PFLIP HL7 FHIR Implementation Guide - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Resource Profile: Bewohner:in (Pseudonymisiert)

Dieses Profil dient der Darstellung einer pseudonymisierten Bewohner:in und ist abgeleitet vom Profil Patient:in (Pseudonymisiert) der Medizininformatik-Initiative (MII).

Usage:

• Refer to this Resource Profile: Medizinische-Diagnose, Pflege-Diagnose, Sturzhistorie der letzten 6 Monate, Freiheitsentziehende Maßnahme and Pflege-Beobachtung
• Examples for this Resource Profile: Patient/bewohnerin-pseudonymisiert-01, Patient/bewohnerin-pseudonymisiert-02, Patient/bewohnerin-pseudonymisiert-03, Patient/bewohnerin-pseudonymisiert-04... Show 8 more, Patient/bewohnerin-pseudonymisiert-05, Patient/bewohnerin-pseudonymisiert-06, Patient/bewohnerin-pseudonymisiert-07, Patient/bewohnerin-pseudonymisiert-08, Patient/bewohnerin-pseudonymisiert-09, Patient/bewohnerin-pseudonymisiert-10, Patient/bewohnerin-pseudonymisiert-11 and Patient/bewohnerin-pseudonymisiert-12

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from MII_PR_Person_PatientPseudonymisiert

Name	Flags	Card.	Type	Description & Constraints
Patient			MII_PR_Person_PatientPseudonymisiert
name		0..0
telecom		0..0
birthDate		1..1	date	The date of birth for the individual
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url
geburtstag-mm-yyyy	S	1..1	string	Geburtstag MM-YYYY URL: https://pflip-ig.isst.fraunhofer.de/fhir/StructureDefinition/geburtstag-mm-yyyy
address		0..0
Slices for address				Content/Rules for all slices
address:Strassenanschrift		0..0
address:Postfach		0..0
maritalStatus		0..0
multipleBirth[x]		0..0
photo		0..0
contact		0..0
communication		0..0
generalPractitioner		0..0
managingOrganization		0..0
link		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	MII_PR_Person_PatientPseudonymisiert	Information about an individual or animal receiving health care services mii-pat-1: Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣN	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:PseudonymisierterIdentifier	SΣN	0..*	Identifier	An identifier for this patient Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PSEUDED
identifier:AnonymisierterIdentifier	SΣN	0..*	Identifier	An identifier for this patient Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ANONYED
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Slices for extension				Content/Rules for all slices
other-amtlich	SN	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE (required)
birthDate	SΣ	1..1	date	The date of birth for the individual
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url
geburtstag-mm-yyyy	S	1..1	string	Geburtstag MM-YYYY URL: https://pflip-ig.isst.fraunhofer.de/fhir/StructureDefinition/geburtstag-mm-yyyy
Slices for deceased[x]	?!SΣN	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!SΣN	0..1	dateTime	Indicates if the individual is deceased or not
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.country	preferred	Iso3166-1-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 from the FHIR Standard
Patient.address:Postfach.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address:Postfach.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address:Postfach.country	preferred	Iso3166-1-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	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()
dom-4	error	Patient	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()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mii-pat-1	error	Patient	Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden : gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
ref-1	error	Patient.contact.organization, Patient.link.other	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	MII_PR_Person_PatientPseudonymisiert	Information about an individual or animal receiving health care services mii-pat-1: Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣN	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:PseudonymisierterIdentifier	SΣN	0..*	Identifier	An identifier for this patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PSEUDED
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:AnonymisierterIdentifier	SΣN	0..*	Identifier	An identifier for this patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ANONYED
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
other-amtlich	SN	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE (required)
value		0..1	code	Primitive value for code Max Length:1048576
birthDate	SΣ	1..1	date	The date of birth for the individual
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url
geburtstag-mm-yyyy	S	1..1	string	Geburtstag MM-YYYY URL: https://pflip-ig.isst.fraunhofer.de/fhir/StructureDefinition/geburtstag-mm-yyyy
value		0..1	date	Primitive value for date
Slices for deceased[x]	?!SΣN	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!SΣN	0..1	dateTime	Indicates if the individual is deceased or not
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Patient.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.state	preferred	ValueSetISO31662DE http://fhir.de/ValueSet/iso/bundeslaender
Patient.address:Strassenanschrift.country	preferred	Iso3166-1-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 from the FHIR Standard
Patient.address:Postfach.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address:Postfach.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address:Postfach.state	preferred	ValueSetISO31662DE http://fhir.de/ValueSet/iso/bundeslaender
Patient.address:Postfach.country	preferred	Iso3166-1-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 from the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cpt-2	error	Patient.contact.telecom	A system is required if a value is provided. : value.empty() or system.exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	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()
dom-4	error	Patient	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()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mii-pat-1	error	Patient	Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden : gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
per-1	error	Patient.address:Strassenanschrift.period, Patient.address:Postfach.period, Patient.contact.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Patient.contact.organization, Patient.link.other	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from MII_PR_Person_PatientPseudonymisiert

Summary

Mandatory: 3 elements
Must-Support: 1 element
Prohibited: 13 elements

Extensions

This structure refers to these extensions:

• https://pflip-ig.isst.fraunhofer.de/fhir/StructureDefinition/geburtstag-mm-yyyy

Differential View

This structure is derived from MII_PR_Person_PatientPseudonymisiert

Name	Flags	Card.	Type	Description & Constraints
Patient			MII_PR_Person_PatientPseudonymisiert
name		0..0
telecom		0..0
birthDate		1..1	date	The date of birth for the individual
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url
geburtstag-mm-yyyy	S	1..1	string	Geburtstag MM-YYYY URL: https://pflip-ig.isst.fraunhofer.de/fhir/StructureDefinition/geburtstag-mm-yyyy
address		0..0
Slices for address				Content/Rules for all slices
address:Strassenanschrift		0..0
address:Postfach		0..0
maritalStatus		0..0
multipleBirth[x]		0..0
photo		0..0
contact		0..0
communication		0..0
generalPractitioner		0..0
managingOrganization		0..0
link		0..0
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	MII_PR_Person_PatientPseudonymisiert	Information about an individual or animal receiving health care services mii-pat-1: Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣN	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:PseudonymisierterIdentifier	SΣN	0..*	Identifier	An identifier for this patient Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PSEUDED
identifier:AnonymisierterIdentifier	SΣN	0..*	Identifier	An identifier for this patient Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ANONYED
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Slices for extension				Content/Rules for all slices
other-amtlich	SN	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE (required)
birthDate	SΣ	1..1	date	The date of birth for the individual
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url
geburtstag-mm-yyyy	S	1..1	string	Geburtstag MM-YYYY URL: https://pflip-ig.isst.fraunhofer.de/fhir/StructureDefinition/geburtstag-mm-yyyy
Slices for deceased[x]	?!SΣN	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!SΣN	0..1	dateTime	Indicates if the individual is deceased or not
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.country	preferred	Iso3166-1-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 from the FHIR Standard
Patient.address:Postfach.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address:Postfach.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address:Postfach.country	preferred	Iso3166-1-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	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()
dom-4	error	Patient	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()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mii-pat-1	error	Patient	Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden : gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
ref-1	error	Patient.contact.organization, Patient.link.other	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	MII_PR_Person_PatientPseudonymisiert	Information about an individual or animal receiving health care services mii-pat-1: Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣN	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:PseudonymisierterIdentifier	SΣN	0..*	Identifier	An identifier for this patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PSEUDED
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:AnonymisierterIdentifier	SΣN	0..*	Identifier	An identifier for this patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ANONYED
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
other-amtlich	SN	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE (required)
value		0..1	code	Primitive value for code Max Length:1048576
birthDate	SΣ	1..1	date	The date of birth for the individual
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url
geburtstag-mm-yyyy	S	1..1	string	Geburtstag MM-YYYY URL: https://pflip-ig.isst.fraunhofer.de/fhir/StructureDefinition/geburtstag-mm-yyyy
value		0..1	date	Primitive value for date
Slices for deceased[x]	?!SΣN	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!SΣN	0..1	dateTime	Indicates if the individual is deceased or not
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Patient.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.state	preferred	ValueSetISO31662DE http://fhir.de/ValueSet/iso/bundeslaender
Patient.address:Strassenanschrift.country	preferred	Iso3166-1-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 from the FHIR Standard
Patient.address:Postfach.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address:Postfach.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address:Postfach.state	preferred	ValueSetISO31662DE http://fhir.de/ValueSet/iso/bundeslaender
Patient.address:Postfach.country	preferred	Iso3166-1-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 from the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cpt-2	error	Patient.contact.telecom	A system is required if a value is provided. : value.empty() or system.exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	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()
dom-4	error	Patient	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()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mii-pat-1	error	Patient	Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden : gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
per-1	error	Patient.address:Strassenanschrift.period, Patient.address:Postfach.period, Patient.contact.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Patient.contact.organization, Patient.link.other	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from MII_PR_Person_PatientPseudonymisiert

Summary

Mandatory: 3 elements
Must-Support: 1 element
Prohibited: 13 elements

Extensions

This structure refers to these extensions:

• https://pflip-ig.isst.fraunhofer.de/fhir/StructureDefinition/geburtstag-mm-yyyy

Other representations of profile: CSV, Excel, Schematron