{
  "description": "Dieses Profil beschreibt die Nutzung von administrativen Patientendaten in ISiK-Szenarien.",
  "_filename": "StructureDefinition-ISiKPatient.json",
  "package_name": "de.gematik.isik-basismodul",
  "date": "2024-04-04",
  "derivation": "constraint",
  "publisher": "gematik GmbH",
  "fhirVersion": "4.0.1",
  "name": "ISiKPatient",
  "abstract": false,
  "type": "Patient",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "4.0.0-rc2",
  "status": "draft",
  "id": "18e16c9f-bb99-4607-a781-4d2a8b7ea691",
  "kind": "resource",
  "url": "https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient",
  "version": "4.0.0-rc2",
  "differential": {
    "element": [ {
      "id": "Patient",
      "path": "Patient",
      "constraint": [ {
        "key": "isik-pat-1",
        "human": "Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden",
        "source": "https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient",
        "severity": "error",
        "expression": "gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()"
      } ]
    }, {
      "id": "Patient.id",
      "path": "Patient.id",
      "mustSupport": true
    }, {
      "id": "Patient.identifier",
      "min": 1,
      "path": "Patient.identifier",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "Patient.identifier",
      "min": 0,
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-kvid-10" ]
      } ],
      "mustSupport": true,
      "sliceName": "VersichertenId",
      "patternIdentifier": {
        "type": {
          "coding": [ {
            "code": "KVZ10",
            "system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
          } ]
        }
      },
      "max": "1",
      "id": "Patient.identifier:VersichertenId",
      "comment": "Die als 'KVZ10' kodierte Versichertennummer gilt für alle Krankenversichertennummern, unabhängig, ob es sich um GKV, PKV oder Sonderkostenträger handelt."
    }, {
      "id": "Patient.identifier:VersichertenId.type",
      "min": 1,
      "path": "Patient.identifier.type",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:VersichertenId.system",
      "path": "Patient.identifier.system",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:VersichertenId.value",
      "path": "Patient.identifier.value",
      "mustSupport": true
    }, {
      "path": "Patient.identifier",
      "min": 0,
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-kvid-10" ]
      } ],
      "mustSupport": true,
      "sliceName": "VersichertenId-GKV",
      "patternIdentifier": {
        "type": {
          "coding": [ {
            "code": "GKV",
            "system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
          } ]
        }
      },
      "max": "1",
      "id": "Patient.identifier:VersichertenId-GKV",
      "comment": "Die Verwendung der 'GKV'-Kodierung einer Versichertennummer ist abgekündigt. Bitte den 'VersichertenId'-Slice verwenden."
    }, {
      "id": "Patient.identifier:VersichertenId-GKV.type",
      "min": 1,
      "path": "Patient.identifier.type",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:VersichertenId-GKV.system",
      "path": "Patient.identifier.system",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:VersichertenId-GKV.value",
      "path": "Patient.identifier.value",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:Patientennummer",
      "max": "*",
      "min": 1,
      "path": "Patient.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-pid" ]
      } ],
      "sliceName": "Patientennummer",
      "mustSupport": true,
      "patternIdentifier": {
        "type": {
          "coding": [ {
            "code": "MR",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
          } ]
        }
      }
    }, {
      "id": "Patient.identifier:Patientennummer.type",
      "path": "Patient.identifier.type",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:Patientennummer.system",
      "path": "Patient.identifier.system",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:Patientennummer.value",
      "path": "Patient.identifier.value",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:Versichertennummer_PKV",
      "max": "1",
      "min": 0,
      "path": "Patient.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-pkv" ]
      } ],
      "sliceName": "Versichertennummer_PKV",
      "mustSupport": false,
      "patternIdentifier": {
        "type": {
          "coding": [ {
            "code": "PKV",
            "system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
          } ]
        }
      }
    }, {
      "id": "Patient.identifier:Versichertennummer_PKV.use",
      "path": "Patient.identifier.use",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:Versichertennummer_PKV.type",
      "min": 1,
      "path": "Patient.identifier.type",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:Versichertennummer_PKV.value",
      "path": "Patient.identifier.value",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:Versichertennummer_PKV.assigner",
      "path": "Patient.identifier.assigner",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:Versichertennummer_PKV.assigner.identifier.system",
      "path": "Patient.identifier.assigner.identifier.system",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:Versichertennummer_PKV.assigner.identifier.value",
      "path": "Patient.identifier.assigner.identifier.value",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:Versichertennummer_PKV.assigner.display",
      "path": "Patient.identifier.assigner.display",
      "mustSupport": true
    }, {
      "id": "Patient.active",
      "path": "Patient.active",
      "mustSupport": true
    }, {
      "id": "Patient.name",
      "min": 1,
      "path": "Patient.name",
      "comment": "In order to maintain the differentiations of name parts as given in the VSDM dataset or qualify prefixes as academic titles, vendors can opt to support the extensions specified in the German HumanName Base Profile https://simplifier.net/basisprofil-de-r4/humannamedebasis\r\nThis is however not required within the scope of this specification.",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Patient.name:Name",
      "max": "1",
      "min": 1,
      "path": "Patient.name",
      "type": [ {
        "code": "HumanName",
        "profile": [ "http://fhir.de/StructureDefinition/humanname-de-basis" ]
      } ],
      "sliceName": "Name",
      "mustSupport": true,
      "patternHumanName": {
        "use": "official"
      }
    }, {
      "id": "Patient.name:Name.use",
      "min": 1,
      "path": "Patient.name.use",
      "mustSupport": true
    }, {
      "id": "Patient.name:Name.family",
      "min": 1,
      "path": "Patient.name.family",
      "mustSupport": true
    }, {
      "id": "Patient.name:Name.family.extension:namenszusatz",
      "path": "Patient.name.family.extension",
      "sliceName": "namenszusatz",
      "mustSupport": true
    }, {
      "id": "Patient.name:Name.family.extension:nachname",
      "path": "Patient.name.family.extension",
      "sliceName": "nachname",
      "mustSupport": true
    }, {
      "id": "Patient.name:Name.family.extension:vorsatzwort",
      "path": "Patient.name.family.extension",
      "sliceName": "vorsatzwort",
      "mustSupport": true
    }, {
      "id": "Patient.name:Name.given",
      "min": 1,
      "path": "Patient.name.given",
      "mustSupport": true
    }, {
      "id": "Patient.name:Name.prefix",
      "path": "Patient.name.prefix",
      "mustSupport": true
    }, {
      "id": "Patient.name:Name.prefix.extension:prefix-qualifier",
      "path": "Patient.name.prefix.extension",
      "sliceName": "prefix-qualifier",
      "mustSupport": true
    }, {
      "id": "Patient.name:Name.prefix.extension:prefix-qualifier.value[x]",
      "path": "Patient.name.prefix.extension.value[x]",
      "fixedCode": "AC"
    }, {
      "id": "Patient.name:Geburtsname",
      "max": "1",
      "min": 0,
      "path": "Patient.name",
      "type": [ {
        "code": "HumanName",
        "profile": [ "http://fhir.de/StructureDefinition/humanname-de-basis" ]
      } ],
      "sliceName": "Geburtsname",
      "mustSupport": true,
      "patternHumanName": {
        "use": "maiden"
      }
    }, {
      "id": "Patient.name:Geburtsname.use",
      "min": 1,
      "path": "Patient.name.use",
      "mustSupport": true
    }, {
      "id": "Patient.name:Geburtsname.family",
      "min": 1,
      "path": "Patient.name.family",
      "mustSupport": true
    }, {
      "id": "Patient.name:Geburtsname.family.extension:namenszusatz",
      "path": "Patient.name.family.extension",
      "sliceName": "namenszusatz",
      "mustSupport": true
    }, {
      "id": "Patient.name:Geburtsname.family.extension:nachname",
      "path": "Patient.name.family.extension",
      "sliceName": "nachname",
      "mustSupport": true
    }, {
      "id": "Patient.name:Geburtsname.family.extension:vorsatzwort",
      "path": "Patient.name.family.extension",
      "sliceName": "vorsatzwort",
      "mustSupport": true
    }, {
      "id": "Patient.name:Geburtsname.given",
      "max": "0",
      "path": "Patient.name.given"
    }, {
      "id": "Patient.name:Geburtsname.prefix",
      "max": "0",
      "path": "Patient.name.prefix"
    }, {
      "id": "Patient.telecom.system",
      "min": 1,
      "path": "Patient.telecom.system"
    }, {
      "id": "Patient.telecom.value",
      "min": 1,
      "path": "Patient.telecom.value"
    }, {
      "id": "Patient.gender",
      "min": 1,
      "path": "Patient.gender",
      "mustSupport": true
    }, {
      "id": "Patient.gender.extension:Geschlecht-Administrativ",
      "max": "1",
      "min": 0,
      "path": "Patient.gender.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.de/StructureDefinition/gender-amtlich-de" ]
      } ],
      "sliceName": "Geschlecht-Administrativ",
      "mustSupport": true
    }, {
      "id": "Patient.birthDate",
      "min": 1,
      "path": "Patient.birthDate",
      "mustSupport": true
    }, {
      "id": "Patient.birthDate.extension:Data-Absent-Reason",
      "max": "1",
      "min": 0,
      "path": "Patient.birthDate.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/data-absent-reason" ]
      } ],
      "sliceName": "Data-Absent-Reason",
      "mustSupport": true
    }, {
      "id": "Patient.birthDate.extension:Data-Absent-Reason.value[x]",
      "path": "Patient.birthDate.extension.value[x]",
      "fixedCode": "unknown",
      "mustSupport": true
    }, {
      "id": "Patient.address",
      "path": "Patient.address",
      "comment": "In order to differentiate between post box addresses and physical addresses, street names and house numbers, and to add city district names, vendors can opt to support the extensions as suggested in the German Address Base Profile http://fhir.de/StructureDefinition/address-de-basis.\r\nSuch differentiations are however not required within the scope of this specification.",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "constraint": [ {
        "key": "address-cnt-2or3-char",
        "human": "The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.",
        "source": "https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient",
        "severity": "warning",
        "expression": "country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))"
      } ],
      "path": "Patient.address",
      "min": 0,
      "type": [ {
        "code": "Address",
        "profile": [ "http://fhir.de/StructureDefinition/address-de-basis" ]
      } ],
      "mustSupport": true,
      "sliceName": "Strassenanschrift",
      "max": "*",
      "id": "Patient.address:Strassenanschrift",
      "patternAddress": {
        "type": "both"
      }
    }, {
      "id": "Patient.address:Strassenanschrift.extension:Stadtteil",
      "path": "Patient.address.extension",
      "sliceName": "Stadtteil",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.type",
      "min": 1,
      "path": "Patient.address.type",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.line",
      "min": 1,
      "path": "Patient.address.line",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.line.extension:Strasse",
      "path": "Patient.address.line.extension",
      "sliceName": "Strasse",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.line.extension:Hausnummer",
      "path": "Patient.address.line.extension",
      "sliceName": "Hausnummer",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.line.extension:Adresszusatz",
      "path": "Patient.address.line.extension",
      "sliceName": "Adresszusatz",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.line.extension:Postfach",
      "max": "0",
      "path": "Patient.address.line.extension",
      "sliceName": "Postfach"
    }, {
      "id": "Patient.address:Strassenanschrift.city",
      "min": 1,
      "path": "Patient.address.city",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.postalCode",
      "min": 1,
      "path": "Patient.address.postalCode",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.country",
      "min": 1,
      "path": "Patient.address.country",
      "mustSupport": true
    }, {
      "constraint": [ {
        "key": "address-cnt-2or3-char",
        "human": "The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.",
        "source": "https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient",
        "severity": "warning",
        "expression": "country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))"
      } ],
      "path": "Patient.address",
      "min": 0,
      "type": [ {
        "code": "Address",
        "profile": [ "http://fhir.de/StructureDefinition/address-de-basis" ]
      } ],
      "mustSupport": true,
      "sliceName": "Postfach",
      "max": "*",
      "id": "Patient.address:Postfach",
      "patternAddress": {
        "type": "postal"
      }
    }, {
      "id": "Patient.address:Postfach.type",
      "min": 1,
      "path": "Patient.address.type",
      "mustSupport": true
    }, {
      "id": "Patient.address:Postfach.line",
      "min": 1,
      "path": "Patient.address.line",
      "mustSupport": true
    }, {
      "id": "Patient.address:Postfach.line.extension:Strasse",
      "max": "0",
      "path": "Patient.address.line.extension",
      "sliceName": "Strasse"
    }, {
      "id": "Patient.address:Postfach.line.extension:Hausnummer",
      "max": "0",
      "path": "Patient.address.line.extension",
      "sliceName": "Hausnummer"
    }, {
      "id": "Patient.address:Postfach.line.extension:Adresszusatz",
      "max": "0",
      "path": "Patient.address.line.extension",
      "sliceName": "Adresszusatz"
    }, {
      "id": "Patient.address:Postfach.line.extension:Postfach",
      "path": "Patient.address.line.extension",
      "sliceName": "Postfach",
      "mustSupport": true
    }, {
      "id": "Patient.address:Postfach.city",
      "min": 1,
      "path": "Patient.address.city",
      "mustSupport": true
    }, {
      "id": "Patient.address:Postfach.postalCode",
      "min": 1,
      "path": "Patient.address.postalCode",
      "mustSupport": true
    }, {
      "id": "Patient.address:Postfach.country",
      "min": 1,
      "path": "Patient.address.country",
      "mustSupport": true
    }, {
      "id": "Patient.link",
      "path": "Patient.link",
      "comment": "Dieses und untergeordnete Elemente KÖNNEN bei einem erfolgten Patient merge entsprechend der Festlegungen im Implementation Guide befüllt werden. Da das Element der Unterstützung der Patient merge Notification dient, MUSS es im Rahmen des Bestätigungsverfahrens NICHT unterstützt werden (Stand: Stufe 4).",
      "mustSupport": true
    }, {
      "id": "Patient.link.other",
      "path": "Patient.link.other",
      "mustSupport": true
    }, {
      "id": "Patient.link.other.identifier",
      "path": "Patient.link.other.identifier",
      "comment": "Logischer Verweis auf Identifier[Patientennummer]",
      "mustSupport": true
    }, {
      "id": "Patient.link.type",
      "path": "Patient.link.type",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient"
}