description: Dieses Profil beschreibt die Nutzung von administrativen Patientendaten in ISiK-Szenarien.
package_name: de.gematik.isik
derivation: constraint
name: ISiKPatient
type: Patient
elements:
  identifier:
    mustSupport: true
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: 1
      slices:
        VersichertenId-GKV:
          match:
            type:
              coding:
              - {code: GKV, system: 'http://fhir.de/CodeSystem/identifier-type-de-basis'}
          schema:
            type: Identifier
            mustSupport: true
            pattern:
              type: Identifier
              value:
                type:
                  coding:
                  - {code: GKV, system: 'http://fhir.de/CodeSystem/identifier-type-de-basis'}
            index: 1
            elements:
              type: {mustSupport: true, index: 2}
              system: {mustSupport: true, index: 3}
              value: {mustSupport: true, index: 4}
            required: [type]
        Patientennummer:
          match:
            type:
              coding:
              - {code: MR, system: 'http://terminology.hl7.org/CodeSystem/v2-0203'}
          schema:
            type: Identifier
            mustSupport: true
            pattern:
              type: Identifier
              value:
                type:
                  coding:
                  - {code: MR, system: 'http://terminology.hl7.org/CodeSystem/v2-0203'}
            array: true
            min: 1
            _required: true
            index: 5
            elements:
              type: {mustSupport: true, index: 6}
              system: {mustSupport: true, index: 7}
              value: {mustSupport: true, index: 8}
        Versichertennummer_PKV:
          match:
            type:
              coding:
              - {code: PKV, system: 'http://fhir.de/CodeSystem/identifier-type-de-basis'}
          schema:
            type: Identifier
            mustSupport: false
            pattern:
              type: Identifier
              value:
                type:
                  coding:
                  - {code: PKV, system: 'http://fhir.de/CodeSystem/identifier-type-de-basis'}
            index: 9
            elements:
              use: {mustSupport: true, index: 10}
              type: {mustSupport: true, index: 11}
              value: {mustSupport: true, index: 12}
              assigner:
                mustSupport: true
                index: 13
                elements:
                  identifier:
                    elements:
                      system: {mustSupport: true, index: 14}
                      value: {mustSupport: true, index: 15}
                  display: {mustSupport: true, index: 16}
            required: [type]
  active: {mustSupport: true, index: 17}
  name:
    mustSupport: true
    index: 18
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: 1
      slices:
        Name:
          match: {use: official}
          schema:
            type: HumanName
            mustSupport: true
            pattern:
              type: HumanName
              value: {use: official}
            _required: true
            index: 19
            elements:
              use: {mustSupport: true, index: 20}
              family:
                mustSupport: true
                index: 21
                extensions:
                  namenszusatz: {url: null, mustSupport: true, index: 22}
                  nachname: {url: null, mustSupport: true, index: 23}
                  vorsatzwort: {url: null, mustSupport: true, index: 24}
                elements:
                  extension:
                    mustSupport: true
                    index: 22
                    slicing:
                      slices:
                        namenszusatz:
                          match: {}
                          schema: {mustSupport: true, index: 22}
                        nachname:
                          match: {}
                          schema: {mustSupport: true, index: 23}
                        vorsatzwort:
                          match: {}
                          schema: {mustSupport: true, index: 24}
              given: {mustSupport: true, index: 25}
              prefix:
                mustSupport: true
                index: 26
                extensions:
                  prefix-qualifier:
                    url: null
                    mustSupport: true
                    index: 27
                    elements:
                      value:
                        pattern: {type: Code, value: AC}
                        choices: []
                        index: 29
                elements:
                  extension:
                    mustSupport: true
                    index: 27
                    slicing:
                      slices:
                        prefix-qualifier:
                          match: {}
                          schema:
                            mustSupport: true
                            index: 27
                            elements:
                              value:
                                pattern: {type: Code, value: AC}
                                choices: []
                                index: 29
            required: [given, family, use]
        Geburtsname:
          match: {use: maiden}
          schema:
            type: HumanName
            mustSupport: true
            pattern:
              type: HumanName
              value: {use: maiden}
            index: 30
            elements:
              use: {mustSupport: true, index: 31}
              family:
                mustSupport: true
                index: 32
                extensions:
                  namenszusatz: {url: null, mustSupport: true, index: 33}
                  nachname: {url: null, mustSupport: true, index: 34}
                  vorsatzwort: {url: null, mustSupport: true, index: 35}
                elements:
                  extension:
                    mustSupport: true
                    index: 33
                    slicing:
                      slices:
                        namenszusatz:
                          match: {}
                          schema: {mustSupport: true, index: 33}
                        nachname:
                          match: {}
                          schema: {mustSupport: true, index: 34}
                        vorsatzwort:
                          match: {}
                          schema: {mustSupport: true, index: 35}
              given: {index: 36}
              prefix: {index: 37}
            required: [family, use]
  telecom:
    elements:
      system: {index: 38}
      value: {index: 39}
    required: [value, system]
  gender:
    mustSupport: true
    index: 40
    extensions:
      Geschlecht-Administrativ: {url: 'http://fhir.de/StructureDefinition/gender-amtlich-de', min: 0, max: 1, type: Extension, mustSupport: true, index: 42}
    elements:
      extension:
        index: 41
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            Geschlecht-Administrativ:
              match: {url: null}
              schema: {type: Extension, mustSupport: true, url: 'http://fhir.de/StructureDefinition/gender-amtlich-de', index: 42}
              min: 0
              max: 1
  birthDate:
    mustSupport: true
    index: 43
    extensions:
      Data-Absent-Reason:
        url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        type: Extension
        mustSupport: true
        index: 44
        elements:
          value:
            pattern: {type: Code, value: unknown}
            mustSupport: true
            choices: []
            index: 46
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        index: 44
        slicing:
          slices:
            Data-Absent-Reason:
              match: {}
              schema:
                type: Extension
                mustSupport: true
                url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
                index: 44
                elements:
                  value:
                    pattern: {type: Code, value: unknown}
                    mustSupport: true
                    choices: []
                    index: 46
  address:
    mustSupport: true
    index: 47
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: null
      slices:
        Strassenanschrift:
          match: {type: both}
          schema:
            constraint:
              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/v3/Basismodul/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''))'}
            index: 48
            type: Address
            mustSupport: true
            array: true
            elements:
              extension:
                mustSupport: true
                index: 49
                slicing:
                  slices:
                    Stadtteil:
                      match: {}
                      schema: {mustSupport: true, index: 49}
              type: {mustSupport: true, index: 50}
              line:
                mustSupport: true
                index: 51
                extensions:
                  Strasse: {url: null, mustSupport: true, index: 52}
                  Hausnummer: {url: null, mustSupport: true, index: 53}
                  Adresszusatz: {url: null, mustSupport: true, index: 54}
                  Postfach: {url: null, max: 0, index: 55}
                elements:
                  extension:
                    mustSupport: true
                    index: 52
                    slicing:
                      slices:
                        Strasse:
                          match: {}
                          schema: {mustSupport: true, index: 52}
                        Hausnummer:
                          match: {}
                          schema: {mustSupport: true, index: 53}
                        Adresszusatz:
                          match: {}
                          schema: {mustSupport: true, index: 54}
                        Postfach:
                          match: {}
                          schema: {index: 55}
                          max: 0
              city: {mustSupport: true, index: 56}
              postalCode: {mustSupport: true, index: 57}
              country: {mustSupport: true, index: 58}
            extensions:
              Stadtteil: {url: null, mustSupport: true, index: 49}
            required: [country, city, postalCode, line, type]
            pattern:
              type: Address
              value: {type: both}
        Postfach:
          match: {type: postal}
          schema:
            constraint:
              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/v3/Basismodul/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''))'}
            type: Address
            mustSupport: true
            array: true
            pattern:
              type: Address
              value: {type: postal}
            index: 59
            elements:
              type: {mustSupport: true, index: 60}
              line:
                mustSupport: true
                index: 61
                extensions:
                  Strasse: {url: null, max: 0, index: 62}
                  Hausnummer: {url: null, max: 0, index: 63}
                  Adresszusatz: {url: null, max: 0, index: 64}
                  Postfach: {url: null, mustSupport: true, index: 65}
                elements:
                  extension:
                    index: 62
                    slicing:
                      slices:
                        Strasse:
                          match: {}
                          schema: {index: 62}
                          max: 0
                        Hausnummer:
                          match: {}
                          schema: {index: 63}
                          max: 0
                        Adresszusatz:
                          match: {}
                          schema: {index: 64}
                          max: 0
                        Postfach:
                          match: {}
                          schema: {mustSupport: true, index: 65}
              city: {mustSupport: true, index: 66}
              postalCode: {mustSupport: true, index: 67}
              country: {mustSupport: true, index: 68}
            required: [country, city, postalCode, line, type]
package_version: basismodul-3.0.6
class: profile
kind: resource
url: https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKPatient
base: http://hl7.org/fhir/StructureDefinition/Patient
version: 3.0.6
required: [gender, name, identifier, birthDate]