### Betroffene Person (NotifiedPerson)

https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson

Die betroffene Person enthält relevante Angaben zum Patienten, die entsprechend der aktuellen Planung aus den Auftragsdaten extrahiert werden, die der Einsender dem jeweiligen Labor übermittelt hat. Dies werden in der Mehrzahl der Fälle die Angaben von der eGK der betroffenen Person sein (Versichertenstammdaten).

Die als betroffene Person in der Erregernachweismeldung angegebene Patient-Ressource muss im Laborbericht, im Erregernachweis, in der Probe und in der Diagnose als "subject" referenziert werden.

Patient.name: In diesem Element muss der Name der betroffenen Person angegeben werden. Dabei sind – anders als im zugrundeliegenden deutschen Basisprofil – mindestens Vor- und Nachname (HumanName.given und HumanName.family) verpflichtend anzugeben. Diese Angaben sind für eine personenfokussierte Fallbearbeitung innerhalb des Gesundheitsamtes unerlässlich und werden daher über das Profil zwingend eingefordert.

Patient.telecom: Über dieses Element sollen Angaben übermittelt werden, die die Mitarbeiter im Gesundheitsamt in die Lage versetzen, die betroffene Person schnell zu kontaktieren.

Patient.deceased[x]: Über die spezifischen Ausprägungen dieses Elements können Angaben dazu gemacht werden, ob bzw. wann die betroffene Person verstorben ist.

HINWEIS: Im Rahmen der Arztmeldung werden Angaben zum Tod der betroffenen Person ebenfalls an einer anderen Stelle innerhalb der Meldung strukturiert abgefragt/erfasst. In diesem Fall sollte Patient.deceased[x] NICHT befüllt werden. Alternativ muss sichergestellt werden, dass sich die in den verschiedenen Teilen der Meldung getroffenen Aussagen nicht widersprechen.

Patient.address: Über diese Elemente können Angaben zu Aufenthaltsorten der betroffenen Person kommuniziert werden. Die Vollständigkeit und Korrektheit der Angaben ist dabei für das Meldesystem von herausragender Bedeutung, da auf Grundlage dieser Informationen die automatisierte Ermittlung des jeweils zuständigen Gesundheitsamtes erfolgt. Unvollständige oder inkorrekte Angaben führen zu deutlichen Mehraufwänden in den Gesundheitsämtern, da die Zuständigkeit dann ggf. erneut manuell ermittelt werden muss und somit Verzögerungen bei der Fallanlage und -bearbeitung entstehen. Grundsätzlich können und sollen mehrere Aufenthaltsorte (als individuelle address-Elemente) angegeben werden, sofern die entsprechenden Informationen dem Melder vorliegen. DEMIS unterscheidet in diesem Zusammenhang für die betroffene Person drei verschiedene „Arten“ von Aufenthaltsorten: (1) den derzeitigen Aufenthaltsort, (2) den gewöhnlichen Aufenthaltsort und (3) den Hauptwohnsitz. Die Information, um welche Art von Aufenthaltsort es sich bei der jeweils angegebenen Adresse handelt, erfolgt über die definierte AddressUse-Extension. Sofern es sich bei einem der angegebenen Aufenthaltsorte um eine Einrichtung handelt (z.B. ein Pflegeheim als „Hauptwohnsitz“ oder ein Krankenhaus als „derzeitiger Aufenthaltsort“), muss eine separate Einrichtungsressource (https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility) als Bestandteil der Meldung erstellt und aus der address heraus auf diese verwiesen werden. Der Verweis erfolgt hierbei über die definierte FacilityAddressNotifiedPerson-Extension. Wird auf eine entsprechende Einrichtungs-Ressource verwiesen, werden deren Adressangaben beim Meldungsrouting berücksichtigt. Die Angaben zu Straße, Stadt, Land usw. können dann im jeweiligen address-Element der betroffenen Person entfallen.

HINWEISE:

- Das der Profilierung zugrundeliegenden konzeptionelle Modell unterstützt grundsätzlich die Abbildung komplexer Adresskonstellationen. Es wäre beispielsweise vorstellbar, dass eine betroffene Person, die dauerhaft in einem Pflegeheim untergebracht ist, in einem Krankenhaus aufgenommen wird, aus welchem heraus die Meldung erfolgt. Entsprechend wären für die betroffene Person zwei address-Elemente mit verschiedenen AddressUses (Hauptwohnsitz + derzeitiger Aufenthaltsort) anzulegen, aus denen heraus auf zwei unterschiedliche Instanzen (Pflegeheim + Krankenhaus) der Betroffenen-Einrichtung (https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility) verwiesen wird.
- In Abhängigkeit des Melders und der Art der Meldung werden sich die zur Verfügung stehenden Adressinformationen jedoch sehr stark unterscheiden. Meldende Labore verfügen häufig nur über die als Bestandteil des Laborauftrags übermittelten Adressangaben der betroffenen Person. Eine direkte Rückfrage beim Patienten bzgl. der spezifischen Aufenthaltssituation ist hier eher problematisch. Andere Meldergruppen (z.B. Melder in Arztpraxen und Krankenhäuser) haben (bei gesetzlich Versicherten) beispielsweise direkten Zugriff auf die Versichertenstammdaten der eGK mit einem qualitativ hochwertigen Datensatz zum Hauptwohnsitz. Andere Aufenthaltsorte ergeben sich ggf. aus dem Kontext (z.B. Hospitalisierung  derzeitiger Aufenthaltsort ist dann der jeweilige Krankenhausstandort) oder können direkt bei der betroffenen Person erfragt werden. Bei der Umsetzung in den IT-Systemen der Melder sind entsprechende Konstellationen mitzudenken und anforderungsgerecht umzusetzen.

Patient.contact: Über dieses Element können Angaben zu Personen gemacht werden, die alternativ durch das Gesundheitsamt kontaktiert werden können. Dies können beispielsweise Angehörige oder Betreuer sein, sofern die betroffene Person nicht selbst in der Lage ist, auf potentielle Rückfragen des Gesundheitsamtes zu reagieren.

NotifiedPerson (Patient) | I |  | Patient | Element id
    Patient
Short description Information about an individual or animal receiving health care services Alternate names SubjectOfCare Client Resident Definition Demographics and other administrative information about an individual or animal receiving care or other health-related services. Data type Patient Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management `text.`div`.exists()` validFamilyName: Der Nachname muss valide sein. `name.family.matches('^[^@\\*?$|=´"\\[\\]{}<>0-9]{0,100}$')` validGivenName: Die Vornamen muss valide sein. `name.given.all(matches('^[^@\\*?$|=´"\\[\\]{}<>0-9]{0,100}$'))` genderExists: Wenn als gender other angegeben wird, muss die Extension http://fhir.de/StructureDefinition/gender-amtlich-de befüllt werden. `gender.exists() and gender = 'other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()` Mappings rim: Entity. Role, or Act rim: Patient[classCode=PAT] cda: ClinicalDocument.recordTarget.patientRole
id | Σ | 0..1 | string | There are no (further) constraints on this element Element id
    Patient.id
Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. 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. Data type string
meta | S Σ | 1..1 | Meta | There are no (further) constraints on this element Element id
    Patient.meta
Short description Metadata about the resource 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. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id |  | 0..1 | string | There are no (further) constraints on this element Element id
    Patient.meta.id
Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension | I | 0..* | Extension | There are no (further) constraints on this element Element id
    Patient.meta.extension
Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a
versionId | Σ | 0..1 | id | There are no (further) constraints on this element Element id
    Patient.meta.versionId
Short description Version specific identifier 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. 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. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
lastUpdated | Σ | 0..1 | instant | There are no (further) constraints on this element Element id
    Patient.meta.lastUpdated
Short description When the resource version last changed Definition When the resource last changed - e.g. when the version 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. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
source | Σ | 0..1 | uri | There are no (further) constraints on this element Element id
    Patient.meta.source
Short description Identifies where the resource comes from 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. 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
profile | S Σ | 1..1 | canonical(StructureDefinition)Fixed Value | Element id
    Patient.meta.profile
Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. 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. Data type canonical(StructureDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value
    https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson
security | Σ | 0..* | Coding Binding | There are no (further) constraints on this element Element id
    Patient.meta.security
Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. 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. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible)Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element id
    Patient.meta.tag
Short description Tags applied to this resource 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. 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. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example)Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element id
    Patient.implicitRules
Short description A set of rules under which this content was created 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. 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
language |  | 0..1 | code Binding | There are no (further) constraints on this element Element id
    Patient.language
Short description Language of the resource content Definition The base language in which the resource is written. 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). Data type code Binding A human language. CommonLanguages (preferred)Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
text |  | 0..1 | Narrative | There are no (further) constraints on this element Element id
    Patient.text
Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display 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. 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. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Act.text?
contained |  | 0..* | Resource | There are no (further) constraints on this element Element id
    Patient.contained
Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources 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. 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. Data type Resource Mappings rim: N/A
extension | I | 0..* | Extension | There are no (further) constraints on this element Element id
    Patient.extension
Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Constraints 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()` Mappings rim: N/A
modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element id
    Patient.modifierExtension
Short description Extensions that cannot be ignored Alternate names extensions, user content 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). 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. 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. Data type Extension Constraints 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()` Mappings rim: N/A
identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element id
    Patient.identifier
Short description An identifier for this patient Definition An identifier for this patient. Requirements Patients are almost always assigned specific numerical identifiers. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.identifier v2: PID-3 rim: id cda: .id
active | Σ ?! | 0..1 | boolean | There are no (further) constraints on this element Element id
    Patient.active
Short description Whether this patient's record is in active use 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. Requirements Need to be able to mark a patient record as not to be used because it was created in error. Comments If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient. Meaning when missing This resource is generally assumed to be active if no value is provided for the active element Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.status rim: statusCode cda: n/a
name | S Σ I | 1..1 | HumannameDeBasis | Element id
    Patient.name
Short description Name Definition Name der betroffenen Person. Mindestens ein Vorname und der Nachname müssen angegeben werden. Requirements Need to be able to track the patient by multiple names. Examples are your official name and a partner name. 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. Data type HumannameDeBasis Constraints 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())` Mappings v2: PID-5, PID-9 rim: name cda: .patient.name rim: n/a v2: XPN rim: EN (actually, PN) servd: ProviderName
id |  | 0..1 | string | There are no (further) constraints on this element Element id
    Patient.name.id
Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension | I | 0..* | Extension | There are no (further) constraints on this element Element id
    Patient.name.extension
Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a
use | Σ ?! | 0..1 | code Binding | There are no (further) constraints on this element Element id
    Patient.name.use
Short description usual | official | temp | nickname | anonymous | old | maiden Definition Identifies the purpose for this name. Requirements Allows the appropriate name for a particular context of use to be selected from among a set of names. Comments Applications can assume that a name is current unless it explicitly says that it is temporary or old. Data type code Binding The use of a human name. NameUse (required)Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: XPN.7, but often indicated by which field contains the name rim: unique(./use) servd: ./NamePurpose
text | Σ | 0..1 | string | There are no (further) constraints on this element Element id
    Patient.name.text
Short description Text representation of the full name Definition 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. Requirements A renderable, unencoded form. 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: implied by XPN.11 rim: ./formatted
family | S Σ | 1..1 | string | Element id
    Patient.name.family
Short description Nachname Alternate names surname Definition Nachname der betroffenen Person. Es muss genau ein Nachname angegeben werden. Comments Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures). Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: XPN.1/FN.1 rim: ./part[partType = FAM] servd: ./FamilyName
id |  | 0..1 | string | There are no (further) constraints on this element Element id
    Patient.name.family.id
Short description xml:id (or equivalent in JSON) Definition unique id for the element within a resource (for internal references) Data type string
extension | I | 0..* | Extension | There are no (further) constraints on this element Element id
    Patient.name.family.extension
Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Constraints 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()`
namenszusatz | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element id
    Patient.name.family.extension:namenszusatz
Short description Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") Alternate names extensions, user content Definition Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst 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. Data type Extension(string) Extension URL http://fhir.de/StructureDefinition/humanname-namenszusatz Constraints 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()` Mappings rim: n/a rim: N/A
nachname | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element id
    Patient.name.family.extension:nachname
Short description Nachname ohne Vor- und Zusätze Alternate names extensions, user content Definition Nachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens. 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". Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/humanname-own-name Constraints 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()` Mappings v2: FN.3 rim: ENXP where Qualifiers = (BR)
vorsatzwort | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element id
    Patient.name.family.extension:vorsatzwort
Short description Vorsatzwort Alternate names extensions, user content Definition Vorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK") 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. Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/humanname-own-prefix Constraints 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()` Mappings v2: FN.2 rim: ENXP where Qualifiers = (VV, R)
value |  | 0..1 | System.String | There are no (further) constraints on this element Element id
    Patient.name.family.value
Short description Primitive value for string Definition The actual value Data type System.String Maximum string length 1048576
given | S Σ | 1..* | string | Element id
    Patient.name.given
Short description Vorname Alternate names first name, middle name Definition Vorname der betroffenen Person. Es muss mindestens ein Vorname angegeben werden. 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: XPN.2 + XPN.3 rim: ./part[partType = GIV] servd: ./GivenNames
prefix | Σ | 0..* | string | There are no (further) constraints on this element Element id
    Patient.name.prefix
Short description Namensteile vor dem Vornamen Definition Namensteile vor dem Vornamen, z.B. akademischer Titel. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: XPN.5 rim: ./part[partType = PFX] servd: ./TitleCode
id |  | 0..1 | string | There are no (further) constraints on this element Element id
    Patient.name.prefix.id
Short description xml:id (or equivalent in JSON) Definition unique id for the element within a resource (for internal references) Data type string
extension | I | 0..* | Extension | There are no (further) constraints on this element Element id
    Patient.name.prefix.extension
Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Constraints 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()`
prefix-qualifier | I | 0..1 | Extension(code) | There are no (further) constraints on this element Element id
    Patient.name.prefix.extension:prefix-qualifier
Short description LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV Alternate names extensions, user content Definition Spezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel Comments Used to indicate additional information about the name part and how it should be used. Data type Extension(code) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier Constraints 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()` Mappings rim: ENXP.qualifier
value |  | 0..1 | System.String | There are no (further) constraints on this element Element id
    Patient.name.prefix.value
Short description Primitive value for string Definition The actual value Data type System.String Maximum string length 1048576
suffix | Σ | 0..* | string | There are no (further) constraints on this element Element id
    Patient.name.suffix
Short description Namensteile nach dem Nachnamen Definition Namensteile nach dem Nachnamen Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: XPN/4 rim: ./part[partType = SFX]
period | Σ | 0..1 | Period | There are no (further) constraints on this element Element id
    Patient.name.period
Short description Time period when name was/is in use Definition Indicates the period of time when this name was valid for the named person. Requirements Allows names to be placed in historical context. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: XPN.13 + XPN.14 rim: ./usablePeriod[type="IVL<TS>"] servd: ./StartDate and ./EndDate
telecom | S Σ | 0..* | ContactPoint | Element id
    Patient.telecom
Short description Kontaktangaben Definition Kontaktangaben der betroffenen Person. Telefonnummern oder E-Mailadressen können angegeben werden. Requirements People have (primary) ways to contact them in some way such as phone, email. 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). Data type ContactPoint Sliced: Unordered, Closed, by system(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: PID-13, PID-14, PID-40 rim: telecom cda: .telecom
Email | Σ | 0..* | ContactPoint | There are no (further) constraints on this element Element id
    Patient.telecom:Email
Short description A contact detail for the individual Definition A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. Requirements People have (primary) ways to contact them in some way such as phone, email. 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). Data type ContactPoint Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: PID-13, PID-14, PID-40 rim: telecom cda: .telecom
id |  | 0..1 | string | There are no (further) constraints on this element Element id
    Patient.telecom:Email.id
Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension | I | 0..* | Extension | There are no (further) constraints on this element Element id
    Patient.telecom:Email.extension
Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a
system | S Σ I | 1..1 | code Binding Fixed Value | Element id
    Patient.telecom:Email.system
Short description phone | fax | email | pager | url | sms | other Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Data type code Binding Telecommunications form for contact point. ContactPointSystem (required)Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value
    email
Mappings v2: XTN.3 rim: ./scheme servd: ./ContactPointType
value | S Σ I | 1..1 | string | Element id
    Patient.telecom:Email.value
Short description The actual contact point details Definition The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). Requirements Need to support legacy numbers that are not in a tightly controlled format. Comments Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` validEmailAddress: Die E-Mail-Adresse muss valide sein. `$this.matches('^[a-zA-Z0-9._%+-]+@(?:[a-zA-Z0-9-]+[.])+[a-zA-Z0-9]{2,63}$')` Mappings v2: XTN.1 (or XTN.12) rim: ./url servd: ./Value
use | Σ ?! | 0..1 | code Binding | There are no (further) constraints on this element Element id
    Patient.telecom:Email.use
Short description home | work | temp | old | mobile - purpose of this contact point Definition Identifies the purpose for the contact point. Requirements Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Comments Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Data type code Binding Use of contact point. ContactPointUse (required)Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: XTN.2 - but often indicated by field rim: unique(./use) servd: ./ContactPointPurpose
rank | Σ | 0..1 | positiveInt | There are no (further) constraints on this element Element id
    Patient.telecom:Email.rank
Short description Specify preferred order of use (1 = highest) Definition Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Comments Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: n/a rim: n/a
period | Σ | 0..1 | Period | There are no (further) constraints on this element Element id
    Patient.telecom:Email.period
Short description Time period when the contact point was/is in use Definition Time period when the contact point was/is in use. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: ./usablePeriod[type="IVL<TS>"] servd: ./StartDate and ./EndDate
Phone | Σ | 0..* | ContactPoint | There are no (further) constraints on this element Element id
    Patient.telecom:Phone
Short description A contact detail for the individual Definition A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. Requirements People have (primary) ways to contact them in some way such as phone, email. 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). Data type ContactPoint Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: PID-13, PID-14, PID-40 rim: telecom cda: .telecom
id |  | 0..1 | string | There are no (further) constraints on this element Element id
    Patient.telecom:Phone.id
Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension | I | 0..* | Extension | Element id
    Patient.telecom:Phone.extension
Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a
comment | I | 0..1 | Extension(string) | Element id
    Patient.telecom:Phone.extension:comment
Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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. Data type Extension(string) Extension URL https://demis.rki.de/fhir/StructureDefinition/Comment Constraints 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()` Mappings rim: n/a rim: N/A
system | S Σ I | 1..1 | code Binding Fixed Value | Element id
    Patient.telecom:Phone.system
Short description phone | fax | email | pager | url | sms | other Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Data type code Binding Telecommunications form for contact point. ContactPointSystem (required)Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value
    phone
Mappings v2: XTN.3 rim: ./scheme servd: ./ContactPointType
value | S Σ I | 1..1 | string | Element id
    Patient.telecom:Phone.value
Short description The actual contact point details Definition The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). Requirements Need to support legacy numbers that are not in a tightly controlled format. Comments Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` validPhoneNumber: Die Telefonnummer muss valide sein. `$this.matches('^[0+][0-9 \\-\\(\\)]{6,50}$')` Mappings v2: XTN.1 (or XTN.12) rim: ./url servd: ./Value
use | Σ ?! | 0..1 | code Binding | There are no (further) constraints on this element Element id
    Patient.telecom:Phone.use
Short description home | work | temp | old | mobile - purpose of this contact point Definition Identifies the purpose for the contact point. Requirements Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Comments Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Data type code Binding Use of contact point. ContactPointUse (required)Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: XTN.2 - but often indicated by field rim: unique(./use) servd: ./ContactPointPurpose
rank | Σ | 0..1 | positiveInt | There are no (further) constraints on this element Element id
    Patient.telecom:Phone.rank
Short description Specify preferred order of use (1 = highest) Definition Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Comments Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: n/a rim: n/a
period | Σ | 0..1 | Period | There are no (further) constraints on this element Element id
    Patient.telecom:Phone.period
Short description Time period when the contact point was/is in use Definition Time period when the contact point was/is in use. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: ./usablePeriod[type="IVL<TS>"] servd: ./StartDate and ./EndDate
gender | S Σ | 1..1 | code Binding | Element id
    Patient.gender
Short description Geschlecht Definition Geschlecht der betroffenen Person Requirements Needed for identification of the individual, in combination with (at least) name and birth date. 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. Data type code Binding The gender of a person used for administrative purposes. AdministrativeGender (required)Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: PID-8 rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender cda: .patient.administrativeGenderCode
id |  | 0..1 | string | There are no (further) constraints on this element Element id
    Patient.gender.id
Short description xml:id (or equivalent in JSON) Definition unique id for the element within a resource (for internal references) Data type string
extension | I | 0..* | Extension | Element id
    Patient.gender.extension
Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by Differenzierung des administrativen Geschlechts 'other' Constraints 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()`
other-amtlich | I | 0..1 | Extension(Coding) | Element id
    Patient.gender.extension:other-amtlich
Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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. Data type Extension(Coding) Extension URL http://fhir.de/StructureDefinition/gender-amtlich-de Constraints 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()` Mappings rim: n/a rim: N/A
id |  | 0..1 | string | There are no (further) constraints on this element Element id
    Patient.gender.extension:other-amtlich.id
Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension | I | 0..0 | Extension | There are no (further) constraints on this element Element id
    Patient.gender.extension:other-amtlich.extension
Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a
url |  | 1..1 | uri Fixed Value | There are no (further) constraints on this element Element id
    Patient.gender.extension:other-amtlich.url
Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. 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. Data type uri Fixed value
    http://fhir.de/StructureDefinition/gender-amtlich-de
Mappings rim: N/A
value[x] | I | 1..1 | Binding | There are no (further) constraints on this element Element id
    Patient.gender.extension:other-amtlich.value[x]
Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Binding GenderOtherDE (required) Constraints 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()` Mappings rim: N/A
valueCoding |  |  | Coding | There are no (further) constraints on this element Data type Coding
value |  | 0..1 | System.String | There are no (further) constraints on this element Element id
    Patient.gender.value
Short description Primitive value for code Definition Primitive value for code Data type System.String
birthDate | S Σ I | 0..1 | date | Element id
    Patient.birthDate
Short description Geburtsdatum Definition Geburtsdatum der betroffenen Person Requirements Age of the individual drives many clinical processes. 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). Data type date Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` validBirthDate: Das Geburtsjahr muss mit 19 oder 20 beginnen. `$this.toString().matches('^19[0-9]{2}-[0-9]{2}-[0-9]{2}|20[0-9]{2}-[0-9]{2}-[0-9]{2}|19[0-9]{2}-[0-9]{2}|20[0-9]{2}-[0-9]{2}|19[0-9]{2}|20[0-9]{2}$')` Mappings v2: PID-7 rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime cda: .patient.birthTime loinc: 21112-8
deceased[x] | S Σ ?! | 0..1 |  | Element id
    Patient.deceased[x]
Short description Verstorben Definition Angabe ob die betroffene Person verstorben ist 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. 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. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: PID-30 (bool) and PID-29 (datetime) rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime cda: n/a
deceasedBoolean |  |  | boolean | There are no (further) constraints on this element Data type boolean
deceasedDateTime |  |  | dateTime | There are no (further) constraints on this element Data type dateTime
address | S Σ I | 0..* | AddressDeBasis | Element id
    Patient.address
Short description Adresse Definition Adresse der betroffenen Person. Über die Extension "addressUse" kann angegeben werden, um welche Art von Adresse es sich handelt. Ist die betroffene Person in einer Einrichtung untergebracht, kann über die Extension die Einrichtung angegeben werden. Requirements May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. 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). Data type AddressDeBasis Constraints 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))` Examples Beispiel für einfache Adresse
    {
      "use": "home",
      "type": "postal",
      "line": [
        "Musterweg 42"
      ],
      "city": "Musterhausen",
      "postalCode": "99999"
    }
Mappings v2: PID-11 rim: addr cda: .addr rim: n/a v2: XAD rim: AD servd: Address
id |  | 0..1 | string | There are no (further) constraints on this element Element id
    Patient.address.id
Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension | I | 0..* | Extension | Element id
    Patient.address.extension
Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a
Stadtteil | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element id
    Patient.address.extension:Stadtteil
Short description Stadt- oder Ortsteil Alternate names extensions, user content Definition A subsection of a municipality. 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. Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct Constraints 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()` Mappings rim: n/a rim: ADXP[partType=PRE]
addressUse | I | 0..* | Extension(Coding) | Element id
    Patient.address.extension:addressUse
Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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. Data type Extension(Coding) Extension URL https://demis.rki.de/fhir/StructureDefinition/AddressUse Constraints 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()` Mappings rim: n/a rim: N/A
facility | I | 0..* | Extension(Reference(NotifiedPersonFacility)) | Element id
    Patient.address.extension:facility
Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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. Data type Extension(Reference(NotifiedPersonFacility)) Extension URL https://demis.rki.de/fhir/StructureDefinition/FacilityAddressNotifiedPerson Constraints 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()` Mappings rim: n/a rim: N/A
use | Σ ?! | 0..0 | code Binding | There are no (further) constraints on this element Element id
    Patient.address.use
Short description home | work | temp | old | billing - purpose of this address Definition The purpose of this address. Requirements Allows an appropriate address to be chosen from a list of many. Comments Applications can assume that an address is current unless it explicitly says that it is temporary or old. Data type code Binding The use of an address. AddressUse (required)Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General
    home
Mappings v2: XAD.7 rim: unique(./use) servd: ./AddressPurpose
type | Σ | 0..1 | code Binding | There are no (further) constraints on this element Element id
    Patient.address.type
Short description postal | physical | both Definition Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. Comments The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource). Data type code Binding The type of an address (physical / postal). AddressType (required)Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General
    both
Mappings v2: XAD.18 rim: unique(./use) vcard: address type parameter
text | Σ | 0..1 | string | There are no (further) constraints on this element Element id
    Patient.address.text
Short description Text representation of the address Definition Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. Requirements A renderable, unencoded form. Comments Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General
    137 Nowhere Street, Erewhon 9132
Mappings v2: XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6 rim: ./formatted vcard: address label parameter
line | Σ | 0..3 | string | Element id
    Patient.address.line
Short description Anschriftenzeile Definition Anschriftenzeile. Die Angabe eines Postfaches ist nicht erlaubt. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General
    137 Nowhere Street
Beipiel für Adresszeile mit Extensions für Straße und Hausnummer
    Musterweg 42
Mappings v2: XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address) rim: AD.part[parttype = AL] vcard: street servd: ./StreetAddress (newline delimitted)
id |  | 0..1 | string | There are no (further) constraints on this element Element id
    Patient.address.line.id
Short description xml:id (or equivalent in JSON) Definition unique id for the element within a resource (for internal references) Data type string
extension | I | 0..* | Extension | Element id
    Patient.address.line.extension
Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Constraints 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()`
Strasse | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element id
    Patient.address.line.extension:Strasse
Short description Strassenname (ohne Hausnummer) Alternate names extensions, user content Definition Strassenname (ohne Hausnummer) Bei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. 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. Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName Constraints 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()` Mappings rim: ADXP[partType=STR]
Hausnummer | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element id
    Patient.address.line.extension:Hausnummer
Short description Hausnummer Alternate names extensions, user content Definition Hausnummer, sowie Zusätze (Appartmentnummer, Etage...) Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. 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. Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber Constraints 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()` Mappings rim: ADXP[partType=BNR]
Adresszusatz | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element id
    Patient.address.line.extension:Adresszusatz
Short description Adresszusatz Alternate names extensions, user content Definition Zusätzliche Informationen, wie z.B. "3. Etage", "Appartment C" Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. 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. Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator Constraints 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()` Mappings rim: ADXP[partType=ADL]
Postfach | I | 0..0 | Extension(string) | Element id
    Patient.address.line.extension:Postfach
Short description Postfach Alternate names extensions, user content Definition Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type "physical" oder "both" verwendet werden. 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. Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox Constraints 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()` Mappings rim: ADXP[partType=POB]
value |  | 0..1 | System.String | There are no (further) constraints on this element Element id
    Patient.address.line.value
Short description Primitive value for string Definition The actual value Data type System.String Maximum string length 1048576
city | Σ | 0..1 | string | Element id
    Patient.address.city
Short description Stadt Alternate names Municpality Definition Stadt Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General
    Erewhon
Mappings v2: XAD.3 rim: AD.part[parttype = CTY] vcard: locality servd: ./Jurisdiction
district | Σ | 0..0 | string | There are no (further) constraints on this element Element id
    Patient.address.district
Short description District name (aka county) Alternate names County Definition The name of the administrative area (county). Comments District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General
    Madison
Mappings v2: XAD.9 rim: AD.part[parttype = CNT | CPA]
state | Σ | 0..1 | string Binding | There are no (further) constraints on this element Element id
    Patient.address.state
Short description Bundesland Alternate names Province, Territory Definition Name (oder Kürzel) des Bundeslandes. Data type string Binding ValueSetISO31662DE (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: XAD.4 rim: AD.part[parttype = STA] vcard: region servd: ./Region
postalCode | Σ | 0..1 | string Binding | Element id
    Patient.address.postalCode
Short description Postleitzahl Alternate names Zip Definition Postleitzahl. Der Wert muss entsprechend des vom RKI definierten ValueSets (https://demis.rki.de/fhir/ValueSet/postalCode) im coding Element dargestellt werden. Data type string Binding PostalCode (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General
    9132
Mappings v2: XAD.5 rim: AD.part[parttype = ZIP] vcard: code servd: ./PostalIdentificationCode
country | Σ | 0..1 | string Binding | Element id
    Patient.address.country
Short description Land Definition Land Comments ISO 3166 3 letter codes can be used in place of a human readable country name. Data type string Binding Iso3166-1-2 (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: XAD.6 rim: AD.part[parttype = CNT] vcard: country servd: ./Country
period | Σ | 0..1 | Period | There are no (further) constraints on this element Element id
    Patient.address.period
Short description Time period when address was/is in use Definition Time period when address was/is in use. Requirements Allows addresses to be placed in historical context. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General
    {
      "start": "2010-03-23",
      "end": "2010-07-01"
    }
Mappings v2: XAD.12 / XAD.13 + XAD.14 rim: ./usablePeriod[type="IVL<TS>"] servd: ./StartDate and ./EndDate
maritalStatus |  | 0..0 | CodeableConcept Binding | There are no (further) constraints on this element Element id
    Patient.maritalStatus
Short description Marital (civil) status of a patient Definition This field contains a patient's most recent marital (civil) status. Requirements Most, if not all systems capture it. Data type CodeableConcept Binding The domestic partnership status of a person. Marital Status Codes (extensible)Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: PID-16 rim: player[classCode=PSN]/maritalStatusCode cda: .patient.maritalStatusCode
multipleBirth[x] |  | 0..0 |  | There are no (further) constraints on this element Element id
    Patient.multipleBirth[x]
Short description Whether patient is part of a multiple birth Definition Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer). Requirements For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs. 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). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: PID-24 (bool), PID-25 (integer) rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber cda: n/a
photo |  | 0..0 | Attachment | There are no (further) constraints on this element Element id
    Patient.photo
Short description Image of the patient Definition Image of the patient. Requirements Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too. Comments Guidelines: Use id photos, not clinical photos. Limit dimensions to thumbnail. Keep byte count low to ease resource updates. Data type Attachment Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: OBX-5 - needs a profile rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc cda: n/a
contact | S I | 0..* | BackboneElement | Element id
    Patient.contact
Short description Kontaktperson Definition Kontaktperson der betroffenen Person Requirements Need to track people you can contact about 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. Data type BackboneElement Constraints 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()` Mappings rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON] cda: n/a
id |  | 0..1 | string | There are no (further) constraints on this element Element id
    Patient.contact.id
Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension | I | 0..* | Extension | There are no (further) constraints on this element Element id
    Patient.contact.extension
Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Constraints 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()` Mappings rim: n/a
modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element id
    Patient.contact.modifierExtension
Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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. 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. Data type Extension Constraints 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()` Mappings rim: N/A
relationship |  | 0..* | CodeableConcept Binding | There are no (further) constraints on this element Element id
    Patient.contact.relationship
Short description The kind of relationship Definition The nature of the relationship between the patient and the contact person. Requirements Used to determine which contact person is the most relevant to approach, depending on circumstances. Data type CodeableConcept Binding The nature of the relationship between a patient and a contact person for that patient. PatientContactRelationship (extensible)Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: NK1-7, NK1-3 rim: code cda: n/a
name |  | 0..1 | HumanName | There are no (further) constraints on this element Element id
    Patient.contact.name
Short description A name associated with the contact person Definition A name associated with the contact person. Requirements Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person. Data type HumanName Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: NK1-2 rim: name cda: n/a
telecom |  | 0..* | ContactPoint | There are no (further) constraints on this element Element id
    Patient.contact.telecom
Short description A contact detail for the person Definition A contact detail for the person, e.g. a telephone number or an email address. Requirements People have (primary) ways to contact them in some way such as phone, email. Comments Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification. Data type ContactPoint Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: NK1-5, NK1-6, NK1-40 rim: telecom cda: n/a
address |  | 0..1 | Address | There are no (further) constraints on this element Element id
    Patient.contact.address
Short description Address for the contact person Definition Address for the contact person. Requirements Need to keep track where the contact person can be contacted per postal mail or visited. Data type Address Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: NK1-4 rim: addr cda: n/a
gender |  | 0..1 | code Binding | There are no (further) constraints on this element Element id
    Patient.contact.gender
Short description male | female | other | unknown Definition Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes. Requirements Needed to address the person correctly. Data type code Binding The gender of a person used for administrative purposes. AdministrativeGender (required)Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: NK1-15 rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender cda: n/a
organization | I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element id
    Patient.contact.organization
Short description Organization that is associated with the contact Definition Organization on behalf of which the contact is acting or for which the contact is working. Requirements For guardians or business related contacts, the organization is relevant. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: NK1-13, NK1-30, NK1-31, NK1-32, NK1-41 rim: scoper cda: n/a
period |  | 0..1 | Period | There are no (further) constraints on this element Element id
    Patient.contact.period
Short description The period during which this contact person or organization is valid to be contacted relating to this patient Definition The period during which this contact person or organization is valid to be contacted relating to this patient. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: effectiveTime cda: n/a
communication |  | 0..0 | BackboneElement | There are no (further) constraints on this element Element id
    Patient.communication
Short description A language which may be used to communicate with the patient about his or her health Definition A language which may be used to communicate with the patient about his or her health. 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. 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. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: LanguageCommunication cda: patient.languageCommunication
generalPractitioner |  | 0..* | Reference(Organization | Practitioner | PractitionerRole) | There are no (further) constraints on this element Element id
    Patient.generalPractitioner
Short description Patient's nominated primary care provider Alternate names careProvider Definition Patient's nominated 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. Data type Reference(Organization | Practitioner | PractitionerRole) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: PD1-4 rim: subjectOf.CareEvent.performer.AssignedEntity cda: n/a
managingOrganization | Σ | 0..0 | Reference(Organization) | There are no (further) constraints on this element Element id
    Patient.managingOrganization
Short description Organization that is the custodian of the patient record Definition Organization that is the custodian of the patient record. Requirements Need to know who recognizes this patient record, manages and updates it. 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). Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: scoper cda: .providerOrganization
link | Σ ?! | 0..0 | BackboneElement | There are no (further) constraints on this element Element id
    Patient.link
Short description Link to another patient resource that concerns the same actual person Definition Link to another patient resource that concerns the same actual patient. Requirements There are multiple use cases: Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and Distribution of patient information across multiple servers. Comments There is no assumption that linked patient records have mutual links. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: outboundLink cda: n/a

Beispiel:

    <Patient xmlns="http://hl7.org/fhir">
        <id value="NotifiedPerson-example" />
        <meta>
            <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
        </meta>
        <name>
            <use value="official" />
            <family value="M&#252;ller" />
            <given value="Karl-Heinz" />
        </name>
        <telecom>
            <extension url="https://demis.rki.de/fhir/StructureDefinition/Comment">
                <valueString value="Ab 14 Uhr" />
            </extension>
            <system value="phone" />
            <value value="+49 (0)12345 - 123456" />
            <use value="work" />
        </telecom>
        <gender value="male" />
        <birthDate value="1974-12-25" />
        <address>
            <extension url="https://demis.rki.de/fhir/StructureDefinition/AddressUse">
                <valueCoding>
                    <system value="https://demis.rki.de/fhir/CodeSystem/addressUse" />
                    <code value="ordinary" />
                </valueCoding>
            </extension>
            <extension url="https://demis.rki.de/fhir/StructureDefinition/FacilityAddressNotifiedPerson">
                <valueReference>
                    <reference value="Organzation/98cda07d-1fa7-47f6-ad79-e66de48d6078" />
                </valueReference>
            </extension>
        </address>
        <contact>
            <relationship>
                <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/v2-0131" />
                    <code value="E" />
                </coding>
            </relationship>
            <name>
                <use value="official" />
                <family value="Meier" />
                <given value="Joachim" />
            </name>
        </contact>
    </Patient>