{
  "description": "Dieses Profil beschreibt die Nutzung von Organisationseinheiten innerhalb eines Krankenhauses oder eines Krankenhauses als ganzem in ISiK-Szenarien.",
  "_filename": "StructureDefinition-ISiKOrganisation.json",
  "package_name": "de.gematik.isik-basismodul",
  "date": "2025-02-19",
  "derivation": "constraint",
  "publisher": "gematik GmbH",
  "fhirVersion": "4.0.1",
  "name": "ISiKOrganisation",
  "abstract": false,
  "type": "Organization",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "4.0.2",
  "status": "active",
  "id": "541fd1e3-35a3-436c-954b-45b4c2836763",
  "kind": "resource",
  "url": "https://gematik.de/fhir/isik/StructureDefinition/ISiKOrganisation",
  "version": "4.0.2",
  "differential": {
    "element": [ {
      "id": "Organization.identifier",
      "min": 1,
      "path": "Organization.identifier",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "Organization.identifier",
      "min": 0,
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-iknr" ]
      } ],
      "mustSupport": true,
      "sliceName": "IKNR",
      "patternIdentifier": {
        "system": "http://fhir.de/sid/arge-ik/iknr"
      },
      "max": "1",
      "id": "Organization.identifier:IKNR",
      "comment": "Motivation: Entsprechend der Vorgabe der KBV Organisation 1.5.0. (https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Organization), muss ein System ein Institutionskennzeichen (IKNR) verarbeiten können, sofern diese Information verfügbar ist. "
    }, {
      "path": "Organization.identifier",
      "min": 0,
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-bsnr" ]
      } ],
      "mustSupport": true,
      "sliceName": "BSNR",
      "patternIdentifier": {
        "system": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR"
      },
      "max": "1",
      "id": "Organization.identifier:BSNR",
      "comment": "Motivation: Entsprechend der Bedarfsmeldung im Rahmen der Stakeholderbefragung zu einem Profil Organisation in der Arbeitsgruppe zum ISIK Basismodul Stufe 4 und der Vorgabe der KBV Organisation 1.5.0. (https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Organization), muss ein System eine Betriebsstättennummer (BSNR) verarbeiten können, sofern diese Information verfügbar ist."
    }, {
      "id": "Organization.identifier:OrganisationseinheitenID",
      "max": "1",
      "min": 0,
      "path": "Organization.identifier",
      "comment": "Motivation: Für IDs, die Krankhausintern spezifischen Organisationseinheiten wie Abteilungen oder Stationen vergeben werden, ist diese Identifier zu nutzen - analog zu Slice Abteilungsidentifikator in https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/mii_pr_struktur_abteilung. Da auch Stationen im Identifier-System inkludiert werden könnten, sollte hier das Identifier generisch Organisationseinheiten abbilden und nicht Abteilungen allein.",
      "sliceName": "OrganisationseinheitenID",
      "mustSupport": true,
      "patternIdentifier": {
        "type": {
          "coding": [ {
            "code": "43741000",
            "system": "http://snomed.info/sct"
          } ]
        }
      }
    }, {
      "id": "Organization.identifier:OrganisationseinheitenID.system",
      "min": 1,
      "path": "Organization.identifier.system",
      "mustSupport": true
    }, {
      "id": "Organization.identifier:OrganisationseinheitenID.value",
      "min": 1,
      "path": "Organization.identifier.value",
      "mustSupport": true
    }, {
      "path": "Organization.identifier",
      "min": 0,
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-telematik-id" ]
      } ],
      "mustSupport": true,
      "sliceName": "TelematikID",
      "patternIdentifier": {
        "system": "https://gematik.de/fhir/sid/telematik-id"
      },
      "max": "1",
      "id": "Organization.identifier:TelematikID",
      "comment": "Motivation: Entsprechend der Profil-Festlegung der KBV Organisation 1.5.0. (https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Organization) und der VZD-FHIR-Directory Organisation-Ressource in der Version 0.10.2 (https://gematik.de/fhir/directory/StructureDefinition/OrganizationDirectory), muss ein System ein Institutionskennzeichen (IKNR) verarbeiten können, sofern diese Information verfügbar ist."
    }, {
      "id": "Organization.active",
      "path": "Organization.active",
      "comment": "Motivation: Ein System muss prüfen können, ob eine Organisation aktiv ist oder nicht, sofern diese Information verfügbar ist.",
      "mustSupport": true
    }, {
      "id": "Organization.type",
      "path": "Organization.type",
      "comment": "Motivation: Ein System muss den Typ einer Organisation zum Abruf bereitstellen, sofern diese Information verfügbar ist. \r\n  Die Festlegung einer endlichen Menge von Organisations-Formen in verbindlicher weise, ist zum Zeitpunkt der Festlegung nicht möglich.",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Organization.type:organisationstyp",
      "max": "1",
      "min": 0,
      "path": "Organization.type",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/organization-type"
      },
      "sliceName": "organisationstyp",
      "mustSupport": true
    }, {
      "id": "Organization.type:organisationstyp.coding.system",
      "min": 1,
      "path": "Organization.type.coding.system",
      "mustSupport": true
    }, {
      "id": "Organization.type:organisationstyp.coding.code",
      "min": 1,
      "path": "Organization.type.coding.code",
      "mustSupport": true
    }, {
      "id": "Organization.type:EinrichtungsArt",
      "max": "1",
      "min": 0,
      "path": "Organization.type",
      "binding": {
        "strength": "required",
        "valueSet": "http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode"
      },
      "sliceName": "EinrichtungsArt"
    }, {
      "id": "Organization.type:EinrichtungsArt.coding.system",
      "min": 1,
      "path": "Organization.type.coding.system",
      "mustSupport": true
    }, {
      "id": "Organization.type:EinrichtungsArt.coding.code",
      "min": 1,
      "path": "Organization.type.coding.code",
      "mustSupport": true
    }, {
      "id": "Organization.type:ErweiterterFachabteilungsschluessel",
      "max": "1",
      "min": 0,
      "path": "Organization.type",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert"
      },
      "sliceName": "ErweiterterFachabteilungsschluessel",
      "mustSupport": true
    }, {
      "id": "Organization.type:ErweiterterFachabteilungsschluessel.coding.system",
      "min": 1,
      "path": "Organization.type.coding.system",
      "mustSupport": true
    }, {
      "id": "Organization.type:ErweiterterFachabteilungsschluessel.coding.code",
      "min": 1,
      "path": "Organization.type.coding.code",
      "mustSupport": true
    }, {
      "id": "Organization.name",
      "path": "Organization.name",
      "comment": "Motivation: Ein System muss den Namen einer Organisation zum Abruf bereitstellen, sofern diese Information verfügbar ist..",
      "mustSupport": true
    }, {
      "id": "Organization.alias",
      "path": "Organization.alias",
      "comment": "Hinweis: unter Umstaänden können hier Kürzel genutzt werden. Motivation: Ein System muss den Alias einer Organisation zum Abruf bereitstellen, sofern diese Information verfügbar ist.",
      "mustSupport": true
    }, {
      "id": "Organization.telecom",
      "path": "Organization.telecom",
      "comment": "Motivation: Ein System muss Kontaktinformation einer Organisation zum Abruf bereitstellen, sofern diese Information verfügbar ist.",
      "mustSupport": true
    }, {
      "id": "Organization.address",
      "path": "Organization.address",
      "comment": "Um zwischen Postfachadressen und physischen Adressen, Straßennamen und Hausnummern zu unterscheiden und Städtenamenszusätze hinzuzufügen, können Anbieter die Erweiterungen unterstützen, die im Deutschen Adress-Basisprofil vorgeschlagen werden (http://fhir.de/StructureDefinition/address-de-basis). Solche Differenzierungen sind jedoch im Rahmen dieser Spezifikation nicht erforderlich.",
      "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/ISiKOrganisation",
        "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": "Organization.address",
      "min": 0,
      "type": [ {
        "code": "Address",
        "profile": [ "http://fhir.de/StructureDefinition/address-de-basis" ]
      } ],
      "mustSupport": true,
      "sliceName": "Strassenanschrift",
      "max": "*",
      "id": "Organization.address:Strassenanschrift",
      "patternAddress": {
        "type": "both"
      }
    }, {
      "id": "Organization.address:Strassenanschrift.extension:Stadtteil",
      "path": "Organization.address.extension",
      "sliceName": "Stadtteil",
      "mustSupport": true
    }, {
      "id": "Organization.address:Strassenanschrift.type",
      "min": 1,
      "path": "Organization.address.type",
      "mustSupport": true
    }, {
      "id": "Organization.address:Strassenanschrift.line",
      "min": 1,
      "path": "Organization.address.line",
      "mustSupport": true
    }, {
      "id": "Organization.address:Strassenanschrift.line.extension:Strasse",
      "path": "Organization.address.line.extension",
      "sliceName": "Strasse",
      "mustSupport": true
    }, {
      "id": "Organization.address:Strassenanschrift.line.extension:Hausnummer",
      "path": "Organization.address.line.extension",
      "sliceName": "Hausnummer",
      "mustSupport": true
    }, {
      "id": "Organization.address:Strassenanschrift.line.extension:Adresszusatz",
      "path": "Organization.address.line.extension",
      "sliceName": "Adresszusatz",
      "mustSupport": true
    }, {
      "id": "Organization.address:Strassenanschrift.line.extension:Postfach",
      "max": "0",
      "path": "Organization.address.line.extension",
      "sliceName": "Postfach"
    }, {
      "id": "Organization.address:Strassenanschrift.city",
      "min": 1,
      "path": "Organization.address.city",
      "mustSupport": true
    }, {
      "id": "Organization.address:Strassenanschrift.postalCode",
      "min": 1,
      "path": "Organization.address.postalCode",
      "mustSupport": true
    }, {
      "id": "Organization.address:Strassenanschrift.country",
      "min": 1,
      "path": "Organization.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/ISiKOrganisation",
        "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": "Organization.address",
      "min": 0,
      "type": [ {
        "code": "Address",
        "profile": [ "http://fhir.de/StructureDefinition/address-de-basis" ]
      } ],
      "mustSupport": true,
      "sliceName": "Postfach",
      "max": "*",
      "id": "Organization.address:Postfach",
      "patternAddress": {
        "type": "postal"
      }
    }, {
      "id": "Organization.address:Postfach.extension:Stadtteil",
      "path": "Organization.address.extension",
      "sliceName": "Stadtteil",
      "mustSupport": true
    }, {
      "id": "Organization.address:Postfach.type",
      "min": 1,
      "path": "Organization.address.type",
      "mustSupport": true
    }, {
      "id": "Organization.address:Postfach.line",
      "min": 1,
      "path": "Organization.address.line",
      "mustSupport": true
    }, {
      "id": "Organization.address:Postfach.line.extension:Strasse",
      "max": "0",
      "path": "Organization.address.line.extension",
      "sliceName": "Strasse"
    }, {
      "id": "Organization.address:Postfach.line.extension:Hausnummer",
      "max": "0",
      "path": "Organization.address.line.extension",
      "sliceName": "Hausnummer"
    }, {
      "id": "Organization.address:Postfach.line.extension:Adresszusatz",
      "max": "0",
      "path": "Organization.address.line.extension",
      "sliceName": "Adresszusatz"
    }, {
      "id": "Organization.address:Postfach.line.extension:Postfach",
      "path": "Organization.address.line.extension",
      "sliceName": "Postfach",
      "mustSupport": true
    }, {
      "id": "Organization.address:Postfach.city",
      "min": 1,
      "path": "Organization.address.city",
      "mustSupport": true
    }, {
      "id": "Organization.address:Postfach.postalCode",
      "min": 1,
      "path": "Organization.address.postalCode",
      "mustSupport": true
    }, {
      "id": "Organization.address:Postfach.country",
      "min": 1,
      "path": "Organization.address.country",
      "mustSupport": true
    }, {
      "id": "Organization.partOf",
      "path": "Organization.partOf",
      "comment": "Motivation: System muss die Hierarchie einer Organisationseinheit innherhalb einer Organisation zum Abruf bereitstellen, sofern diese Information verfügbar ist.",
      "mustSupport": true
    }, {
      "id": "Organization.contact",
      "path": "Organization.contact",
      "comment": "Motivation: Ein System muss Kontaktinformation einer Organisation zum Abruf bereitstellen, sofern diese Information verfügbar ist.",
      "mustSupport": true
    }, {
      "id": "Organization.endpoint",
      "path": "Organization.endpoint",
      "comment": "Motivation: Ein System muss den technischen Endpunt einer Organisation zum Abruf bereitstellen, sofern diese Information verfügbar ist.",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Organization"
}