Generated Narrative: StructureDefinition KBV-PR-MIO-LAB-Patient Name Flags Card. Type Description & Constraints Patient C 0..* Patient Information about an individual or animal receiving health care services Constraints: pat-de-1 #xD; meta S 0..1 Meta Metadata about the resource #xD; id 0..0 Unique id for inter-element referencing #xD; versionId S 0..1 id Version specific identifier #xD; lastUpdated S 0..1 instant When the resource version last changed #xD; source 0..0 Identifies where the resource comes from #xD; implicitRules 0..0 A set of rules under which this content was created #xD; language 0..0 Language of the resource content #xD; text #xD; status 1..1 code generated | extensions | additional | empty Required Pattern: extensions #xD; contained 0..0 Contained, inline Resources #xD; Slices for extension S 0..* Extension Extension Slice: Unordered, Closed by value:url #xD; extension:sex-for-clinical-use S 0..* (Complex) A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse #xD; extension S 1..* Extension Extension #xD; Slices for extension Content/Rules for all slices #xD; extension:value S 1..1 Extension Extension #xD; value[x] S 1..1 CodeableConcept Value of extension #xD; coding S 1..1 Coding Code defined by a terminology system #xD; system S 1..1 uri Identity of the terminology system #xD; version S 0..1 string Version of the system - if relevant #xD; code S 1..1 code Symbol in syntax defined by the system #xD; display S 1..1 string Representation defined by the system #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; text S 0..1 string Plain text representation of the concept #xD; extension:period S 0..1 Extension Extension #xD; value[x] S 1..1 Period Value of extension #xD; start S 0..1 dateTime Starting time with inclusive boundary #xD; end S 0..1 dateTime End time with inclusive boundary, if not ongoing #xD; extension:comment S 0..1 Extension Extension #xD; value[x] S 1..1 string Value of extension #xD; extension:supportingInfo 0..0 Extension #xD; extension:intendedClinicalUse 0..0 Extension #xD; Slices for identifier S 1..* Identifier An identifier for this patient Slice: Unordered, Open by value:type #xD; <a href="StructureDefinition-KBV-PR-MIO-LAB-Patient-definitions.html#Patient.identifier:pid" title="Slice pid: Abbildung einer organisationsspezifischen Patienten-ID. Die PID kann beispielsweise als Identifikator verwendet werden, wenn eine einsendende Praxis den Laborbefund in pseudonymisierter Form übermittelt bekommen möchte. Nach welchen Regeln und mit welchem Identifier ein pseudonymisierter Laborbefund übermittelt wird, wäre in solcher Konstellation Gegenstand einer Einzelabstimmung zwischen Praxis und Labor.">identifier:pid S 0..1 IdentifierPid An identifier for this patient #xD; use 0..0 usual | official | temp | secondary | old (If known) #xD; type #xD; coding S 1..1 Coding Code defined by a terminology system #xD; system S 1..1 uri Identity of the terminology system #xD; version S 0..1 string Version of the system - if relevant #xD; code S 1..1 code Symbol in syntax defined by the system #xD; display S 1..1 string Representation defined by the system Required Pattern: Krankenaktennummer #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; text 0..0 Plain text representation of the concept #xD; system S 1..1 uri The namespace for the identifier value #xD; value S 1..1 string The value that is unique #xD; period 0..0 Time period when id is/was valid for use #xD; assigner 0..0 Organization that issued id (may be just text) #xD; identifier:versichertenId S 0..1 IdentifierKvid10 An identifier for this patient #xD; use 0..0 usual | official | temp | secondary | old (If known) #xD; type 1..1 CodeableConcept Description of identifier #xD; coding S 1..1 Coding Code defined by a terminology system #xD; system S 1..1 uri Identity of the terminology system #xD; version S 0..1 string Version of the system - if relevant #xD; code S 1..1 code Symbol in syntax defined by the system #xD; display S 1..1 string Representation defined by the system Required Pattern: Krankenversichertennummer #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; text 0..0 Plain text representation of the concept #xD; system S 1..1 uri The namespace for the identifier value #xD; value S 1..1 string The value that is unique #xD; period 0..0 Time period when id is/was valid for use #xD; assigner 0..0 Organization that issued id (may be just text) #xD; identifier:versichertennummer_pkv S 0..1 IdentifierPkv An identifier for this patient #xD; use 0..0 usual | official | temp | secondary | old (If known) #xD; type 1..1 CodeableConcept Description of identifier Required Pattern: At least the following #xD; coding S 2..2 Coding Code defined by a terminology system Fixed Value: (Complex) #xD; system S 1..1 uri Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_Base_identifier_type #xD; version S 0..1 string Version of the system - if relevant #xD; code S 1..1 code Symbol in syntax defined by the system Fixed Value: pkv-nr #xD; display S 1..1 string Representation defined by the system Required Pattern: Private Krankenversicherung #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; text 0..0 Plain text representation of the concept #xD; system S 0..1 uri The namespace for the identifier value #xD; value S 1..1 string The value that is unique #xD; period 0..0 Time period when id is/was valid for use #xD; assigner #xD; reference S 1..1 string Literal reference, Relative, internal or absolute URL #xD; type 0..0 Type the reference refers to (e.g. "Patient") #xD; identifier 0..0 An identifier intended for computation #xD; identifier:reisepassnummer S 0..1 KBV_PR_Base_Identifier_Reisepassnummer An identifier for this patient #xD; use 0..0 usual | official | temp | secondary | old (If known) #xD; type #xD; coding S 1..1 Coding Code defined by a terminology system #xD; system S 1..1 uri Identity of the terminology system #xD; version S 0..1 string Version of the system - if relevant #xD; code S 1..1 code Symbol in syntax defined by the system #xD; display S 1..1 string Representation defined by the system #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; text 0..0 Plain text representation of the concept #xD; system S 0..1 uri The namespace for the identifier value #xD; value S 1..1 string The value that is unique #xD; period 0..0 Time period when id is/was valid for use #xD; assigner 0..0 Organization that issued id (may be just text) #xD; identifier:versichertennummer_kvk S 0..1 KBV_PR_Base_Identifier_KVK An identifier for this patient #xD; use 0..0 usual | official | temp | secondary | old (If known) #xD; type #xD; coding S 1..1 Coding Code defined by a terminology system #xD; system S 1..1 uri Identity of the terminology system #xD; version S 0..1 string Version of the system - if relevant #xD; code S 1..1 code Symbol in syntax defined by the system #xD; display S 1..1 string Representation defined by the system #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; text 0..0 Plain text representation of the concept #xD; system S 1..1 uri The namespace for the identifier value #xD; value S 1..1 string The value that is unique #xD; period 0..0 Time period when id is/was valid for use #xD; assigner 0..0 Organization that issued id (may be just text) #xD; active 0..0 Whether this patient's record is in active use #xD; Slices for name S 1..1 HumanName A name associated with the patient Slice: Unordered, Closed by value:use #xD; name:name S 0..1 KBV_PR_Base_Datatype_Name A name associated with the patient #xD; text S 0..1 string Vollständiger Name #xD; family S 1..1 string Familienname #xD; Slices for extension S 1..3 Extension Extension Slice: Unordered, Closed by value:url #xD; Slices for extension Content/Rules for all slices #xD; extension:namenszusatz S 0..1 HumannameNamenszusatz Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") #xD; value[x] S 1..1 string Namenszusatz #xD; extension:nachname S 1..1 OwnName(5.3.0) Portion derived from person's own surname #xD; value[x] S 1..1 string Value of extension #xD; extension:vorsatzwort S 0..1 OwnPrefix(5.3.0) Voorvoegsel derived from person's own surname #xD; value[x] S 1..1 string Value of extension #xD; given S 0..1 string Vorname #xD; prefix S 0..1 string Namensteile vor dem Vornamen #xD; Slices for extension Content/Rules for all slices #xD; extension:prefix-qualifier S 1..1 ENQualifier(5.3.0) LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV #xD; value[x] S 1..1 code Value of extension #xD; Slices for value[x] Content/Rules for all slices #xD; value[x]:valueCode S 1..1 code Value of extension #xD; suffix 0..0 Namensteile nach dem Nachnamen #xD; period 0..0 Time period when name was/is in use #xD; name:Pseudonymisierung S 0..1 HumanName A name associated with the patient #xD; id 0..0 Unique id for inter-element referencing #xD; extension S 1..1 Extension Extension #xD; Slices for extension Content/Rules for all slices #xD; extension:data-absent-reason S 1..1 (Complex) unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason #xD; value[x] S 1..1 code Value of extension Fixed Value: unknown #xD; use 0..0 usual | official | temp | nickname | anonymous | old | maiden #xD; text 0..0 Text representation of the full name #xD; family 0..0 Family name (often called 'Surname') #xD; given 0..0 Given names (not always 'first'). Includes middle names #xD; prefix 0..0 Parts that come before the name #xD; suffix 0..0 Parts that come after the name #xD; period 0..0 Time period when name was/is in use #xD; telecom S 0..* KBV_PR_Base_Datatype_Contactpoint A contact detail for the individual #xD; system S 1..1 code phone | fax | email | pager | url | sms | other #xD; value S 1..1 string The actual contact point details #xD; gender S 0..1 code male | female | other | unknown #xD; Slices for extension S 0..* Extension Extension Slice: Unordered, Closed by value:url #xD; extension:other-amtlich S 0..1 (Complex) Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de #xD; value[x] S 1..1 Coding Value of extension #xD; system S 1..1 uri Identity of the terminology system #xD; version S 0..1 string Version of the system - if relevant #xD; code S 1..1 code Symbol in syntax defined by the system #xD; display S 1..1 string Representation defined by the system #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; birthDate S 1..1 date The date of birth for the individual #xD; Slices for extension S 0..1 Extension Extension Slice: Unordered, Closed by value:url #xD; extension:data-absent-reason S 0..1 (Complex) unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason #xD; value[x] S 1..1 code Value of extension Fixed Value: unknown #xD; Slices for deceased[x] S 0..1 boolean, dateTime Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this #xD; deceased[x]:deceasedBoolean S 0..1 boolean Indicates if the individual is deceased or not #xD; deceased[x]:deceasedDateTime S 0..1 dateTime Indicates if the individual is deceased or not #xD; Slices for address S 0..* Address An address for the individual Slice: Unordered, Closed by value:type #xD; address:All Slices Content/Rules for all slices #xD; use 0..0 home | work | temp | old | billing - purpose of this address #xD; state 0..0 Sub-unit of country (abbreviations ok) #xD; address:Strassenanschrift S 0..* KBV_PR_Base_Datatype_Street_Address An address for the individual #xD; Slices for extension S 0..1 Extension Extension Slice: Unordered, Closed by value:url #xD; Slices for extension Content/Rules for all slices #xD; extension:Stadtteil S 0..1 ADXPPrecinct(5.3.0) precinct #xD; value[x] S 1..1 string Value of extension #xD; use 0..0 home | work | temp | old | billing - purpose of this address #xD; type S 1..1 code postal | physical | both #xD; text 0..0 Text representation of the address #xD; line S 0..3 string Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung #xD; Slices for extension S 0..3 Extension Extension Slice: Unordered, Closed by value:url #xD; Slices for extension Content/Rules for all slices #xD; extension:Strasse S 0..1 ADXPStreetName(5.3.0) streetName #xD; value[x] S 1..1 string Value of extension #xD; extension:Hausnummer S 0..1 ADXPHouseNumber(5.3.0) houseNumber #xD; value[x] S 1..1 string Value of extension #xD; extension:Adresszusatz S 0..1 ADXPAdditionalLocator(5.3.0) additionalLocator #xD; value[x] S 1..1 string Value of extension #xD; city S 0..1 string Name of city, town etc. #xD; state 0..0 Bundesland #xD; postalCode S 0..1 string Postleitzahl #xD; country S 0..1 string Staat #xD; period 0..0 Time period when address was/is in use #xD; address:Postfach S 0..* KBV_PR_Base_Datatype_Post_Office_Box An address for the individual #xD; Slices for extension S 0..1 Extension Extension Slice: Unordered, Closed by value:url #xD; Slices for extension Content/Rules for all slices #xD; extension:Stadtteil S 0..1 ADXPPrecinct(5.3.0) precinct #xD; value[x] S 1..1 string Value of extension #xD; use 0..0 home | work | temp | old | billing - purpose of this address #xD; type S 1..1 code postal | physical | both #xD; text 0..0 Text representation of the address #xD; line S 0..1 string Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung #xD; Slices for extension S 0..1 Extension Extension Slice: Unordered, Closed by value:url #xD; Slices for extension Content/Rules for all slices #xD; extension:Postfach S 0..1 ADXPPostBox(5.3.0) postBox #xD; value[x] S 1..1 string Value of extension #xD; city S 0..1 string Name of city, town etc. #xD; state 0..0 Bundesland #xD; postalCode S 0..1 string Postleitzahl #xD; country S 0..1 string Staat #xD; period 0..0 Time period when address was/is in use #xD; maritalStatus S 0..1 CodeableConcept Personenstand #xD; coding S 0..* Coding Code defined by a terminology system #xD; system S 1..1 uri Identity of the terminology system #xD; version S 0..1 string Version of the system - if relevant #xD; code S 1..1 code Symbol in syntax defined by the system #xD; display S 1..1 string Representation defined by the system #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; multipleBirth[x] 0..0 Whether patient is part of a multiple birth #xD; photo 0..0 Image of the patient #xD; contact 0..0 A contact party (e.g. guardian, partner, friend) for the patient #xD; communication S 0..* BackboneElement A language which may be used to communicate with the patient about his or her health #xD; language S 1..1 CodeableConcept Bevorzugte Sprache Binding: Bevorzugte Sprache (Includes) (required) #xD; coding S 0..* Coding Code defined by a terminology system #xD; system S 1..1 uri Identity of the terminology system #xD; version S 0..1 string Version of the system - if relevant #xD; code S 1..1 code Symbol in syntax defined by the system #xD; display S 1..1 string Representation defined by the system #xD; userSelected 0..0 If this coding was chosen directly by the user #xD; text 0..0 Plain text representation of the concept #xD; preferred 0..0 Language preference indicator #xD; generalPractitioner 0..0 Patient's nominated primary care provider #xD; managingOrganization 0..0 Organization that is the custodian of the patient record #xD; link 0..0 Link to another patient resource that concerns the same actual person #xD; Documentation for this format
Dieses Profil bildet eine Person ab, die eine oder mehrere medizinische Leistungen in Anspruch nimmt.
Im folgenden Profil können Codes aus den Code-Systemen SNOMED CT®, LOINC, Ucum, ATC, ICD-10-GM, ICD-10-WHO, OPS, Alpha-ID/Alpha-ID-SE und ICF enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED CT® Clinical Terms® (SNOMED CT® CT®) which is used by permission of SNOMED CT® International. All rights reserved. SNOMED CT® CT®, was originally created by The College of American Pathologists. SNOMED CT® and SNOMED CT® CT are registered trademarks of SNOMED CT® International. Implementers of these artefacts must have the appropriate SNOMED CT® CT Affiliate license. This material contains content from LOINC (http://LOINC.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://LOINC.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright © 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED 'AS IS.' ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Dieses Material enthält Inhalte aus ATC. Die Erstellung erfolgte unter Verwendung der Datenträger der amtlichen Fassung der ATC-Klassifikation mit DDD des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICD-10-GM, ICD-10-WHO, OPS Alpha-ID ans Alpha-ID-SE. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICF. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Deutschen Instituts für Medizinische Dokumentation und Information (DIMDI). ICF-Kodes, -Begriffe und -Texte © Weltgesundheitsorganisation, übersetzt und herausgegeben durch das Deutsche Institut für Medizinische Dokumentation und Information von der International classification of functioning, disability and health - ICF, herausgegeben durch die Weltgesundheitsorganisation.
Information about an individual or animal receiving health care services
Demographics and other administrative information about an individual or animal receiving care or other health-related services.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
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
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()
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='#'])]))
If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If a resource is contained in another resource, it SHALL NOT have a security label
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.
A resource should have narrative for robust management
Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist.
gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
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.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
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.
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.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
When the resource last changed - e.g. when the version changed.
This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction.
Identifies where the resource comes from
A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Profiles this resource claims to conform to
A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).
It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Security Labels applied to this resource
Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Security Labels from the Healthcare Privacy and Security Classification System.
Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
A set of rules under which this content was created
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.
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.
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
The base language in which the resource is written.
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).
Text summary of the resource, for human interpretation
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.
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.
generated | extensions | additional | empty
The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data.
The actual narrative content, a stripped down version of XHTML.
The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.
The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes
not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])
The narrative SHALL have some non-whitespace content
descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]
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.
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.
A context-specific sex parameter for clinical use
Die Angabe des klinisch relevanten Geschlechts ist für die aktuelle klinische Entscheidungsfindung gedacht. Sie weist darauf hin, auf welcher Referenzpopulation bei geschlechtsspezifischen Richtgrenzen eine Messergebnis-Bewertung basieren sollte.
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
Source of the definition for the extension code - a logical name or a URL.
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.
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).
A reference to a code defined by a terminology system.
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Allows for alternative encodings within a code system, and translations to other code systems.
fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
The identification of the code system that defines the meaning of the symbol in the code.
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.
Need to be unambiguous about the source of the definition of the symbol.
fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
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.
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.
fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
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).
Need to refer to a particular code in the system.
fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
A representation of the meaning of the code in the system, following the rules of the system.
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
C*E.2 - but note this is not well followed
fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
If this coding was chosen directly by the user
Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
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.
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.
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 ]
Plain text representation of the concept
A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Very often the text is the same as a displayName of one of the codings.
The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
C*E.9. But note many systems use C*E.2 for this
fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
The start of the period. The boundary is inclusive.
If the low element is missing, the meaning is that the low boundary is not known.
End time with inclusive boundary, if not ongoing
The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
If the end of the period is missing, it means that the period is ongoing
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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
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).
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
In diesem Element wird der Identifier (Identifikator) für die Person eingetragen. Der Identifikator kann aus diversen Quellen stammen.
Patients are almost always assigned specific numerical identifiers.
Abbildung einer organisationsspezifischen Patienten-ID. Die PID kann beispielsweise als Identifikator verwendet werden, wenn eine einsendende Praxis den Laborbefund in pseudonymisierter Form übermittelt bekommen möchte. Nach welchen Regeln und mit welchem Identifier ein pseudonymisierter Laborbefund übermittelt wird, wäre in solcher Konstellation Gegenstand einer Einzelabstimmung zwischen Praxis und Labor.
usual | official | temp | secondary | old (If known)
Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Identifies the purpose for this identifier, if known .
A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Allows users to make use of identifiers when the identifier system is not known.
A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Identifier.system is always case sensitive.
There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
The portion of the identifier typically relevant to the user and which is unique within the context of the system.
If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
Time period when id is/was valid for use
Time period during which identifier is/was valid for use.
Role.effectiveTime or implied by context
Organization that issued id (may be just text)
Organization that issued/manages the identifier.
The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
Hier wird der unveränderliche Teil der einheitlichen Krankenversicherungsnummer der GKV gemäß § 290 SGB V angegeben. Die 10-stellige Zeichenfolge beginnt mit einem zufällig vergebene Großbuchstaben, darauf folgen 8 zufällige Ziffern. Das 10.Zeichen ist eine Prüfziffer.
Die type Codes 'GKV' und 'PKV' haben den Status 'retired', daher sollen diese nicht mehr verwendet werden
($this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='GKV') or $this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='PKV')).not()
Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen
Hier wird der Identifikator für eine Privatversichertennummer angegeben.
Literal reference, Relative, internal or absolute URL
A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Type the reference refers to (e.g. "Patient")
The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Aa resource (or, for logical models, the URI of the logical model).
An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
CX / EI (occasionally, more often EI maps to a resource id or a URL)
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]
Plain text narrative that identifies the resource in addition to the resource reference.
This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Hier wird die Reisepassnummer angegeben.
Hier wird die Versichertennummer der Krankenversichertenkarte (KVK) angegeben.
Die Krankenversichertenkartenummer muss numerisch und 6- bis 12-stellig sein.
Whether this patient's record is in active use
Whether this patient record is in active use. Many 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. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.
If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.
Need to be able to mark a patient record as not to be used because it was created in error.
This resource is generally assumed to be active if no value is provided for the active element
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
Dieses Element beschreibt den vollständigen Namen der behandelten Person.
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.
Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Dieses Element beschreibt diverse Namensbestandteile der behandelten Person.
usual | official | temp | nickname | anonymous | old | maiden
Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Allows the appropriate name for a particular context of use to be selected from among a set of names.
This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
XPN.7, but often indicated by which field contains the name
Vollständiger Name mit Vornamen und allen Vorsatzwörtern und Namenszusätzen. Der vollständige Name soll alle Namensteile in ihrer korrekten Reihenfolge abbilden.
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.
Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.
Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
unique id for the element within a resource (for internal references)
Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst
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. Das Vorsatzwort kann durch die Core-Extension own-prefix (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.
Namenszusatz zum Nachnamen z.B. Gräfin, Prinz oder Fürst
Portion derived from person's own surname
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.
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".
Voorvoegsel derived from person's own surname
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.
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.
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.
Given Names appear in the correct order for presenting the name
Namensteile vor dem Vornamen, z.B. akademischer Titel.
Prefixes appear in the correct order for presenting the name
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.
LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.
Used to indicate additional information about the name part and how it should be used.
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).
Suffixes appear in the correct order for presenting the name
Indicates the period of time when this name was valid for the named person.
Allows names to be placed in historical context.
Dieses Element wird verwendet, falls der Laborgesamtbefund Pseudonymisiert ist.
unknown | asked | temp | notasked | masked | unsupported | astext | error
Provides a reason why the expected value or elements in the element that is extended are missing.
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.
The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Given names (not always 'first'). Includes middle names
Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.
Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.
Dieses Element beschreibt die vorhandenen Kontaktmöglichkeiten.
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).
People have (primary) ways to contact them in some way such as phone, email.
phone | fax | email | pager | url | sms | other
Hier wird die Art des Kontaktes definiert, z. B. Telefon (phone), E-Mail, Fax.
Telecommunications form for contact point.
In diesem Element werden Kontaktinformationen passend zum Kontaktkanal angegeben. Beispiele für mögliche Werte sind: 'm.mustermann@mio42.de' (beim Kontaktkanal 'E-Mail', oder '030712345678' (beim Kontaktkanal 'Telefon').
Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Need to support legacy numbers that are not in a tightly controlled format.
home | work | temp | old | mobile - purpose of this contact point
Identifies the purpose for the contact point.
Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Specify preferred order of use (1 = highest)
Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.
Note that rank does not necessarily follow the order in which the contacts are represented in the instance.
Time period when the contact point was/is in use
Hier wird die Geschlechtsdefinition nach den Versichertenstammdaten (VSD) angegeben.
The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.
Needed for identification of the individual, in combination with (at least) name and birth date.
The gender of a person used for administrative purposes.
player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
Optional Extension Element - found in all resources.
Hier wird das Geburtsdatum der behandelten Person angegeben. Ist dieses nicht bekannt kann die Extension 'data-absent-reason' verwendet werden, um das Nichtvorhandensein zu dokumentieren.
At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).
Age of the individual drives many clinical processes.
player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime
Indicates if the individual is deceased or not
Zeigt an, ob bzw. wann die Person verstorben ist.
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.
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.
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.
player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime
Zeigt an, zu welchem Zeitpunkt die Person verstorben ist.
Hier können Angaben zur Anschrift der behandelten Person gemacht werden.
Patient may have multiple addresses with different uses or applicable periods.
May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.
home | work | temp | old | billing - purpose of this address
Applications can assume that an address is current unless it explicitly says that it is temporary or old.
Allows an appropriate address to be chosen from a list of many.
This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.
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](http://hl7.org/fhir/R4/location.html#) resource).
The type of an address (physical / postal).
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.
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.
XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6
Street name, number, direction & P.O. Box etc.
This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.
The order in which lines should appear in an address label
XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)
The name of the city, town, suburb, village or other community or delivery center.
The name of the administrative area (county).
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.
Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).
A postal code designating a region defined by the postal service.
Country (e.g. can be ISO 3166 2 or 3 letter code)
Country - a nation as commonly understood or generally accepted.
ISO 3166 3 letter codes can be used in place of a human readable country name.
Allows addresses to be placed in historical context.
Hier werden Angaben zur Straßenanschrift gemacht.
In diesem Element kann der Stadt- oder Ortsteil angegeben werden, z. B. wenn der Ort ein Stadtstaat ist.
Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung
Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei 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, die zweite Zeile für den Zusatz und die dritte Zeile für den Stadtteil verwendet wird.
Beipiel für Adresszeile mit Extensions für Straße und Hausnummer
The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building.
This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342"). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch "t.o." means "opposite to" for house boats located across the street facing houses).
Postfach-Adresse. Bei 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. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type "physical" oder "both" verwendet werden.
In dieses Feld kann der Ort eingetragen werden.
Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen
Angabe des Staates als Länderkennzeichen nach DEUEV Anlage 8.
Hier werden Angaben zu einem Postfach gemacht.
Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei 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.
Strassenname (ohne Hausnummer) Bei 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.
Hausnummer, sowie Zusätze (Appartmentnummer, Etage...) Bei 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.
Zusätzliche Informationen, wie z.B. "3. Etage", "Appartment C" Bei 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.
A numbered box located in a post station.
Hier wird der Personenstand (Familienstand) der behandelten Person angegeben.
The domestic partnership status of a person.
Whether patient is part of a multiple birth
Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).
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).
For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.
player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber
Guidelines: * Use id photos, not clinical photos. * Limit dimensions to thumbnail. * Keep byte count low to ease resource updates.
Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.
player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc
A contact party (e.g. guardian, partner, friend) for the patient
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.
Need to track people you can contact about the patient.
SHALL at least contain a contact's details or a reference to an organization
name.exists() or telecom.exists() or address.exists() or organization.exists()
exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)
player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]
Extensions that cannot be ignored even if unrecognized
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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
The nature of the relationship between the patient and the contact person.
Used to determine which contact person is the most relevant to approach, depending on circumstances.
The nature of the relationship between a patient and a contact person for that patient.
A name associated with the contact person
Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.
A contact detail for the person, e.g. a telephone number or an email address.
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.
Need to keep track where the contact person can be contacted per postal mail or visited.
Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.
Organization that is associated with the contact
Organization on behalf of which the contact is acting or for which the contact is working.
For guardians or business related contacts, the organization is relevant.
The period during which this contact person or organization is valid to be contacted relating to this patient
A language which may be used to communicate with the patient about his or her health
Sprachen, die zur Kommunikation mit der behandelten Person über medizinische Themen verwendet werden können
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.
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.
Hier werden Sprachen angegeben, die zur Kommunikation mit der behandelten Person über medizinische Themen verwendet werden können.
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.
Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.
player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code
Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).
This language is specifically identified for communicating healthcare information.
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.
Patient's nominated primary care provider
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. Multiple 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. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.
Organization that is the custodian of the patient record
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).
Need to know who recognizes this patient record, manages and updates it.
Link to another patient resource that concerns the same actual person
Link to another patient resource that concerns the same actual patient.
There is no assumption that linked patient records have mutual links.
There are multiple use cases: * Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and * Distribution of patient information across multiple servers.
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'
The other patient or related person resource that the link refers to
The other patient resource that the link refers to.
Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.
replaced-by | replaces | refer | seealso
The type of link between this patient resource and another patient resource.