alias": [ "Province", "Territory" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.state",
"base": {
"max": "1",
"min": 0,
"path": "Address.state"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.postalCode",
"min": 0,
"definition": "Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen",
"isModifier": false,
"short": "Postleitzahl",
"mapping": [ {
"map": "XAD.5",
"identity": "v2"
}, {
"map": "AD.part[parttype = ZIP]",
"identity": "rim"
}, {
"map": "code",
"identity": "vcard"
}, {
"map": "./PostalIdentificationCode",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "Zip" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.postalCode",
"example": [ {
"label": "General",
"valueString": "9132"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Address.postalCode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country",
"min": 0,
"definition": "Staatsangabe",
"isModifier": false,
"short": "Staat",
"mapping": [ {
"map": "XAD.6",
"identity": "v2"
}, {
"map": "AD.part[parttype = CNT]",
"identity": "rim"
}, {
"map": "country",
"identity": "vcard"
}, {
"map": "./Country",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/iso3166-1-2"
},
"max": "1",
"id": "Patient.address:PostfachAdresse.country",
"comment": "Hier ist die Staatsangabe im Volltext (z.B. zur postalischen Adressierung) anzugeben.",
"base": {
"max": "1",
"min": 0,
"path": "Address.country"
},
"isSummary": true
}, {
"path": "Patient.address.country.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references)",
"isModifier": false,
"short": "xml:id (or equivalent in JSON)",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.country.extension",
"min": 1,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
}, {
"path": "value.ofType(Coding).system",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.address:PostfachAdresse.country.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.country.extension",
"min": 1,
"definition": "Kodierte Angabe des Länderkennzeichens nach ISO 3166-2. ",
"isModifier": false,
"short": "Länderkennzeichen nach ISO 3166-2",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-codedString" ]
} ],
"mustSupport": true,
"sliceName": "countryCode",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:countryCode",
"comment": "Diese Abbildung entspricht der auf EU-Ebene in Abstimmung befindlichen Profilierung zur [Kodierung der Landesangabe](https://build.fhir.org/ig/hl7-eu/base/StructureDefinition-Address-eu.html).\nDurch die Verwendung der internationalen Kodierung wird die interoperable Verwendung der Adressangabe erleichtert.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.address.country.extension.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:countryCode.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.country.extension.extension",
"min": 0,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "0",
"id": "Patient.address:PostfachAdresse.country.extension:countryCode.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.address.country.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:countryCode.url",
"comment": "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.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x]",
"min": 1,
"definition": "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).",
"isModifier": false,
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Coding"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/iso3166-1-2"
},
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:countryCode.value[x]",
"condition": [ "ext-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
}, {
"path": "Patient.address.country.extension.value[x].id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:countryCode.value[x].id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.country.extension.value[x].extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.address:PostfachAdresse.country.extension:countryCode.value[x].extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].system",
"requirements": "Need to be unambiguous about the source of the definition of the symbol.",
"min": 0,
"definition": "The identification of the code system that defines the meaning of the symbol in the code.",
"isModifier": false,
"short": "Identity of the terminology system",
"fixedUri": "urn:iso:std:iso:3166",
"mapping": [ {
"map": "C*E.3",
"identity": "v2"
}, {
"map": "./codeSystem",
"identity": "rim"
}, {
"map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem",
"identity": "orim"
} ],
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:countryCode.value[x].system",
"comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
"base": {
"max": "1",
"min": 0,
"path": "Coding.system"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].version",
"min": 0,
"definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"isModifier": false,
"short": "Version of the system - if relevant",
"mapping": [ {
"map": "C*E.7",
"identity": "v2"
}, {
"map": "./codeSystemVersion",
"identity": "rim"
}, {
"map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:countryCode.value[x].version",
"comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
"base": {
"max": "1",
"min": 0,
"path": "Coding.version"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].code",
"requirements": "Need to refer to a particular code in the system.",
"min": 0,
"definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"isModifier": false,
"short": "Symbol in syntax defined by the system",
"mapping": [ {
"map": "C*E.1",
"identity": "v2"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code",
"identity": "orim"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:countryCode.value[x].code",
"base": {
"max": "1",
"min": 0,
"path": "Coding.code"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].display",
"requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min": 0,
"definition": "A representation of the meaning of the code in the system, following the rules of the system.",
"isModifier": false,
"short": "Representation defined by the system",
"mapping": [ {
"map": "C*E.2 - but note this is not well followed",
"identity": "v2"
}, {
"map": "CV.displayName",
"identity": "rim"
}, {
"map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:countryCode.value[x].display",
"base": {
"max": "1",
"min": 0,
"path": "Coding.display"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].userSelected",
"requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min": 0,
"definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
"isModifier": false,
"short": "If this coding was chosen directly by the user",
"mapping": [ {
"map": "Sometimes implied by being first",
"identity": "v2"
}, {
"map": "CD.codingRationale",
"identity": "rim"
}, {
"map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]",
"identity": "orim"
} ],
"type": [ {
"code": "boolean"
} ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:countryCode.value[x].userSelected",
"comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"base": {
"max": "1",
"min": 0,
"path": "Coding.userSelected"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.country.extension",
"min": 0,
"definition": "Kodierte Angabe des Länderkennzeichens nach DEÜV, Anlage 8. ",
"isModifier": false,
"short": "Länderkennzeichen nach DEÜV Anlage 8",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-codedString" ]
} ],
"mustSupport": true,
"sliceName": "anlage8",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:anlage8",
"comment": "Diese Erweiterung dient zur Wahrung der Abwärtskompatibilität für Systeme, die den gemäß DEÜV kodierten Wert benötigen.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.address.country.extension.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:anlage8.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.country.extension.extension",
"min": 0,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "0",
"id": "Patient.address:PostfachAdresse.country.extension:anlage8.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Patient.address.country.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:anlage8.url",
"comment": "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.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x]",
"min": 1,
"definition": "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).",
"isModifier": false,
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Coding"
} ],
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_Base_Deuev_Anlage_8"
},
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:anlage8.value[x]",
"condition": [ "ext-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
}, {
"path": "Patient.address.country.extension.value[x].id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:anlage8.value[x].id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.address.country.extension.value[x].extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.address:PostfachAdresse.country.extension:anlage8.value[x].extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].system",
"requirements": "Need to be unambiguous about the source of the definition of the symbol.",
"min": 0,
"definition": "The identification of the code system that defines the meaning of the symbol in the code.",
"isModifier": false,
"short": "Identity of the terminology system",
"fixedUri": "http://fhir.de/CodeSystem/deuev/anlage-8-laenderkennzeichen",
"mapping": [ {
"map": "C*E.3",
"identity": "v2"
}, {
"map": "./codeSystem",
"identity": "rim"
}, {
"map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem",
"identity": "orim"
} ],
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:anlage8.value[x].system",
"comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
"base": {
"max": "1",
"min": 0,
"path": "Coding.system"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].version",
"min": 0,
"definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"isModifier": false,
"short": "Version of the system - if relevant",
"mapping": [ {
"map": "C*E.7",
"identity": "v2"
}, {
"map": "./codeSystemVersion",
"identity": "rim"
}, {
"map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:anlage8.value[x].version",
"comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
"base": {
"max": "1",
"min": 0,
"path": "Coding.version"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].code",
"requirements": "Need to refer to a particular code in the system.",
"min": 0,
"definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"isModifier": false,
"short": "Symbol in syntax defined by the system",
"mapping": [ {
"map": "C*E.1",
"identity": "v2"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code",
"identity": "orim"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:anlage8.value[x].code",
"base": {
"max": "1",
"min": 0,
"path": "Coding.code"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].display",
"requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min": 0,
"definition": "A representation of the meaning of the code in the system, following the rules of the system.",
"isModifier": false,
"short": "Representation defined by the system",
"mapping": [ {
"map": "C*E.2 - but note this is not well followed",
"identity": "v2"
}, {
"map": "CV.displayName",
"identity": "rim"
}, {
"map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:anlage8.value[x].display",
"base": {
"max": "1",
"min": 0,
"path": "Coding.display"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.country.extension.value[x].userSelected",
"requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min": 0,
"definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
"isModifier": false,
"short": "If this coding was chosen directly by the user",
"mapping": [ {
"map": "Sometimes implied by being first",
"identity": "v2"
}, {
"map": "CD.codingRationale",
"identity": "rim"
}, {
"map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]",
"identity": "orim"
} ],
"type": [ {
"code": "boolean"
} ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:anlage8.value[x].userSelected",
"comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"base": {
"max": "1",
"min": 0,
"path": "Coding.userSelected"
},
"isSummary": true
}, {
"path": "Patient.address.country.value",
"min": 0,
"definition": "The actual value",
"isModifier": false,
"short": "Primitive value for string",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "[ \\r\\n\\t\\S]+"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.address:PostfachAdresse.country.value",
"maxLength": 1048576,
"base": {
"max": "1",
"min": 0,
"path": "string.value"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.address.period",
"requirements": "Allows addresses to be placed in historical context.",
"min": 0,
"definition": "Time period when address was/is in use.",
"isModifier": false,
"short": "Time period when address was/is in use",
"mapping": [ {
"map": "XAD.12 / XAD.13 + XAD.14",
"identity": "v2"
}, {
"map": "./usablePeriod[type=\"IVL\"]",
"identity": "rim"
}, {
"map": "./StartDate and ./EndDate",
"identity": "servd"
} ],
"type": [ {
"code": "Period"
} ],
"max": "1",
"id": "Patient.address:PostfachAdresse.period",
"example": [ {
"label": "General",
"valuePeriod": {
"end": "2010-07-01",
"start": "2010-03-23"
}
} ],
"base": {
"max": "1",
"min": 0,
"path": "Address.period"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.maritalStatus",
"requirements": "Most, if not all systems capture it.",
"min": 0,
"definition": "This field contains a patient's most recent marital (civil) status.",
"isModifier": false,
"short": "Marital (civil) status of a patient",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "PID-16",
"identity": "v2"
}, {
"map": "player[classCode=PSN]/maritalStatusCode",
"identity": "rim"
}, {
"map": ".patient.maritalStatusCode",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/ValueSet/marital-status|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MaritalStatus"
} ],
"description": "The domestic partnership status of a person."
},
"max": "1",
"id": "Patient.maritalStatus",
"condition": [ "ele-1" ],
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"base": {
"max": "1",
"min": 0,
"path": "Patient.maritalStatus"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.multipleBirth[x]",
"requirements": "For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.",
"min": 0,
"definition": "Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).",
"isModifier": false,
"short": "Whether patient is part of a multiple birth",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "PID-24 (bool), PID-25 (integer)",
"identity": "v2"
}, {
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "boolean"
}, {
"code": "integer"
} ],
"max": "1",
"id": "Patient.multipleBirth[x]",
"condition": [ "ele-1" ],
"comment": "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).",
"base": {
"max": "1",
"min": 0,
"path": "Patient.multipleBirth[x]"
}
}, {
"constraint": [ {
"key": "att-1",
"human": "If the Attachment has data, it SHALL have a contentType",
"xpath": "not(exists(f:data)) or exists(f:contentType)",
"source": "http://hl7.org/fhir/StructureDefinition/Attachment",
"severity": "error",
"expression": "data.empty() or contentType.exists()"
}, {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.photo",
"requirements": "Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.",
"min": 0,
"definition": "Image of the patient.",
"isModifier": false,
"short": "Image of the patient",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "ED/RP",
"identity": "v2"
}, {
"map": "ED",
"identity": "rim"
}, {
"map": "OBX-5 - needs a profile",
"identity": "v2"
}, {
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "Attachment"
} ],
"max": "*",
"id": "Patient.photo",
"condition": [ "ele-1" ],
"comment": "Guidelines:\n* Use id photos, not clinical photos.\n* Limit dimensions to thumbnail.\n* Keep byte count low to ease resource updates.",
"base": {
"max": "*",
"min": 0,
"path": "Patient.photo"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "pat-1",
"human": "SHALL at least contain a contact's details or a reference to an organization",
"xpath": "exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)",
"source": "http://hl7.org/fhir/StructureDefinition/Patient",
"severity": "error",
"expression": "name.exists() or telecom.exists() or address.exists() or organization.exists()"
} ],
"path": "Patient.contact",
"requirements": "Need to track people you can contact about the patient.",
"min": 0,
"definition": "A contact party (e.g. guardian, partner, friend) for the patient.",
"isModifier": false,
"short": "A contact party (e.g. guardian, partner, friend) for the patient",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Patient.contact",
"condition": [ "ele-1" ],
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Patient.contact"
}
}, {
"path": "Patient.contact.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.contact.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.contact.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.contact.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.contact.modifierExtension",
"requirements": "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).",
"min": 0,
"definition": "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Patient.contact.modifierExtension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.contact.relationship",
"requirements": "Used to determine which contact person is the most relevant to approach, depending on circumstances.",
"min": 0,
"definition": "The nature of the relationship between the patient and the contact person.",
"isModifier": false,
"short": "The kind of relationship",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "NK1-7, NK1-3",
"identity": "v2"
}, {
"map": "code",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/ValueSet/patient-contactrelationship|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ContactRelationship"
} ],
"description": "The nature of the relationship between a patient and a contact person for that patient."
},
"max": "*",
"id": "Patient.contact.relationship",
"condition": [ "ele-1" ],
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"base": {
"max": "*",
"min": 0,
"path": "Patient.contact.relationship"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.contact.name",
"requirements": "Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.",
"min": 0,
"definition": "A name associated with the contact person.",
"isModifier": false,
"short": "A name associated with the contact person",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "XPN",
"identity": "v2"
}, {
"map": "EN (actually, PN)",
"identity": "rim"
}, {
"map": "ProviderName",
"identity": "servd"
}, {
"map": "NK1-2",
"identity": "v2"
}, {
"map": "name",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "HumanName"
} ],
"max": "1",
"id": "Patient.contact.name",
"condition": [ "ele-1" ],
"comment": "Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.",
"base": {
"max": "1",
"min": 0,
"path": "Patient.contact.name"
}
}, {
"constraint": [ {
"key": "cpt-2",
"human": "A system is required if a value is provided.",
"xpath": "not(exists(f:value)) or exists(f:system)",
"source": "http://hl7.org/fhir/StructureDefinition/ContactPoint",
"severity": "error",
"expression": "value.empty() or system.exists()"
}, {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.contact.telecom",
"requirements": "People have (primary) ways to contact them in some way such as phone, email.",
"min": 0,
"definition": "A contact detail for the person, e.g. a telephone number or an email address.",
"isModifier": false,
"short": "A contact detail for the person",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "XTN",
"identity": "v2"
}, {
"map": "TEL",
"identity": "rim"
}, {
"map": "ContactPoint",
"identity": "servd"
}, {
"map": "NK1-5, NK1-6, NK1-40",
"identity": "v2"
}, {
"map": "telecom",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "ContactPoint"
} ],
"max": "*",
"id": "Patient.contact.telecom",
"condition": [ "ele-1" ],
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Patient.contact.telecom"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.contact.address",
"requirements": "Need to keep track where the contact person can be contacted per postal mail or visited.",
"min": 0,
"definition": "Address for the contact person.",
"isModifier": false,
"short": "Address for the contact person",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "XAD",
"identity": "v2"
}, {
"map": "AD",
"identity": "rim"
}, {
"map": "Address",
"identity": "servd"
}, {
"map": "NK1-4",
"identity": "v2"
}, {
"map": "addr",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "Address"
} ],
"max": "1",
"id": "Patient.contact.address",
"condition": [ "ele-1" ],
"comment": "Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the [Location](http://hl7.org/fhir/R4/location.html#) resource).",
"base": {
"max": "1",
"min": 0,
"path": "Patient.contact.address"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.contact.gender",
"requirements": "Needed to address the person correctly.",
"min": 0,
"definition": "Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.",
"isModifier": false,
"short": "male | female | other | unknown",
"mapping": [ {
"map": "NK1-15",
"identity": "v2"
}, {
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "AdministrativeGender"
} ],
"description": "The gender of a person used for administrative purposes."
},
"max": "1",
"id": "Patient.contact.gender",
"base": {
"max": "1",
"min": 0,
"path": "Patient.contact.gender"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"
} ],
"path": "Patient.contact.organization",
"requirements": "For guardians or business related contacts, the organization is relevant.",
"min": 0,
"definition": "Organization on behalf of which the contact is acting or for which the contact is working.",
"isModifier": false,
"short": "Organization that is associated with the contact",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": "NK1-13, NK1-30, NK1-31, NK1-32, NK1-41",
"identity": "v2"
}, {
"map": "scoper",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1" ]
} ],
"max": "1",
"id": "Patient.contact.organization",
"condition": [ "ele-1", "pat-1" ],
"comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
"base": {
"max": "1",
"min": 0,
"path": "Patient.contact.organization"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "per-1",
"human": "If present, start SHALL have a lower value than end",
"xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
"source": "http://hl7.org/fhir/StructureDefinition/Period",
"severity": "error",
"expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)"
} ],
"path": "Patient.contact.period",
"min": 0,
"definition": "The period during which this contact person or organization is valid to be contacted relating to this patient.",
"isModifier": false,
"short": "The period during which this contact person or organization is valid to be contacted relating to this patient",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "DR",
"identity": "v2"
}, {
"map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]",
"identity": "rim"
}, {
"map": "effectiveTime",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "Period"
} ],
"max": "1",
"id": "Patient.contact.period",
"condition": [ "ele-1" ],
"comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).",
"base": {
"max": "1",
"min": 0,
"path": "Patient.contact.period"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.communication",
"requirements": "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.",
"min": 0,
"definition": "A language which may be used to communicate with the patient about his or her health.",
"isModifier": false,
"short": "A language which may be used to communicate with the patient about his or her health",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "LanguageCommunication",
"identity": "rim"
}, {
"map": "patient.languageCommunication",
"identity": "cda"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Patient.communication",
"condition": [ "ele-1" ],
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Patient.communication"
}
}, {
"path": "Patient.communication.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.communication.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.communication.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.communication.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.communication.modifierExtension",
"requirements": "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).",
"min": 0,
"definition": "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Patient.communication.modifierExtension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.communication.language",
"requirements": "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.",
"min": 1,
"definition": "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.",
"isModifier": false,
"short": "The language which can be used to communicate with the patient about his or her health",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "PID-15, LAN-2",
"identity": "v2"
}, {
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code",
"identity": "rim"
}, {
"map": ".languageCode",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/languages|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
} ],
"description": "A human language."
},
"max": "1",
"id": "Patient.communication.language",
"condition": [ "ele-1" ],
"comment": "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.",
"base": {
"max": "1",
"min": 1,
"path": "Patient.communication.language"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.communication.preferred",
"requirements": "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.",
"min": 0,
"definition": "Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).",
"isModifier": false,
"short": "Language preference indicator",
"mapping": [ {
"map": "PID-15",
"identity": "v2"
}, {
"map": "preferenceInd",
"identity": "rim"
}, {
"map": ".preferenceInd",
"identity": "cda"
} ],
"type": [ {
"code": "boolean"
} ],
"max": "1",
"id": "Patient.communication.preferred",
"comment": "This language is specifically identified for communicating healthcare information.",
"base": {
"max": "1",
"min": 0,
"path": "Patient.communication.preferred"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"
} ],
"path": "Patient.generalPractitioner",
"min": 0,
"definition": "Patient's nominated care provider.",
"isModifier": false,
"short": "Patient's nominated primary care provider",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": "PD1-4",
"identity": "v2"
}, {
"map": "subjectOf.CareEvent.performer.AssignedEntity",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1", "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1" ]
} ],
"alias": [ "careProvider" ],
"max": "*",
"id": "Patient.generalPractitioner",
"condition": [ "ele-1" ],
"comment": "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.\nMultiple 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.\n\nJurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.",
"base": {
"max": "*",
"min": 0,
"path": "Patient.generalPractitioner"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"
} ],
"path": "Patient.managingOrganization",
"requirements": "Need to know who recognizes this patient record, manages and updates it.",
"min": 0,
"definition": "Organization that is the custodian of the patient record.",
"isModifier": false,
"short": "Organization that is the custodian of the patient record",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": "scoper",
"identity": "rim"
}, {
"map": ".providerOrganization",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1" ]
} ],
"max": "1",
"id": "Patient.managingOrganization",
"condition": [ "ele-1" ],
"comment": "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).",
"base": {
"max": "1",
"min": 0,
"path": "Patient.managingOrganization"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.link",
"requirements": "There are multiple use cases: \n\n* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and \n* Distribution of patient information across multiple servers.",
"min": 0,
"definition": "Link to another patient resource that concerns the same actual patient.",
"isModifier": true,
"short": "Link to another patient resource that concerns the same actual person",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "outboundLink",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Patient.link",
"condition": [ "ele-1" ],
"comment": "There is no assumption that linked patient records have mutual links.",
"base": {
"max": "*",
"min": 0,
"path": "Patient.link"
},
"isModifierReason": "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'",
"isSummary": true
}, {
"path": "Patient.link.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Patient.link.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.link.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Patient.link.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Patient.link.modifierExtension",
"requirements": "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).",
"min": 0,
"definition": "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Patient.link.modifierExtension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ref-1",
"human": "SHALL have a contained resource if a local reference is provided",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference",
"severity": "error",
"expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"
} ],
"path": "Patient.link.other",
"min": 1,
"definition": "The other patient resource that the link refers to.",
"isModifier": false,
"short": "The other patient or related person resource that the link refers to",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
"identity": "rim"
}, {
"map": "PID-3, MRG-1",
"identity": "v2"
}, {
"map": "id",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
"valueBoolean": false
} ],
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1" ]
} ],
"max": "1",
"id": "Patient.link.other",
"condition": [ "ele-1" ],
"comment": "Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.",
"base": {
"max": "1",
"min": 1,
"path": "Patient.link.other"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Patient.link.type",
"min": 1,
"definition": "The type of link between this patient resource and another patient resource.",
"isModifier": false,
"short": "replaced-by | replaces | refer | seealso",
"mapping": [ {
"map": "typeCode",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/link-type|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "LinkType"
} ],
"description": "The type of link between this patient resource and another patient resource."
},
"max": "1",
"id": "Patient.link.type",
"base": {
"max": "1",
"min": 1,
"path": "Patient.link.type"
},
"isSummary": true
} ]
},
"status": "draft",
"id": "024c4523-0253-49f6-a645-bcc57eaeddcf",
"kind": "resource",
"url": "https://gematik.de/fhir/vsdm2/StructureDefinition/VSDMPatient",
"version": "1.0.0",
"differential": {
"element": [ {
"id": "Patient",
"path": "Patient",
"short": "Versicherter im VSDM",
"definition": "Der VSDMPatient bildet einen Versicherten im Versichertenstammdatenmanagement (VSDM) 2.0 ab.\nDer VSDMPatient ist vom zentralen TIPatient abgeleitet. \nDer Ressource Server des VSDM stellt allerdings keinen FHIR Data Service im Sinne des Implementation Guide TI Common dar, so dass die meisten Anforderungen dieses IG auf den VSDMPatient nicht zutreffen.\nDieser Sachverhalt wird in einer Folgeversion des IG klargestellt."
}, {
"id": "Patient.identifier",
"min": 1,
"path": "Patient.identifier"
}, {
"id": "Patient.identifier:KVNR",
"min": 1,
"path": "Patient.identifier",
"short": "Versichertennummer (KVNR)",
"comment": "Hinweise zur Verwendung und Beispiele siehe [Lebenslange Krankenversicherten-ID](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-LebenslangeKrankenversichertennummer10-stelligeKVID-Identifier.html) im deutschen Basisprofil.",
"sliceName": "KVNR",
"definition": "Es wird der zehnstellig (unveränderliche) Teil der KVNR verwendet. \nZur eindeutigen Identifikation muss genau eine KVNR angegeben werden.",
"requirements": "Die KVNR identifiziert den Versicherten, auf den sich die bereitgestellten Stammdaten beziehen."
}, {
"id": "Patient.name:Name",
"path": "Patient.name",
"sliceName": "Name"
}, {
"id": "Patient.name:Name.text",
"path": "Patient.name.text",
"short": "vollständiger zusammengesetzter Name",
"comment": "Hinweise und Beispiele siehe [Name (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Name) im deutschen Basisprofil",
"definition": "Zur besseren Lesbarkeit sowie zur leichteren Verarbeitung für Systeme, die die einzelnen Namensbestandteile nicht getrennt benötigen, SOLL dieses Attribut den gesamten Namen mit Titel, Vorsatzwort und Namenszusätzen enthalten.\nDie Bildungsregel ist dabei [Titel] [Vornamen] [Namenszusätze] [Vorsatzworte] [Nachnamen]."
}, {
"id": "Patient.name:Name.family",
"path": "Patient.name.family",
"comment": "Hinweise zur Bildung des gesamten Namenamens siehe [Name (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Name) im deutschen Basisprofil\nVerwender müssen mindestens 87 Zeichen verarbeiten können."
}, {
"id": "Patient.name:Name.family.extension:namenszusatz",
"path": "Patient.name.family.extension",
"comment": "Hinweise zum Umgang mit dieser Erweiterung siehe [Name (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Name) im deutschen Basisprofil\nEine Tabelle der gültigen Namenszusätze findet sich in Anlage 7 zur DEÜV, siehe www.gkv-datenaustausch.de/arbeitgeber/deuev/gemeinsame_rundschreiben/gemeinsame_rundschreiben.jsp.\nUm die Verarbeitung ausländischer Namensangaben nicht zu verhindern, ist die Wertetabelle nur als \"preferred binding\" hinterlegt.\nVerwender müssen mindestens 20 Zeichen verarbeiten können.",
"sliceName": "namenszusatz"
}, {
"id": "Patient.name:Name.family.extension:namenszusatz.value[x]",
"path": "Patient.name.family.extension.value[x]",
"binding": {
"strength": "preferred",
"valueSet": "https://gematik.de/fhir/vsdm2/ValueSet/VSDMNamenszusatzVS"
}
}, {
"id": "Patient.name:Name.family.extension:nachname",
"path": "Patient.name.family.extension",
"short": "Nachname ohne Vorsatzwort und Zusätze",
"comment": "Hinweise zum Umgang mit dieser Erweiterung siehe [Name (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Name) im deutschen Basisprofil.\nVerwender müssen mindestens 45 Zeichen verarbeiten können.",
"sliceName": "nachname",
"definition": "Diese Erweiterung kann den Nachnamen ohne Vorsatzworte und Zusätze aufnehmen.\nWenn weder Vorsatzworte noch Namenszusätze existieren, kann die Erweiterung entfallen."
}, {
"id": "Patient.name:Name.family.extension:vorsatzwort",
"path": "Patient.name.family.extension",
"short": "Vorsatzwort",
"comment": "Hinweise zum Umgang mit dieser Erweiterung siehe [Name (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Name) im deutschen Basisprofil.\nEine Tabelle der gültigen Vorsatzworte findet sich in Anlage 6 zur DEÜV, siehe www.gkv-datenaustausch.de/arbeitgeber/deuev/gemeinsame_rundschreiben/gemeinsame_rundschreiben.jsp.\nUm die Verarbeitung ausländischer Namensangaben nicht zu verhindern, ist die Wertetabelle nur als \"preferred binding\" hinterlegt.\nVerwender müssen mindestens 20 Zeichen verarbeiten können.",
"sliceName": "vorsatzwort",
"definition": "Vorsatzwort zum Nachnamen des Patienten (z.B. \"van\" in \"Ludwig van Beethoven\")."
}, {
"id": "Patient.name:Name.family.extension:vorsatzwort.value[x]",
"path": "Patient.name.family.extension.value[x]",
"binding": {
"strength": "preferred",
"valueSet": "https://gematik.de/fhir/vsdm2/ValueSet/VSDMVorsatzwortVS"
}
}, {
"id": "Patient.name:Name.given",
"path": "Patient.name.given",
"comment": "Mehrere Vornamen können durch Leerzeichen oder Bindestrich getrennt in einem Wert angegeben werden. \nVon der Wiederholung des given-Elemente SOLL kein Gebrauch gemacht werden; es wird zur besseren Interoperabilität allerdings nicht technisch verboten.\nVerwender müssen mindestens 45 Zeichen verarbeiten können."
}, {
"id": "Patient.name:Name.prefix",
"path": "Patient.name.prefix",
"comment": "Beispiele zur Verwendung siehe [Name (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Name) im deutschen Basisprofil.",
"definition": "Namensteile vor dem Vornamen, z.B. akademischer Titel.\nWenn dieses Attribut zur Angabe des akademischen Titels verwendet wird, ist die Erweiterung prefix-qualifier mit dem Wert AC (academic) verpflichtend anzugeben.\nMehrere Titel werden durch Leerzeichen getrennt angegeben. \nVerwender müssen mindestens 20 Zeichen verarbeiten können."
}, {
"id": "Patient.name:Name.prefix.extension:prefix-qualifier",
"path": "Patient.name.prefix.extension",
"short": "Art des Namenspräfix",
"comment": "Beispiele zur Verwendung siehe [Name (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Name) im deutschen Basisprofil.",
"sliceName": "prefix-qualifier",
"definition": "Kodierte Angabe der Art des Namenspräfix zur technischen Unterscheidung zwischen verschieden Präfixen wie akademischem Titel.\nAchtung: Für das Vorsatzwort ist das Attribut family.extension[vorsatzwort] zu verwenden.\nFür akademische Titel ist verpflichtend die Kennzeichnung AC (academic) zu verwenden."
}, {
"id": "Patient.telecom",
"path": "Patient.telecom",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "system",
"type": "profile"
} ]
}
}, {
"id": "Patient.telecom:TIMessengerID",
"max": "1",
"min": 0,
"path": "Patient.telecom",
"type": [ {
"code": "ContactPoint",
"profile": [ "https://gematik.de/fhir/vsdm2/StructureDefinition/VSDMContactPointTIM" ]
} ],
"sliceName": "TIMessengerID"
}, {
"id": "Patient.gender",
"path": "Patient.gender",
"short": "Administrative Geschlechtsangabe (FHIR-Kodierung)",
"comment": "Hinweise zur Verwendung dieses Attributs und der Erweiterung siehe [Geschlecht (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Geschlecht) im deutschen Basisprofil.",
"definition": "Administrative Geschlechtsangabe gemäß den Unterlagen des Kostenträgers, kodiert nach FHIR-Standard."
}, {
"id": "Patient.gender.extension:other-amtlich",
"path": "Patient.gender.extension",
"short": "Administrative Geschlechtsangabe (deutsche Kodierung)",
"comment": "Hinweise zur Verwendung dieses Attributs und der Erweiterung siehe [Geschlecht (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Geschlecht) im deutschen Basisprofil.\nNur bei FHIR-Kodierung \"other\" zu verwenden (vgl. Constraint pat-de-1).",
"sliceName": "other-amtlich",
"definition": "Administrative Geschlechtsangabe gemäß den Unterlagen des Kostenträgers, kodiert nach Wertetabelle zur Unterscheidung zwischen \"divers\" und \"unbestimmt\".",
"mustSupport": true
}, {
"id": "Patient.birthDate",
"path": "Patient.birthDate",
"short": "Geburtsdatum",
"comment": "Hinweise insbesondere zur Angabe unvollständiger Datumswerte siehe [Geburtsdatum (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Geburtsdatum).",
"definition": "Das Geburtsdatum des Versicherten ist in den VSD eine Pflichtangabe. \nPartielle Datumsangaben sind allerdings zulässig."
}, {
"id": "Patient.address",
"path": "Patient.address",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "type",
"type": "value"
} ]
}
}, {
"id": "Patient.address:StrassenAdresse",
"max": "1",
"min": 0,
"path": "Patient.address",
"type": [ {
"code": "Address",
"profile": [ "http://fhir.de/StructureDefinition/address-de-basis" ]
} ],
"sliceName": "StrassenAdresse",
"mustSupport": true
}, {
"id": "Patient.address:StrassenAdresse.type",
"min": 1,
"path": "Patient.address.type",
"patternCode": "physical"
}, {
"id": "Patient.address:StrassenAdresse.line",
"path": "Patient.address.line",
"comment": "Hinweise zur Abbildung von Adressen und Beispiele siehe [Adresse (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Addresse) im deutschen Basisprofil."
}, {
"id": "Patient.address:StrassenAdresse.country",
"path": "Patient.address.country",
"comment": "Hier ist die Staatsangabe im Volltext (z.B. zur postalischen Adressierung) anzugeben.",
"definition": "Staatsangabe"
}, {
"id": "Patient.address:StrassenAdresse.country.extension",
"min": 1,
"path": "Patient.address.country.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
}, {
"path": "value.ofType(Coding).system",
"type": "value"
} ]
}
}, {
"path": "Patient.address.country.extension",
"min": 1,
"definition": "Kodierte Angabe des Länderkennzeichens nach ISO 3166-2. ",
"short": "Länderkennzeichen nach ISO 3166-2",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-codedString" ]
} ],
"mustSupport": true,
"sliceName": "countryCode",
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:countryCode",
"comment": "Diese Abbildung entspricht der auf EU-Ebene in Abstimmung befindlichen Profilierung zur [Kodierung der Landesangabe](https://build.fhir.org/ig/hl7-eu/base/StructureDefinition-Address-eu.html).\nDurch die Verwendung der internationalen Kodierung wird die interoperable Verwendung der Adressangabe erleichtert."
}, {
"id": "Patient.address:StrassenAdresse.country.extension:countryCode.value[x]",
"path": "Patient.address.country.extension.value[x]",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/iso3166-1-2"
}
}, {
"id": "Patient.address:StrassenAdresse.country.extension:countryCode.value[x].system",
"path": "Patient.address.country.extension.value[x].system",
"fixedUri": "urn:iso:std:iso:3166"
}, {
"path": "Patient.address.country.extension",
"min": 0,
"definition": "Kodierte Angabe des Länderkennzeichens nach DEÜV, Anlage 8. ",
"short": "Länderkennzeichen nach DEÜV Anlage 8",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-codedString" ]
} ],
"mustSupport": true,
"sliceName": "anlage8",
"max": "1",
"id": "Patient.address:StrassenAdresse.country.extension:anlage8",
"comment": "Diese Erweiterung dient zur Wahrung der Abwärtskompatibilität für Systeme, die den gemäß DEÜV kodierten Wert benötigen."
}, {
"id": "Patient.address:StrassenAdresse.country.extension:anlage8.value[x]",
"path": "Patient.address.country.extension.value[x]",
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_Base_Deuev_Anlage_8"
}
}, {
"id": "Patient.address:StrassenAdresse.country.extension:anlage8.value[x].system",
"path": "Patient.address.country.extension.value[x].system",
"fixedUri": "http://fhir.de/CodeSystem/deuev/anlage-8-laenderkennzeichen"
}, {
"id": "Patient.address:PostfachAdresse",
"max": "1",
"min": 0,
"path": "Patient.address",
"type": [ {
"code": "Address",
"profile": [ "http://fhir.de/StructureDefinition/address-de-basis" ]
} ],
"sliceName": "PostfachAdresse",
"mustSupport": true
}, {
"id": "Patient.address:PostfachAdresse.type",
"min": 1,
"path": "Patient.address.type",
"patternCode": "postal"
}, {
"id": "Patient.address:PostfachAdresse.line",
"path": "Patient.address.line",
"comment": "Hinweise zur Abbildung von Adressen und Beispiele siehe [Adresse (Patient)](https://ig.fhir.de/basisprofile-de/stable/ig-markdown-Ressourcen-Patient.html#ig-markdown-Ressourcen-Patient-Addresse) im deutschen Basisprofil."
}, {
"id": "Patient.address:PostfachAdresse.country",
"path": "Patient.address.country",
"comment": "Hier ist die Staatsangabe im Volltext (z.B. zur postalischen Adressierung) anzugeben.",
"definition": "Staatsangabe"
}, {
"id": "Patient.address:PostfachAdresse.country.extension",
"min": 1,
"path": "Patient.address.country.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
}, {
"path": "value.ofType(Coding).system",
"type": "value"
} ]
}
}, {
"path": "Patient.address.country.extension",
"min": 1,
"definition": "Kodierte Angabe des Länderkennzeichens nach ISO 3166-2. ",
"short": "Länderkennzeichen nach ISO 3166-2",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-codedString" ]
} ],
"mustSupport": true,
"sliceName": "countryCode",
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:countryCode",
"comment": "Diese Abbildung entspricht der auf EU-Ebene in Abstimmung befindlichen Profilierung zur [Kodierung der Landesangabe](https://build.fhir.org/ig/hl7-eu/base/StructureDefinition-Address-eu.html).\nDurch die Verwendung der internationalen Kodierung wird die interoperable Verwendung der Adressangabe erleichtert."
}, {
"id": "Patient.address:PostfachAdresse.country.extension:countryCode.value[x]",
"path": "Patient.address.country.extension.value[x]",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/iso3166-1-2"
}
}, {
"id": "Patient.address:PostfachAdresse.country.extension:countryCode.value[x].system",
"path": "Patient.address.country.extension.value[x].system",
"fixedUri": "urn:iso:std:iso:3166"
}, {
"path": "Patient.address.country.extension",
"min": 0,
"definition": "Kodierte Angabe des Länderkennzeichens nach DEÜV, Anlage 8. ",
"short": "Länderkennzeichen nach DEÜV Anlage 8",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-codedString" ]
} ],
"mustSupport": true,
"sliceName": "anlage8",
"max": "1",
"id": "Patient.address:PostfachAdresse.country.extension:anlage8",
"comment": "Diese Erweiterung dient zur Wahrung der Abwärtskompatibilität für Systeme, die den gemäß DEÜV kodierten Wert benötigen."
}, {
"id": "Patient.address:PostfachAdresse.country.extension:anlage8.value[x]",
"path": "Patient.address.country.extension.value[x]",
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_Base_Deuev_Anlage_8"
}
}, {
"id": "Patient.address:PostfachAdresse.country.extension:anlage8.value[x].system",
"path": "Patient.address.country.extension.value[x].system",
"fixedUri": "http://fhir.de/CodeSystem/deuev/anlage-8-laenderkennzeichen"
} ]
},
"baseDefinition": "https://gematik.de/fhir/ti/StructureDefinition/ti-patient"
}