{
"description": null,
"_filename": "KBV_PR_FOR_Patient.json",
"package_name": "kbv.itv.evdga",
"date": "2023-09-27",
"derivation": "constraint",
"publisher": "Kassenärztliche Bundesvereinigung",
"fhirVersion": "4.0.1",
"name": "KBV_PR_FOR_Patient",
"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": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "1.0.0-cc",
"status": "draft",
"id": "b7afe37c-1c0a-454f-8d8a-e66e944c0c95",
"kind": "resource",
"url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient",
"version": "1.2.0_cc",
"differential": {
"element": [ {
"id": "Patient",
"path": "Patient",
"constraint": [ {
"key": "-for-adresszeilenAufbauPatientRessource-1",
"human": "Falls die erste Adresszeile einen Straßennamen und eine Hausnummer besitzt, sind diese zusammen im Element 'line' mit einem Leerzeichen getrennt anzugeben.",
"severity": "error",
"expression": "(address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').exists() and address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').exists()) implies address.line[0] = (address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').value as string) + ' ' + (address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').value as string)"
}, {
"key": "-for-adresszeilenAufbauPatientRessource-2",
"human": "Falls die erste Adresszeile keinen Straßennamen und eine Hausnummer besitzt, ist letztere im Element 'line' anzugeben.",
"severity": "error",
"expression": "(address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').exists() and address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').exists().not()) implies address.line[0] = (address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').value as string)"
}, {
"key": "-for-adresszeilenAufbauPatientRessource-3",
"human": "Falls die erste Adresszeile keine Hausnummer und einen Straßennamen besitzt, ist letzterer im Element 'line' anzugeben.",
"severity": "error",
"expression": "(address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').exists().not() and address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').exists()) implies address.line[0] = (address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').value as string)"
}, {
"key": "-for-adresszeilenAufbauPatientRessource-4",
"human": "Falls eine Adresszeile einen Adresszusatz besitzt, ist dieser im Element 'line' anzugeben.",
"severity": "error",
"expression": "(address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').exists() implies address.line[0] = (address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').value as string)) and (address.line[1].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').exists() implies address.line[1] = (address.line[1].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').value as string))"
}, {
"key": "-for-adresszeilenAufbauPatientRessource-5",
"human": "Falls die erste Adresszeile ein Postfach besitzt, ist dieses im Element 'line' anzugeben.",
"severity": "error",
"expression": "address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').exists() implies address.line[0] = (address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').value as string)"
}, {
"key": "-for-adresszeilenAufbauPatientRessource-6",
"human": "Falls die erste Adresszeile einen Straßennamen oder eine Hausnummer besitzt, darf sie keinen Adresszusatz enthalten.",
"severity": "error",
"expression": "(address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').exists() or address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').exists()) implies address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').exists().not()"
}, {
"key": "-for-adresszeilenAufbauPatientRessource-7",
"human": "Falls eine zweite Adresszeile existiert, darf sie weder einen Straßennamen oder eine Hausnummer enthalten und muss einen Adresszusatz enthalten.",
"severity": "error",
"expression": "address.line[1].exists() implies address.line[1].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').exists().not() and address.line[1].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').exists().not() and address.line[1].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').exists()"
}, {
"key": "-for-adresszeilenAufbauPatientRessource-8",
"human": "Falls eine zweite Adresszeile existiert, muss die erste Adresszeile einen Straßennamen oder eine Hausnummer enthalten und darf keinen Adresszusatz besitzen.",
"severity": "error",
"expression": "address.line[1].exists() implies ((address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').exists() or address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').exists()) and address.line[0].extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').exists().not())"
} ]
}, {
"id": "Patient.id",
"min": 1,
"path": "Patient.id",
"mustSupport": true
}, {
"id": "Patient.meta",
"min": 1,
"path": "Patient.meta",
"mustSupport": true
}, {
"id": "Patient.meta.versionId",
"max": "0",
"path": "Patient.meta.versionId"
}, {
"id": "Patient.meta.lastUpdated",
"max": "0",
"path": "Patient.meta.lastUpdated"
}, {
"id": "Patient.meta.source",
"max": "0",
"path": "Patient.meta.source"
}, {
"id": "Patient.meta.profile",
"max": "1",
"min": 1,
"path": "Patient.meta.profile",
"mustSupport": true,
"fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.2"
}, {
"id": "Patient.meta.security",
"max": "0",
"path": "Patient.meta.security"
}, {
"id": "Patient.meta.tag",
"max": "0",
"path": "Patient.meta.tag"
}, {
"id": "Patient.implicitRules",
"max": "0",
"path": "Patient.implicitRules"
}, {
"id": "Patient.language",
"max": "0",
"path": "Patient.language"
}, {
"id": "Patient.text",
"max": "0",
"path": "Patient.text"
}, {
"id": "Patient.contained",
"max": "0",
"path": "Patient.contained"
}, {
"id": "Patient.identifier",
"max": "1",
"path": "Patient.identifier",
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "type",
"type": "pattern"
} ]
},
"mustSupport": true
}, {
"id": "Patient.identifier:pid",
"max": "0",
"path": "Patient.identifier",
"sliceName": "pid"
}, {
"id": "Patient.identifier:pid.system",
"path": "Patient.identifier.system",
"fixedUri": "PID"
}, {
"id": "Patient.identifier:versichertenId_GKV",
"path": "Patient.identifier",
"sliceName": "versichertenId_GKV",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertenId_GKV.type",
"path": "Patient.identifier.type",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertenId_GKV.type.coding",
"path": "Patient.identifier.type.coding",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertenId_GKV.type.coding.system",
"path": "Patient.identifier.type.coding.system",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertenId_GKV.type.coding.version",
"max": "0",
"path": "Patient.identifier.type.coding.version"
}, {
"id": "Patient.identifier:versichertenId_GKV.type.coding.code",
"path": "Patient.identifier.type.coding.code",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertenId_GKV.type.coding.display",
"max": "0",
"path": "Patient.identifier.type.coding.display"
}, {
"id": "Patient.identifier:versichertenId_GKV.type.coding.userSelected",
"max": "0",
"path": "Patient.identifier.type.coding.userSelected"
}, {
"id": "Patient.identifier:versichertenId_GKV.type.text",
"max": "0",
"path": "Patient.identifier.type.text"
}, {
"id": "Patient.identifier:versichertenId_GKV.system",
"path": "Patient.identifier.system",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertenId_GKV.value",
"path": "Patient.identifier.value",
"constraint": [ {
"key": "-for-LaengeVersichertenIdGKV",
"human": "Der unveränderliche Teil der GKV-VersichertenId muss 10-stellig sein und mit einem Großbuchstaben anfangen.",
"severity": "error",
"expression": "matches('^[A-Z][0-9]{9}$' )"
} ],
"mustSupport": true
}, {
"id": "Patient.identifier:versichertenId_GKV.period",
"max": "0",
"path": "Patient.identifier.period"
}, {
"id": "Patient.identifier:versichertenId_GKV.assigner",
"max": "0",
"path": "Patient.identifier.assigner"
}, {
"id": "Patient.identifier:versichertennummer_pkv",
"max": "0",
"path": "Patient.identifier",
"sliceName": "versichertennummer_pkv"
}, {
"id": "Patient.identifier:versichertennummer_pkv.system",
"path": "Patient.identifier.system",
"fixedUri": "VPKV"
}, {
"id": "Patient.identifier:reisepassnummer",
"max": "0",
"path": "Patient.identifier",
"sliceName": "reisepassnummer"
}, {
"id": "Patient.identifier:reisepassnummer.system",
"path": "Patient.identifier.system",
"fixedUri": "REISEPASSNUMMER"
}, {
"id": "Patient.identifier:versichertennummer_kvk",
"path": "Patient.identifier",
"sliceName": "versichertennummer_kvk",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertennummer_kvk.type",
"path": "Patient.identifier.type",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertennummer_kvk.type.coding",
"path": "Patient.identifier.type.coding",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertennummer_kvk.type.coding.system",
"path": "Patient.identifier.type.coding.system",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertennummer_kvk.type.coding.version",
"max": "0",
"path": "Patient.identifier.type.coding.version"
}, {
"id": "Patient.identifier:versichertennummer_kvk.type.coding.code",
"path": "Patient.identifier.type.coding.code",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertennummer_kvk.type.coding.display",
"max": "0",
"path": "Patient.identifier.type.coding.display"
}, {
"id": "Patient.identifier:versichertennummer_kvk.type.coding.userSelected",
"max": "0",
"path": "Patient.identifier.type.coding.userSelected"
}, {
"id": "Patient.identifier:versichertennummer_kvk.type.text",
"max": "0",
"path": "Patient.identifier.type.text"
}, {
"id": "Patient.identifier:versichertennummer_kvk.period",
"max": "0",
"path": "Patient.identifier.period"
}, {
"id": "Patient.identifier:versichertennummer_kvk.assigner",
"max": "0",
"path": "Patient.identifier.assigner"
}, {
"id": "Patient.identifier:versichertenId_PKV",
"path": "Patient.identifier",
"sliceName": "versichertenId_PKV",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertenId_PKV.type",
"min": 1,
"path": "Patient.identifier.type",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertenId_PKV.type.coding",
"path": "Patient.identifier.type.coding",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertenId_PKV.type.coding.system",
"min": 1,
"path": "Patient.identifier.type.coding.system",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertenId_PKV.type.coding.version",
"max": "0",
"path": "Patient.identifier.type.coding.version"
}, {
"id": "Patient.identifier:versichertenId_PKV.type.coding.code",
"min": 1,
"path": "Patient.identifier.type.coding.code",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertenId_PKV.type.coding.display",
"max": "0",
"path": "Patient.identifier.type.coding.display"
}, {
"id": "Patient.identifier:versichertenId_PKV.type.coding.userSelected",
"max": "0",
"path": "Patient.identifier.type.coding.userSelected"
}, {
"id": "Patient.identifier:versichertenId_PKV.type.text",
"max": "0",
"path": "Patient.identifier.type.text"
}, {
"id": "Patient.identifier:versichertenId_PKV.system",
"path": "Patient.identifier.system",
"mustSupport": true
}, {
"id": "Patient.identifier:versichertenId_PKV.value",
"path": "Patient.identifier.value",
"constraint": [ {
"key": "-for-LaengeVersichertenIdPKV",
"human": "Der unveränderliche Teil der PKV-VersichertenId muss 10-stellig sein und mit einem Großbuchstaben anfangen.",
"severity": "error",
"expression": "matches('^[A-Z][0-9]{9}$' )"
} ],
"mustSupport": true
}, {
"id": "Patient.identifier:versichertenId_PKV.period",
"max": "0",
"path": "Patient.identifier.period"
}, {
"id": "Patient.identifier:versichertenId_PKV.assigner",
"max": "0",
"path": "Patient.identifier.assigner"
}, {
"id": "Patient.active",
"max": "0",
"path": "Patient.active"
}, {
"id": "Patient.name",
"max": "1",
"path": "Patient.name",
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "use",
"type": "value"
} ]
},
"mustSupport": true
}, {
"id": "Patient.name:name",
"path": "Patient.name",
"sliceName": "name",
"mustSupport": true
}, {
"id": "Patient.name:name.use",
"path": "Patient.name.use",
"mustSupport": true
}, {
"id": "Patient.name:name.text",
"max": "0",
"path": "Patient.name.text"
}, {
"id": "Patient.name:name.family",
"path": "Patient.name.family",
"mustSupport": true
}, {
"id": "Patient.name:name.family.extension",
"min": 1,
"path": "Patient.name.family.extension",
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Patient.name:name.family.extension:namenszusatz",
"path": "Patient.name.family.extension",
"sliceName": "namenszusatz",
"mustSupport": true
}, {
"id": "Patient.name:name.family.extension:namenszusatz.value[x]",
"min": 1,
"path": "Patient.name.family.extension.value[x]",
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"mustSupport": true
}, {
"id": "Patient.name:name.family.extension:namenszusatz.value[x]:valueString",
"path": "Patient.name.family.extension.value[x]",
"maxLength": 20,
"sliceName": "valueString",
"mustSupport": true
}, {
"id": "Patient.name:name.family.extension:nachname",
"min": 1,
"path": "Patient.name.family.extension",
"sliceName": "nachname",
"mustSupport": true
}, {
"id": "Patient.name:name.family.extension:nachname.value[x]",
"path": "Patient.name.family.extension.value[x]",
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"mustSupport": true
}, {
"id": "Patient.name:name.family.extension:nachname.value[x]:valueString",
"path": "Patient.name.family.extension.value[x]",
"maxLength": 45,
"sliceName": "valueString",
"mustSupport": true
}, {
"id": "Patient.name:name.family.extension:vorsatzwort",
"path": "Patient.name.family.extension",
"sliceName": "vorsatzwort",
"mustSupport": true
}, {
"id": "Patient.name:name.family.extension:vorsatzwort.value[x]",
"path": "Patient.name.family.extension.value[x]",
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"mustSupport": true
}, {
"id": "Patient.name:name.family.extension:vorsatzwort.value[x]:valueString",
"path": "Patient.name.family.extension.value[x]",
"maxLength": 20,
"sliceName": "valueString",
"mustSupport": true
}, {
"id": "Patient.name:name.given",
"min": 1,
"path": "Patient.name.given",
"maxLength": 45,
"mustSupport": true
}, {
"id": "Patient.name:name.prefix",
"max": "1",
"path": "Patient.name.prefix",
"maxLength": 20,
"mustSupport": true
}, {
"id": "Patient.name:name.prefix.extension",
"min": 1,
"path": "Patient.name.prefix.extension",
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Patient.name:name.prefix.extension:prefix-qualifier",
"path": "Patient.name.prefix.extension",
"sliceName": "prefix-qualifier",
"mustSupport": true
}, {
"id": "Patient.name:name.prefix.extension:prefix-qualifier.value[x]",
"path": "Patient.name.prefix.extension.value[x]",
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"mustSupport": true
}, {
"id": "Patient.name:name.prefix.extension:prefix-qualifier.value[x]:valueCode",
"path": "Patient.name.prefix.extension.value[x]",
"sliceName": "valueCode",
"mustSupport": true
}, {
"id": "Patient.name:name.suffix",
"max": "0",
"path": "Patient.name.suffix"
}, {
"id": "Patient.name:name.period",
"max": "0",
"path": "Patient.name.period"
}, {
"id": "Patient.name:geburtsname",
"max": "0",
"path": "Patient.name",
"sliceName": "geburtsname"
}, {
"id": "Patient.telecom",
"max": "0",
"path": "Patient.telecom"
}, {
"id": "Patient.gender",
"max": "0",
"path": "Patient.gender"
}, {
"id": "Patient.birthDate",
"path": "Patient.birthDate",
"mustSupport": true
}, {
"id": "Patient.birthDate.extension",
"min": 0,
"path": "Patient.birthDate.extension",
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Patient.birthDate.extension:data-absent-reason",
"path": "Patient.birthDate.extension",
"sliceName": "data-absent-reason",
"mustSupport": true
}, {
"id": "Patient.birthDate.extension:data-absent-reason.value[x]",
"path": "Patient.birthDate.extension.value[x]",
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"mustSupport": true
}, {
"id": "Patient.birthDate.extension:data-absent-reason.value[x]:valueCode",
"path": "Patient.birthDate.extension.value[x]",
"sliceName": "valueCode",
"mustSupport": true
}, {
"id": "Patient.deceased[x]",
"max": "0",
"path": "Patient.deceased[x]"
}, {
"id": "Patient.address",
"max": "1",
"min": 1,
"path": "Patient.address",
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "type",
"type": "value"
} ]
},
"mustSupport": true
}, {
"id": "Patient.address:Strassenanschrift",
"max": "1",
"path": "Patient.address",
"sliceName": "Strassenanschrift",
"mustSupport": true
}, {
"id": "Patient.address:Strassenanschrift.extension",
"min": 0,
"path": "Patient.address.extension",
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Patient.address:Strassenanschrift.extension:Stadtteil",
"max": "0",
"path": "Patient.address.extension",
"sliceName": "Stadtteil"
}, {
"id": "Patient.address:Strassenanschrift.use",
"max": "0",
"path": "Patient.address.use"
}, {
"id": "Patient.address:Strassenanschrift.type",
"path": "Patient.address.type",
"mustSupport": true
}, {
"id": "Patient.address:Strassenanschrift.text",
"max": "0",
"path": "Patient.address.text"
}, {
"id": "Patient.address:Strassenanschrift.line",
"max": "2",
"path": "Patient.address.line",
"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. Es wird empfohlen, dass die erste Zeile für Straße und Hausnummer und die zweite Zeile für den Zusatz verwendet wird.",
"mustSupport": true
}, {
"id": "Patient.address:Strassenanschrift.line.extension",
"min": 0,
"path": "Patient.address.line.extension",
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Patient.address:Strassenanschrift.line.extension:Strasse",
"path": "Patient.address.line.extension",
"sliceName": "Strasse",
"mustSupport": true
}, {
"id": "Patient.address:Strassenanschrift.line.extension:Strasse.value[x]",
"path": "Patient.address.line.extension.value[x]",
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"mustSupport": true
}, {
"id": "Patient.address:Strassenanschrift.line.extension:Strasse.value[x]:valueString",
"path": "Patient.address.line.extension.value[x]",
"maxLength": 46,
"sliceName": "valueString",
"mustSupport": true
}, {
"id": "Patient.address:Strassenanschrift.line.extension:Hausnummer",
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}