PFLIP HL7 FHIR Implementation Guide
0.1.0 - ci-build
PFLIP HL7 FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Draft as of 2024-07-30 |
Definitions for the pflip-patient resource profile.
Guidance on how to interpret the contents of this table can be found here
0. Patient | |
2. Patient.extension:konfession_religion | |
Slice Name | konfession_religion |
Control | 0..0 |
4. Patient.extension:dolmetscher_erforderlich | |
Slice Name | dolmetscher_erforderlich |
Control | 0..0 |
6. Patient.extension:weitere_hinweise_zur_kommunikation | |
Slice Name | weitere_hinweise_zur_kommunikation |
Control | 0..0 |
8. Patient.identifier:versichertenId_GKV | |
Slice Name | versichertenId_GKV |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..0 |
10. Patient.identifier:versichertennummer_pkv | |
Slice Name | versichertennummer_pkv |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..0 |
12. Patient.identifier:versichertennummer_kvk | |
Slice Name | versichertennummer_kvk |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..0 |
14. Patient.identifier:versichertenId_PKV | |
Slice Name | versichertenId_PKV |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..0 |
16. Patient.name | |
Control | 0..1 |
18. Patient.name:name | |
Slice Name | name |
20. Patient.name:name.text | |
Control | 0..0 |
22. Patient.name:name.family | |
24. Patient.name:name.family.extension | |
Control | 1..? |
26. Patient.name:name.family.extension:namenszusatz | |
Slice Name | namenszusatz |
Control | 0..0 |
28. Patient.name:name.family.extension:nachname | |
Slice Name | nachname |
Control | 0..0 |
30. Patient.name:name.family.extension:vorsatzwort | |
Slice Name | vorsatzwort |
Control | 0..0 |
32. Patient.name:name.family.extension:data-absent-reason | |
Slice Name | data-absent-reason |
Short | masked for pseudonymization |
Control | 1..1 |
Type | Extension(Data Absent Reason) (Extension Type: code) |
Must Support | true |
34. Patient.name:name.family.extension:data-absent-reason.value[x] | |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Pattern Value | masked |
36. Patient.name:name.family.value | |
Control | 0..0 |
38. Patient.name:name.given | |
Control | 0..0 |
40. Patient.name:name.prefix | |
Control | 0..0 |
42. Patient.name:geburtsname | |
Slice Name | geburtsname |
Control | 0..0 |
44. Patient.telecom | |
Control | 0..0 |
46. Patient.birthDate | |
48. Patient.birthDate.extension | |
Control | 1..? |
Slicing | This element introduces a set of slices on Patient.birthDate.extension . The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
50. Patient.birthDate.extension:birth-date-mm-yyyy | |
Slice Name | birth-date-mm-yyyy |
Control | 1..1 |
Type | Extension(BirthDate (MM-YYYY)) (Extension Type: string) |
Must Support | true |
52. Patient.address | |
Control | 0..0 |
54. Patient.address:Strassenanschrift | |
Slice Name | Strassenanschrift |
Control | 0..0 |
61. Patient.address:Postfach | |
Slice Name | Postfach |
Control | 0..0 |
69. Patient.maritalStatus | |
Control | 0..0 |
71. Patient.communication | |
Control | 0..0 |
Guidance on how to interpret the contents of this table can be found here
0. Patient | |||||
Definition | Dieses Profil bildet eine Person ab, die eine oder mehrere medizinische Leistungen in Anspruch nimmt. Demographics and other administrative information about an individual or animal receiving care or other health-related services. | ||||
Short | Information about an individual or animal receiving health care services | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Alternate Names | SubjectOfCare Client Resident | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-4: 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-3: 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-6: A resource should have narrative for robust management (text.`div`.exists()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) pat-de-1: 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() ) | ||||
2. Patient.meta | |||||
Definition | 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. | ||||
Short | Metadata about the resource | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
4. Patient.meta.versionId | |||||
Definition | 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. | ||||
Short | Version specific identifier | ||||
Comments | 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. | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
6. Patient.meta.lastUpdated | |||||
Definition | When the resource last changed - e.g. when the version changed. | ||||
Short | When the resource version last changed | ||||
Comments | 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 interaction. 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 interaction. | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | instant | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
8. Patient.meta.source | |||||
Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance 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. | ||||
Short | Identifies where the resource comes from | ||||
Comments | 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. | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
10. Patient.meta.profile | |||||
Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. | ||||
Short | Profiles this resource claims to conform to | ||||
Comments | 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. | ||||
Control | 10..1* This element is affected by the following invariants: ele-1 | ||||
Type | canonical(StructureDefinition) | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Pattern Value | https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_ULB_Patient|1.0.0 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
12. Patient.meta.security | |||||
Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. | ||||
Short | Security Labels applied to this resource | ||||
Comments | 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. | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels (extensible to http://hl7.org/fhir/ValueSet/security-labels )Security Labels from the Healthcare Privacy and Security Classification System. | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
14. Patient.meta.tag | |||||
Definition | 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. | ||||
Short | Tags applied to this resource | ||||
Comments | 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. | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Binding | For example codes, see CommonTagshttp://hl7.org/fhir/ValueSet/common-tags (example to http://hl7.org/fhir/ValueSet/common-tags )Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
16. Patient.implicitRules | |||||
Definition | 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. | ||||
Short | A set of rules under which this content was created | ||||
Comments | 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. | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | uri | ||||
Is Modifier | true because 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 | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
18. Patient.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | 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). | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages (preferred to http://hl7.org/fhir/ValueSet/languages )A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
20. Patient.contained | |||||
Definition | 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. | ||||
Short | Contained, inline Resources | ||||
Comments | 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. | ||||
Control | 0..0* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
22. Patient.extension:konfession_religion | |||||
Slice Name | konfession_religion | ||||
Definition | Diese Extension bildet Inhalte zur Religion ab. | ||||
Short | Optional Extensions Element | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(KBV_EX_MIO_ULB_Religion) (Extension Type: string) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
27. Patient.extension:dolmetscher_erforderlich | |||||
Slice Name | dolmetscher_erforderlich | ||||
Definition | Diese Extension bildet ab, ob ein Dolmetscher notwendig ist. | ||||
Short | Optional Extensions Element | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(KBV_EX_MIO_ULB_Interpreter_Required) (Extension Type: boolean) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
32. Patient.extension:weitere_hinweise_zur_kommunikation | |||||
Slice Name | weitere_hinweise_zur_kommunikation | ||||
Definition | Diese Extension bildet Angaben zur Kommunikation ab, die nicht eine Sprache und deren Kenntnis betreffen, sondern z.B. das Sprechen oder psychische Auswirkungen auf die Kommunikationsfähigkeit. | ||||
Short | Optional Extensions Element | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(KBV_EX_MIO_ULB_Notes_For_Communication) (Extension Type: string) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
37. Patient.modifierExtension | |||||
Definition | 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). | ||||
Short | Extensions that cannot be ignored | ||||
Comments | 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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Standard Status | Normative (from Normative) | ||||
Requirements | 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. 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. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on Patient.modifierExtension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
39. Patient.identifier | |||||
Definition | An identifier for this patient. | ||||
Short | An identifier for this patient | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
Slicing | This element introduces a set of slices on Patient.identifier . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
41. Patient.identifier:pid | |||||
Slice Name | pid | ||||
Definition | An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. An identifier for this patient. | ||||
Short | An identifier intended for computationAn identifier for this patient | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Identifier(Identifier-Profil für die Abbildung einer Patienten-ID) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
43. Patient.identifier:pid.use | |||||
Definition | The purpose of this identifier. | ||||
Short | usual | official | temp | secondary | old (If known) | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 )Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
45. Patient.identifier:pid.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Short | Description of identifier | ||||
Comments | 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. | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type (extensible to http://hl7.org/fhir/ValueSet/identifier-type )A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Pattern Value | { | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
47. Patient.identifier:pid.type.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | 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. | ||||
Control | 10..1* This element is affected by the following invariants: ele-1 | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
49. Patient.identifier:pid.type.coding.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system | ||||
Comments | 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. | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
51. Patient.identifier:pid.type.coding.code | |||||
Definition | 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). | ||||
Short | Symbol in syntax defined by the system | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
53. Patient.identifier:pid.type.coding.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Pattern Value | Medical record number | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
55. Patient.identifier:pid.type.coding.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | 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. | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | 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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
57. Patient.identifier:pid.type.text | |||||
Definition | 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. | ||||
Short | Plain text representation of the concept | ||||
Comments | Very often the text is the same as a displayName of one of the codings. | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | 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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
59. Patient.identifier:pid.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | The namespace for the identifier value | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | 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. | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
61. Patient.identifier:pid.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | The value that is unique | ||||
Comments | 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. 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. 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. 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. | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
63. Patient.identifier:pid.period | |||||
Definition | Time period during which identifier is/was valid for use. | ||||
Short | Time period when id is/was valid for use | ||||
Comments | A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) per-1: If present, start SHALL have a lower value than end ( start.hasValue().not() or end.hasValue().not() or (start <= end) ) | ||||
65. Patient.identifier:pid.assigner | |||||
Definition | Organization that issued/manages the identifier. | ||||
Short | Organization that issued id (may be just text) | ||||
Comments | 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. | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | Reference(Organization) | ||||
Is Modifier | false | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ref-1: 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')) ) | ||||
67. Patient.identifier:versichertenId_GKV | |||||
Slice Name | versichertenId_GKV | ||||
Definition | An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. An identifier for this patient. | ||||
Short | An identifier intended for computationAn identifier for this patient | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | Identifier(Identifier-Profil für die 10-stellige Krankenversichertennummer) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
81. Patient.identifier:versichertennummer_pkv | |||||
Slice Name | versichertennummer_pkv | ||||
Definition | An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. An identifier for this patient. | ||||
Short | An identifier intended for computationAn identifier for this patient | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | Identifier(Identifier-Profil für die Abbildung einer Privatversichertennummer) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
96. Patient.identifier:reisepassnummer | |||||
Slice Name | reisepassnummer | ||||
Definition | Identifierprofil für die Reisepassnummer An identifier for this patient. | ||||
Short | Identifier ReisepassnummerAn identifier for this patient | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | Identifier(KBV_PR_Base_Identifier_Reisepassnummer) | ||||
Is Modifier | false | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
105. Patient.identifier:versichertennummer_kvk | |||||
Slice Name | versichertennummer_kvk | ||||
Definition | Versichertennummer der Krankenversichertenkarte (KVK) An identifier for this patient. | ||||
Short | Identifier KVKAn identifier for this patient | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | Identifier(KBV_PR_Base_Identifier_KVK) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
119. Patient.identifier:versichertenId_PKV | |||||
Slice Name | versichertenId_PKV | ||||
Definition | An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. An identifier for this patient. | ||||
Short | An identifier intended for computationAn identifier for this patient | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | Identifier(KBV_PR_MIO_ULB_Identifier_PKV_KVID_10) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
133. Patient.active | |||||
Definition | 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. | ||||
Short | Whether this patient's record is in active use | ||||
Comments | If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient. | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | boolean | ||||
Is Modifier | true because 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 | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to mark a patient record as not to be used because it was created in error. | ||||
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
135. Patient.name | |||||
Definition | A name associated with the individual. | ||||
Short | A name associated with the patient | ||||
Comments | 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. | ||||
Control | 10..1* This element is affected by the following invariants: ele-1 | ||||
Type | HumanName | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
Slicing | This element introduces a set of slices on Patient.name . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
137. Patient.name:name | |||||
Slice Name | name | ||||
Definition | Dieses Element beschreibt diverse Namensbestandteile einer Person. A name associated with the individual. | ||||
Short | PersonennameA name associated with the patient | ||||
Comments | Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. 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. | ||||
Control | 0..1* This element is affected by the following invariants: ele-1 | ||||
Type | HumanName(KBV_PR_Base_Datatype_Name) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden ( family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue() )hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden ( family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue() )hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden ( family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue() )hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden ( prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue()) ) | ||||
139. Patient.name:name.use | |||||
Definition | Identifies the purpose for this name. | ||||
Short | usual | official | temp | nickname | anonymous | old | maiden | ||||
Comments | Applications can assume that a name is current unless it explicitly says that it is temporary or old. | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1 (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1 )The use of a human name. | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names. | ||||
Pattern Value | official | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
141. Patient.name:name.text | |||||
Definition | Vollständiger Name mit Vornamen und allen Vorsatzwörtern und Namenszusätzen. Der vollständige Name soll alle Namensteile in ihrer korrekten Reihenfolge abbilden. 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. | ||||
Short | Vollständiger NameText representation of the full name | ||||
Comments | 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. | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | A renderable, unencoded form. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
143. Patient.name:name.family | |||||
Definition | Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt. 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. | ||||
Short | FamiliennameFamily name (often called 'Surname') | ||||
Comments | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures). | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | surname | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
145. Patient.name:name.family.extension | |||||
Definition | An Extension 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. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | 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. | ||||
Control | 10..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on Patient.name.family.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
147. Patient.name:name.family.extension:namenszusatz | |||||
Slice Name | namenszusatz | ||||
Definition | Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst | ||||
Short | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Extension zur Erfassung der VSDM Namensbestandteile) (Extension Type: string) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
152. Patient.name:name.family.extension:nachname | |||||
Slice Name | nachname | ||||
Definition | 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. | ||||
Short | Portion derived from person's own surname | ||||
Comments | 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". | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Own Name) (Extension Type: string) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
158. Patient.name:name.family.extension:vorsatzwort | |||||
Slice Name | vorsatzwort | ||||
Definition | 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. | ||||
Short | Voorvoegsel derived from person's own surname | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Own Prefix) (Extension Type: string) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
164. Patient.name:name.family.extension:data-absent-reason | |||||
Slice Name | data-absent-reason | ||||
Definition | Provides a reason why the expected value or elements in the element that is extended are missing. | ||||
Short | masked for pseudonymization | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Data Absent Reason) (Extension Type: code) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
166. Patient.name:name.family.extension:data-absent-reason.extension | |||||
Definition | An Extension 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. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on Patient.name.family.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
168. Patient.name:name.family.extension:data-absent-reason.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | 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. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
Fixed Value | http://hl7.org/fhir/StructureDefinition/data-absent-reason | ||||
170. Patient.name:name.family.extension:data-absent-reason.value[x] | |||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 10..1 This element is affected by the following invariants: ext-1 | ||||
Binding | The codes SHALL be taken from For codes, see DataAbsentReason (required to http://hl7.org/fhir/ValueSet/data-absent-reason ) | ||||
Type | code, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Pattern Value | masked | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
172. Patient.name:name.family.value | |||||
Definition | Primitive value for string The actual value | ||||
Short | Primitive value for string | ||||
Control | 0..01 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Max Length: | 1048576 | ||||
174. Patient.name:name.given | |||||
Definition | Vorname der Person Given name. | ||||
Short | VornameGiven names (not always 'first'). Includes middle names | ||||
Comments | 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. | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | first name, middle name | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
176. Patient.name:name.prefix | |||||
Definition | Namensteile vor dem Vornamen, z.B. akademischer Titel. 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. | ||||
Short | Namensteile vor dem VornamenParts that come before the name | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
184. Patient.name:name.suffix | |||||
Definition | Namensteile nach dem Nachnamen 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. | ||||
Short | Namensteile nach dem NachnamenParts that come after the name | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
186. Patient.name:name.period | |||||
Definition | Indicates the period of time when this name was valid for the named person. | ||||
Short | Time period when name was/is in use | ||||
Comments | A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows names to be placed in historical context. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) per-1: If present, start SHALL have a lower value than end ( start.hasValue().not() or end.hasValue().not() or (start <= end) ) | ||||
188. Patient.name:geburtsname | |||||
Slice Name | geburtsname | ||||
Definition | Geburtsname mit in Deutschland üblichen Erweiterungen A name associated with the individual. | ||||
Short | GeburtsnameA name associated with the patient | ||||
Comments | Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. 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. | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | HumanName(KBV_PR_Base_Datatype_Maiden_Name) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden ( family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue() )hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden ( family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue() )hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden ( family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue() )hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden ( prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue()) ) | ||||
217. Patient.telecom | |||||
Definition | Dieses Element beschreibt die vorhandenen Kontaktmöglichkeiten. A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. | ||||
Short | Details of a Technology mediated contact point (phone, fax, email, etc.)A contact detail for the individual | ||||
Comments | 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). | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | ContactPoint(KBV_PR_Base_Datatype_Contactpoint) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | People have (primary) ways to contact them in some way such as phone, email. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cpt-2: A system is required if a value is provided. ( value.empty() or system.exists() ) | ||||
224. Patient.gender | |||||
Definition | Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes. | ||||
Short | male | female | other | unknown | ||||
Comments | 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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 )The gender of a person used for administrative purposes. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Needed for identification of the individual, in combination with (at least) name and birth date. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
226. Patient.gender.extension:other-amtlich | |||||
Slice Name | other-amtlich | ||||
Definition | Optional Extension Element - found in all resources. | ||||
Short | Optional Extensions Element | ||||
Comments | 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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Differenzierung des administrativen Geschlechts 'other') (Extension Type: Coding) | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
228. Patient.gender.extension:other-amtlich.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | 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. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Fixed Value | http://fhir.de/StructureDefinition/gender-amtlich-de | ||||
230. Patient.gender.extension:other-amtlich.value[x] | |||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from For codes, see GenderOtherDE (required to http://fhir.de/ValueSet/gender-other-de ) | ||||
Type | Coding, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) gender-amtlich-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist ( %resource.where(gender='other').exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.gender.extension.value[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
232. Patient.gender.extension:other-amtlich.value[x]:valueCoding | |||||
Slice Name | valueCoding | ||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from For codes, see GenderOtherDE (required to http://fhir.de/ValueSet/gender-other-de ) | ||||
Type | Coding, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) gender-amtlich-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist ( %resource.where(gender='other').exists() ) | ||||
234. Patient.gender.extension:other-amtlich.value[x]:valueCoding.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | 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. | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | 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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
236. Patient.birthDate | |||||
Definition | The date of birth for the individual. | ||||
Short | The date of birth for the individual | ||||
Comments | 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). | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Type | date | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Age of the individual drives many clinical processes. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
LOINC Code | 21112-8 | ||||
238. Patient.birthDate.extension | |||||
Definition | An Extension 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. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | 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. | ||||
Control | 10..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on Patient.birthDate.extension . The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators: | ||||
240. Patient.birthDate.extension:data-absent-reason | |||||
Slice Name | data-absent-reason | ||||
Definition | Provides a reason why the expected value or elements in the element that is extended are missing. | ||||
Short | unknown | asked | temp | notasked | masked | unsupported | astext | error | ||||
Comments | 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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Data Absent Reason) (Extension Type: code) | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
242. Patient.birthDate.extension:data-absent-reason.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Standard Status | Normative (from Normative) | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on Patient.birthDate.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
244. Patient.birthDate.extension:data-absent-reason.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | 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. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Fixed Value | http://hl7.org/fhir/StructureDefinition/data-absent-reason | ||||
246. Patient.birthDate.extension:data-absent-reason.value[x] | |||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from For codes, see DataAbsentReason (required to http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1 )Used to specify why the normally expected content of the data element is missing. | ||||
Type | code, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
Slicing | This element introduces a set of slices on Patient.birthDate.extension.value[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
248. Patient.birthDate.extension:data-absent-reason.value[x]:valueCode | |||||
Slice Name | valueCode | ||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from For codes, see DataAbsentReason (required to http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1 )Used to specify why the normally expected content of the data element is missing. | ||||
Type | code, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Fixed Value | unknown | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
250. Patient.birthDate.extension:birth-date-mm-yyyy | |||||
Slice Name | birth-date-mm-yyyy | ||||
Definition | birth date in MM-YYYY format | ||||
Short | BirthDate (MM-YYYY) | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(BirthDate (MM-YYYY)) (Extension Type: string) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
252. Patient.deceased[x] | |||||
Definition | Indicates if the individual is deceased or not. | ||||
Short | Indicates if the individual is deceased or not | ||||
Comments | 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. | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | Choice of: boolean, dateTime | ||||
Is Modifier | true because 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. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | 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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
254. Patient.address | |||||
Definition | An address for the individual. | ||||
Short | An address for the individual | ||||
Comments | Patient may have multiple addresses with different uses or applicable periods. | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | Address | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
Slicing | This element introduces a set of slices on Patient.address . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
256. Patient.address:Strassenanschrift | |||||
Slice Name | Strassenanschrift | ||||
Definition | Hier können Angaben zur Straßenanschrift gemacht werden. An address for the individual. | ||||
Short | Eine Straßenadresse gemäß postalischer KonventionenAn address for the individual | ||||
Comments | Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). Patient may have multiple addresses with different uses or applicable periods. | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | Address(KBV_PR_Base_Datatype_Street_Address) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. | ||||
Example | <br/><b>Beispiel für einfache Adresse</b>:{ "use" : "home", "type" : "postal", "line" : ["Musterweg 42"], "city" : "Musterhausen", "postalCode" : "99999" } | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) add-1: Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue()) )add-2: Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue()) )add-3: Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) )add-4: Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein. ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty() )add-5: Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue()) )add-6: Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty())) )add-7: Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein. ( extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or all(line contains extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').value.ofType(string)) ) | ||||
290. Patient.address:Postfach | |||||
Slice Name | Postfach | ||||
Definition | Hier können Angaben zu einem Postfach gemacht werden. An address for the individual. | ||||
Short | Ein Postfach gemäß postalischer KonventionenAn address for the individual | ||||
Comments | Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). Patient may have multiple addresses with different uses or applicable periods. | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | Address(KBV_PR_Base_Datatype_Post_Office_Box) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. | ||||
Example | <br/><b>Beispiel für einfache Adresse</b>:{ "use" : "home", "type" : "postal", "line" : ["Musterweg 42"], "city" : "Musterhausen", "postalCode" : "99999" } | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) add-1: Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue()) )add-2: Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue()) )add-3: Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) )add-4: Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein. ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty() )add-5: Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue()) )add-6: Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty())) )add-7: Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein. ( extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or all(line contains extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').value.ofType(string)) )postBox-de-1: Die Extension 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox' darf nur einmal vorkommen. ( line.where($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').exists()).count()=1 ) | ||||
318. Patient.maritalStatus | |||||
Definition | Hier wird der Personenstand (Familienstand) der behandelten Person angegeben. This field contains a patient's most recent marital (civil) status. | ||||
Short | PersonenstandMarital (civil) status of a patient | ||||
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Marital Status Codeshttp://hl7.org/fhir/ValueSet/marital-status (extensible to http://hl7.org/fhir/ValueSet/marital-status )The domestic partnership status of a person. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | Most, if not all systems capture it. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
327. Patient.multipleBirth[x] | |||||
Definition | Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer). | ||||
Short | Whether patient is part of a multiple birth | ||||
Comments | 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). | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | Choice of: boolean, integer | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Requirements | For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
329. Patient.photo | |||||
Definition | Image of the patient. | ||||
Short | Image of the patient | ||||
Comments | Guidelines:
| ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | Attachment | ||||
Is Modifier | false | ||||
Requirements | Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) att-1: If the Attachment has data, it SHALL have a contentType ( data.empty() or contentType.exists() ) | ||||
331. Patient.contact | |||||
Definition | A contact party (e.g. guardian, partner, friend) for the patient. | ||||
Short | A contact party (e.g. guardian, partner, friend) for the patient | ||||
Comments | 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. | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Requirements | Need to track people you can contact about the patient. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) pat-1: 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() )pat-1: 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()) | ||||
335. Patient.communication | |||||
Definition | Die Sprache, die zur Kommunikation mit dem Patienten über medizinische Themen verwendet werden kann. A language which may be used to communicate with the patient about his or her health. | ||||
Short | Bevorzugte SpracheA language which may be used to communicate with the patient about his or her health | ||||
Comments | 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. | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
347. Patient.generalPractitioner | |||||
Definition | Patient's nominated care provider. | ||||
Short | Patient's nominated primary care provider | ||||
Comments | 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. | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | Reference(Organization, Practitioner, PractitionerRole) | ||||
Is Modifier | false | ||||
Alternate Names | careProvider | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ref-1: 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')) ) | ||||
349. Patient.managingOrganization | |||||
Definition | Organization that is the custodian of the patient record. | ||||
Short | Organization that is the custodian of the patient record | ||||
Comments | 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). | ||||
Control | 0..01 This element is affected by the following invariants: ele-1 | ||||
Type | Reference(Organization) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Need to know who recognizes this patient record, manages and updates it. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ref-1: 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')) ) | ||||
351. Patient.link | |||||
Definition | Link to another patient resource that concerns the same actual patient. | ||||
Short | Link to another patient resource that concerns the same actual person | ||||
Comments | There is no assumption that linked patient records have mutual links. | ||||
Control | 0..0* This element is affected by the following invariants: ele-1 | ||||
Type | BackboneElement | ||||
Is Modifier | true because 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' | ||||
Summary | true | ||||
Requirements | There are multiple use cases:
| ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. Patient | |||||
Definition | Dieses Profil bildet eine Person ab, die eine oder mehrere medizinische Leistungen in Anspruch nimmt. | ||||
Short | Information about an individual or animal receiving health care services | ||||
Control | 0..* | ||||
Alternate Names | SubjectOfCare Client Resident | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-4: 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-3: 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-6: A resource should have narrative for robust management ( text.`div`.exists() )dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )pat-de-1: 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() ) | ||||
2. Patient.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Logical id of this artifact | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Summary | true | ||||
4. Patient.meta | |||||
Definition | 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. | ||||
Short | Metadata about the resource | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | Meta | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. Patient.meta.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
8. Patient.meta.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Standard Status | Normative (from Normative) | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.meta.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
10. Patient.meta.versionId | |||||
Definition | 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. | ||||
Short | Version specific identifier | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | id | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. Patient.meta.lastUpdated | |||||
Definition | When the resource last changed - e.g. when the version changed. | ||||
Short | When the resource version last changed | ||||
Comments | 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 interaction. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | instant | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
14. Patient.meta.source | |||||
Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance 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. | ||||
Short | Identifies where the resource comes from | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
16. Patient.meta.profile | |||||
Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. | ||||
Short | Profiles this resource claims to conform to | ||||
Comments | 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. | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | canonical(StructureDefinition) | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Pattern Value | https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_ULB_Patient|1.0.0 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
18. Patient.meta.security | |||||
Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. | ||||
Short | Security Labels applied to this resource | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from All Security Labels (extensible to http://hl7.org/fhir/ValueSet/security-labels )Security Labels from the Healthcare Privacy and Security Classification System. | ||||
Type | Coding | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
20. Patient.meta.tag | |||||
Definition | 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. | ||||
Short | Tags applied to this resource | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Binding | For example codes, see CommonTags (example to http://hl7.org/fhir/ValueSet/common-tags )Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
Type | Coding | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
22. Patient.implicitRules | |||||
Definition | 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. | ||||
Short | A set of rules under which this content was created | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | uri | ||||
Is Modifier | true because 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 | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
24. Patient.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | 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). | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages )A human language.
| ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
26. Patient.text | |||||
Definition | 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. | ||||
Short | Text summary of the resource, for human interpretation | ||||
Comments | 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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Narrative | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
28. Patient.text.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
30. Patient.text.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Standard Status | Normative (from Normative) | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.text.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
32. Patient.text.status | |||||
Definition | 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. | ||||
Short | generated | extensions | additional | empty | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from NarrativeStatus (required to http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 )The status of a resource narrative. | ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Pattern Value | extensions | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
34. Patient.text.div | |||||
Definition | The actual narrative content, a stripped down version of XHTML. | ||||
Short | Limited xhtml content | ||||
Comments | 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, <a> 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. | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | xhtml | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )txt-1: 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, <a> elements (either name or href), images and internally contained style attributes ( htmlChecks() )txt-2: The narrative SHALL have some non-whitespace content ( htmlChecks() ) | ||||
36. Patient.contained | |||||
Definition | 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. | ||||
Short | Contained, inline Resources | ||||
Comments | 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. | ||||
Control | 0..0 | ||||
Type | Resource | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
38. Patient.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Standard Status | Normative (from Normative) | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
40. Patient.extension:konfession_religion | |||||
Slice Name | konfession_religion | ||||
Definition | Diese Extension bildet Inhalte zur Religion ab. | ||||
Short | Optional Extensions Element | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(KBV_EX_MIO_ULB_Religion) (Extension Type: string) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
47. Patient.extension:dolmetscher_erforderlich | |||||
Slice Name | dolmetscher_erforderlich | ||||
Definition | Diese Extension bildet ab, ob ein Dolmetscher notwendig ist. | ||||
Short | Optional Extensions Element | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(KBV_EX_MIO_ULB_Interpreter_Required) (Extension Type: boolean) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
54. Patient.extension:weitere_hinweise_zur_kommunikation | |||||
Slice Name | weitere_hinweise_zur_kommunikation | ||||
Definition | Diese Extension bildet Angaben zur Kommunikation ab, die nicht eine Sprache und deren Kenntnis betreffen, sondern z.B. das Sprechen oder psychische Auswirkungen auf die Kommunikationsfähigkeit. | ||||
Short | Optional Extensions Element | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(KBV_EX_MIO_ULB_Notes_For_Communication) (Extension Type: string) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
61. Patient.modifierExtension | |||||
Definition | 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). | ||||
Short | Extensions that cannot be ignored | ||||
Comments | 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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Standard Status | Normative (from Normative) | ||||
Requirements | 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. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.modifierExtension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
63. Patient.identifier | |||||
Definition | An identifier for this patient. | ||||
Short | An identifier for this patient | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Identifier | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Patient.identifier . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
65. Patient.identifier:pid | |||||
Slice Name | pid | ||||
Definition | An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. | ||||
Short | An identifier intended for computation | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Identifier(Identifier-Profil für die Abbildung einer Patienten-ID) | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
67. Patient.identifier:pid.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
69. Patient.identifier:pid.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Standard Status | Normative (from Normative) | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.identifier.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
71. Patient.identifier:pid.use | |||||
Definition | The purpose of this identifier. | ||||
Short | usual | official | temp | secondary | old (If known) | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from IdentifierUse (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 )Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
73. Patient.identifier:pid.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Short | Description of identifier | ||||
Comments | 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. | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to http://hl7.org/fhir/ValueSet/identifier-type )A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Type | CodeableConcept | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Pattern Value | { | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
75. Patient.identifier:pid.type.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
77. Patient.identifier:pid.type.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Standard Status | Normative (from Normative) | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.identifier.type.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
79. Patient.identifier:pid.type.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | 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. | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | Coding | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
81. Patient.identifier:pid.type.coding.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
83. Patient.identifier:pid.type.coding.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Standard Status | Normative (from Normative) | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.identifier.type.coding.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
85. Patient.identifier:pid.type.coding.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system | ||||
Comments | 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. | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
87. Patient.identifier:pid.type.coding.version | |||||
Definition | 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. | ||||
Short | Version of the system - if relevant | ||||
Comments | 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. | ||||
Note | This is a business version Id, not a resource version Id (see discussion) | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
89. Patient.identifier:pid.type.coding.code | |||||
Definition | 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). | ||||
Short | Symbol in syntax defined by the system | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
91. Patient.identifier:pid.type.coding.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Pattern Value | Medical record number | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
93. Patient.identifier:pid.type.coding.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | boolean | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | 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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
95. Patient.identifier:pid.type.text | |||||
Definition | 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. | ||||
Short | Plain text representation of the concept | ||||
Comments | Very often the text is the same as a displayName of one of the codings. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | 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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
97. Patient.identifier:pid.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | The namespace for the identifier value | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | 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. | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
99. Patient.identifier:pid.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | The value that is unique | ||||
Comments | 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. 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. | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
101. Patient.identifier:pid.period | |||||
Definition | Time period during which identifier is/was valid for use. | ||||
Short | Time period when id is/was valid for use | ||||
Comments | A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Period | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )per-1: If present, start SHALL have a lower value than end ( start.hasValue().not() or end.hasValue().not() or (start <= end) ) | ||||
103. Patient.identifier:pid.assigner | |||||
Definition | Organization that issued/manages the identifier. | ||||
Short | Organization that issued id (may be just text) | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Reference(Organization) | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ref-1: 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')) ) | ||||
105. Patient.identifier:versichertenId_GKV | |||||
Slice Name | versichertenId_GKV | ||||
Definition | An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. | ||||
Short | An identifier intended for computation | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Identifier(Identifier-Profil für die 10-stellige Krankenversichertennummer) | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
126. Patient.identifier:versichertennummer_pkv | |||||
Slice Name | versichertennummer_pkv | ||||
Definition | An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. | ||||
Short | An identifier intended for computation | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Identifier(Identifier-Profil für die Abbildung einer Privatversichertennummer) | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
153. Patient.identifier:reisepassnummer | |||||
Slice Name | reisepassnummer | ||||
Definition | Identifierprofil für die Reisepassnummer | ||||
Short | Identifier Reisepassnummer | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Identifier(KBV_PR_Base_Identifier_Reisepassnummer) | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
174. Patient.identifier:versichertennummer_kvk | |||||
Slice Name | versichertennummer_kvk | ||||
Definition | Versichertennummer der Krankenversichertenkarte (KVK) | ||||
Short | Identifier KVK | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Identifier(KBV_PR_Base_Identifier_KVK) | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
195. Patient.identifier:versichertenId_PKV | |||||
Slice Name | versichertenId_PKV | ||||
Definition | An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. | ||||
Short | An identifier intended for computation | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Identifier(KBV_PR_MIO_ULB_Identifier_PKV_KVID_10) | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
216. Patient.active | |||||
Definition | 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. | ||||
Short | Whether this patient's record is in active use | ||||
Comments | If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | boolean | ||||
Is Modifier | true because 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 | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to mark a patient record as not to be used because it was created in error. | ||||
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
218. Patient.name | |||||
Definition | A name associated with the individual. | ||||
Short | A name associated with the patient | ||||
Comments | 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. | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | HumanName | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Patient.name . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
220. Patient.name:name | |||||
Slice Name | name | ||||
Definition | Dieses Element beschreibt diverse Namensbestandteile einer Person. | ||||
Short | Personenname | ||||
Comments | Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | HumanName(KBV_PR_Base_Datatype_Name) | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden ( family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue() )hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden ( family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue() )hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden ( family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue() )hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden ( prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue()) ) | ||||
222. Patient.name:name.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
224. Patient.name:name.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Standard Status | Normative (from Normative) | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.name.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
226. Patient.name:name.use | |||||
Definition | Identifies the purpose for this name. | ||||
Short | usual | official | temp | nickname | anonymous | old | maiden | ||||
Comments | Applications can assume that a name is current unless it explicitly says that it is temporary or old. | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from NameUse (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1 )The use of a human name. | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names. | ||||
Pattern Value | official | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
228. Patient.name:name.text | |||||
Definition | Vollständiger Name mit Vornamen und allen Vorsatzwörtern und Namenszusätzen. Der vollständige Name soll alle Namensteile in ihrer korrekten Reihenfolge abbilden. | ||||
Short | Vollständiger Name | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | A renderable, unencoded form. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
230. Patient.name:name.family | |||||
Definition | Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt. | ||||
Short | Familienname | ||||
Comments | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures). | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | surname | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
232. Patient.name:name.family.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
234. Patient.name:name.family.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 1..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.name.family.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
236. Patient.name:name.family.extension:namenszusatz | |||||
Slice Name | namenszusatz | ||||
Definition | Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst | ||||
Short | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Extension zur Erfassung der VSDM Namensbestandteile) (Extension Type: string) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
243. Patient.name:name.family.extension:nachname | |||||
Slice Name | nachname | ||||
Definition | 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. | ||||
Short | Portion derived from person's own surname | ||||
Comments | 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". | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Own Name) (Extension Type: string) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
250. Patient.name:name.family.extension:vorsatzwort | |||||
Slice Name | vorsatzwort | ||||
Definition | 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. | ||||
Short | Voorvoegsel derived from person's own surname | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Own Prefix) (Extension Type: string) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
257. Patient.name:name.family.extension:data-absent-reason | |||||
Slice Name | data-absent-reason | ||||
Definition | Provides a reason why the expected value or elements in the element that is extended are missing. | ||||
Short | masked for pseudonymization | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Data Absent Reason) (Extension Type: code) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
259. Patient.name:name.family.extension:data-absent-reason.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | id | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
261. Patient.name:name.family.extension:data-absent-reason.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.name.family.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
263. Patient.name:name.family.extension:data-absent-reason.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | 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. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
Fixed Value | http://hl7.org/fhir/StructureDefinition/data-absent-reason | ||||
265. Patient.name:name.family.extension:data-absent-reason.value[x] | |||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 1..1 This element is affected by the following invariants: ext-1 | ||||
Binding | The codes SHALL be taken from DataAbsentReason (required to http://hl7.org/fhir/ValueSet/data-absent-reason ) | ||||
Type | code | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Pattern Value | masked | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
267. Patient.name:name.family.value | |||||
Definition | Primitive value for string | ||||
Short | Primitive value for string | ||||
Control | 0..0 | ||||
Type | string | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Max Length: | 1048576 | ||||
269. Patient.name:name.given | |||||
Definition | Vorname der Person | ||||
Short | Vorname | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | first name, middle name | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
271. Patient.name:name.prefix | |||||
Definition | Namensteile vor dem Vornamen, z.B. akademischer Titel. | ||||
Short | Namensteile vor dem Vornamen | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
282. Patient.name:name.suffix | |||||
Definition | Namensteile nach dem Nachnamen | ||||
Short | Namensteile nach dem Nachnamen | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
284. Patient.name:name.period | |||||
Definition | Indicates the period of time when this name was valid for the named person. | ||||
Short | Time period when name was/is in use | ||||
Comments | A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Period | ||||
Summary | true | ||||
Requirements | Allows names to be placed in historical context. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )per-1: If present, start SHALL have a lower value than end ( start.hasValue().not() or end.hasValue().not() or (start <= end) ) | ||||
286. Patient.name:geburtsname | |||||
Slice Name | geburtsname | ||||
Definition | Geburtsname mit in Deutschland üblichen Erweiterungen | ||||
Short | Geburtsname | ||||
Comments | Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | HumanName(KBV_PR_Base_Datatype_Maiden_Name) | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden ( family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue() )hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden ( family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue() )hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden ( family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue() )hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden ( prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue()) ) | ||||
327. Patient.telecom | |||||
Definition | Dieses Element beschreibt die vorhandenen Kontaktmöglichkeiten. | ||||
Short | Details of a Technology mediated contact point (phone, fax, email, etc.) | ||||
Comments | 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). | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | ContactPoint(KBV_PR_Base_Datatype_Contactpoint) | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | People have (primary) ways to contact them in some way such as phone, email. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )cpt-2: A system is required if a value is provided. ( value.empty() or system.exists() ) | ||||
336. Patient.gender | |||||
Definition | Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes. | ||||
Short | male | female | other | unknown | ||||
Comments | 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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from AdministrativeGender (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 )The gender of a person used for administrative purposes. | ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Needed for identification of the individual, in combination with (at least) name and birth date. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
338. Patient.gender.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
340. Patient.gender.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Standard Status | Normative (from Normative) | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.gender.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
342. Patient.gender.extension:other-amtlich | |||||
Slice Name | other-amtlich | ||||
Definition | Optional Extension Element - found in all resources. | ||||
Short | Optional Extensions Element | ||||
Comments | 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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Differenzierung des administrativen Geschlechts 'other') (Extension Type: Coding) | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
344. Patient.gender.extension:other-amtlich.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
346. Patient.gender.extension:other-amtlich.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Standard Status | Normative (from Normative) | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.gender.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
348. Patient.gender.extension:other-amtlich.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | 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. | ||||
Control | 1..1 | ||||
Type | uri | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Fixed Value | http://fhir.de/StructureDefinition/gender-amtlich-de | ||||
350. Patient.gender.extension:other-amtlich.value[x] | |||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from GenderOtherDE (required to http://fhir.de/ValueSet/gender-other-de ) | ||||
Type | Coding | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )gender-amtlich-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist ( %resource.where(gender='other').exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.gender.extension.value[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
352. Patient.gender.extension:other-amtlich.value[x]:valueCoding | |||||
Slice Name | valueCoding | ||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from GenderOtherDE (required to http://fhir.de/ValueSet/gender-other-de ) | ||||
Type | Coding | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )gender-amtlich-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist ( %resource.where(gender='other').exists() ) | ||||
354. Patient.gender.extension:other-amtlich.value[x]:valueCoding.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
356. Patient.gender.extension:other-amtlich.value[x]:valueCoding.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Standard Status | Normative (from Normative) | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.gender.extension.value[x].extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
358. Patient.gender.extension:other-amtlich.value[x]:valueCoding.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system | ||||
Comments | 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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
360. Patient.gender.extension:other-amtlich.value[x]:valueCoding.version | |||||
Definition | 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. | ||||
Short | Version of the system - if relevant | ||||
Comments | 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. | ||||
Note | This is a business version Id, not a resource version Id (see discussion) | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
362. Patient.gender.extension:other-amtlich.value[x]:valueCoding.code | |||||
Definition | 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). | ||||
Short | Symbol in syntax defined by the system | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
364. Patient.gender.extension:other-amtlich.value[x]:valueCoding.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system | ||||
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
366. Patient.gender.extension:other-amtlich.value[x]:valueCoding.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | boolean | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Normative (from Normative) | ||||
Summary | true | ||||
Requirements | 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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
368. Patient.gender.value | |||||
Definition | Primitive value for code | ||||
Short | Primitive value for code | ||||
Control | 0..1 | ||||
Type | code | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Max Length: | 1048576 | ||||
370. Patient.birthDate | |||||
Definition | The date of birth for the individual. | ||||
Short | The date of birth for the individual | ||||
Comments | 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). | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | date | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Age of the individual drives many clinical processes. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
LOINC Code | 21112-8 | ||||
372. Patient.birthDate.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
374. Patient.birthDate.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 1..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.birthDate.extension . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
376. Patient.birthDate.extension:data-absent-reason | |||||
Slice Name | data-absent-reason | ||||
Definition | Provides a reason why the expected value or elements in the element that is extended are missing. | ||||
Short | unknown | asked | temp | notasked | masked | unsupported | astext | error | ||||
Comments | 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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Data Absent Reason) (Extension Type: code) | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
378. Patient.birthDate.extension:data-absent-reason.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
380. Patient.birthDate.extension:data-absent-reason.extension | |||||
Definition | 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Extension | ||||
Standard Status | Normative (from Normative) | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.birthDate.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
382. Patient.birthDate.extension:data-absent-reason.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | 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. | ||||
Control | 1..1 | ||||
Type | uri | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Fixed Value | http://hl7.org/fhir/StructureDefinition/data-absent-reason | ||||
384. Patient.birthDate.extension:data-absent-reason.value[x] | |||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from DataAbsentReason (required to http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1 )Used to specify why the normally expected content of the data element is missing. | ||||
Type | code | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Patient.birthDate.extension.value[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
386. Patient.birthDate.extension:data-absent-reason.value[x]:valueCode | |||||
Slice Name | valueCode | ||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from DataAbsentReason (required to http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1 )Used to specify why the normally expected content of the data element is missing. | ||||
Type | code | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Standard Status | Normative (from Normative) | ||||
Fixed Value | unknown | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
388. Patient.birthDate.extension:birth-date-mm-yyyy | |||||
Slice Name | birth-date-mm-yyyy | ||||
Definition | birth date in MM-YYYY format | ||||
Short | BirthDate (MM-YYYY) | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(BirthDate (MM-YYYY)) (Extension Type: string) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
390. Patient.birthDate.value | |||||
Definition | Primitive value for date | ||||
Short | Primitive value for date | ||||
Control | 0..1 | ||||
Type | date | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
392. Patient.deceased[x] | |||||
Definition | Indicates if the individual is deceased or not. | ||||
Short | Indicates if the individual is deceased or not | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Choice of: boolean, dateTime | ||||
Is Modifier | true because 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. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | 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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
394. Patient.address | |||||
Definition | An address for the individual. | ||||
Short | An address for the individual | ||||
Comments | Patient may have multiple addresses with different uses or applicable periods. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Address | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Patient.address . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
396. Patient.address:Strassenanschrift | |||||
Slice Name | Strassenanschrift | ||||
Definition | Hier können Angaben zur Straßenanschrift gemacht werden. | ||||
Short | Eine Straßenadresse gemäß postalischer Konventionen | ||||
Comments | Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Address(KBV_PR_Base_Datatype_Street_Address) | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. | ||||
Example | <br/><b>Beispiel für einfache Adresse</b>:{ "use" : "home", "type" : "postal", "line" : ["Musterweg 42"], "city" : "Musterhausen", "postalCode" : "99999" } | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )add-1: Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue()) )add-2: Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue()) )add-3: Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) )add-4: Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein. ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty() )add-5: Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue()) )add-6: Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty())) )add-7: Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein. ( extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or all(line contains extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').value.ofType(string)) ) | ||||
442. Patient.address:Postfach | |||||
Slice Name | Postfach | ||||
Definition | Hier können Angaben zu einem Postfach gemacht werden. | ||||
Short | Ein Postfach gemäß postalischer Konventionen | ||||
Comments | Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Address(KBV_PR_Base_Datatype_Post_Office_Box) | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. | ||||
Example | <br/><b>Beispiel für einfache Adresse</b>:{ "use" : "home", "type" : "postal", "line" : ["Musterweg 42"], "city" : "Musterhausen", "postalCode" : "99999" } | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )add-1: Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue()) )add-2: Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue()) )add-3: Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) )add-4: Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein. ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty() )add-5: Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue()) )add-6: Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty())) )add-7: Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein. ( extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or all(line contains extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').value.ofType(string)) )postBox-de-1: Die Extension 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox' darf nur einmal vorkommen. ( line.where($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').exists()).count()=1 ) | ||||
478. Patient.maritalStatus | |||||
Definition | Hier wird der Personenstand (Familienstand) der behandelten Person angegeben. | ||||
Short | Personenstand | ||||
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Marital Status Codes (extensible to http://hl7.org/fhir/ValueSet/marital-status )The domestic partnership status of a person. | ||||
Type | CodeableConcept | ||||
Must Support | true | ||||
Requirements | Most, if not all systems capture it. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
491. Patient.multipleBirth[x] | |||||
Definition | Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer). | ||||
Short | Whether patient is part of a multiple birth | ||||
Comments | 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). | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Choice of: boolean, integer | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Requirements | For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
493. Patient.photo | |||||
Definition | Image of the patient. | ||||
Short | Image of the patient | ||||
Comments | Guidelines:
| ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Attachment | ||||
Requirements | Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )att-1: If the Attachment has data, it SHALL have a contentType ( data.empty() or contentType.exists() ) | ||||
495. Patient.contact | |||||
Definition | A contact party (e.g. guardian, partner, friend) for the patient. | ||||
Short | A contact party (e.g. guardian, partner, friend) for the patient | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | BackboneElement | ||||
Requirements | Need to track people you can contact about the patient. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )pat-1: 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() ) | ||||
519. Patient.communication | |||||
Definition | Die Sprache, die zur Kommunikation mit dem Patienten über medizinische Themen verwendet werden kann. | ||||
Short | Bevorzugte Sprache | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | BackboneElement | ||||
Must Support | true | ||||
Requirements | 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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
537. Patient.generalPractitioner | |||||
Definition | Patient's nominated care provider. | ||||
Short | Patient's nominated primary care provider | ||||
Comments | 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. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Reference(Organization, Practitioner, PractitionerRole) | ||||
Alternate Names | careProvider | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ref-1: 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')) ) | ||||
539. Patient.managingOrganization | |||||
Definition | Organization that is the custodian of the patient record. | ||||
Short | Organization that is the custodian of the patient record | ||||
Comments | 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). | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | Reference(Organization) | ||||
Summary | true | ||||
Requirements | Need to know who recognizes this patient record, manages and updates it. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ref-1: 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')) ) | ||||
541. Patient.link | |||||
Definition | Link to another patient resource that concerns the same actual patient. | ||||
Short | Link to another patient resource that concerns the same actual person | ||||
Comments | There is no assumption that linked patient records have mutual links. | ||||
Control | 0..0 This element is affected by the following invariants: ele-1 | ||||
Type | BackboneElement | ||||
Is Modifier | true because 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' | ||||
Summary | true | ||||
Requirements | There are multiple use cases:
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Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |