Im FHIR-Standard wird bei der Adresse nicht zwischen Straße, Hausnummer, Postfach oder weiteren Zusätzen unterschieden. Sämtliche Angaben werden schlicht in ein oder mehrere line-Items geschrieben, was für die meisten UseCases auch völlig ausreichend ist. In machen Fällen kann die Differenzierung jedoch erforderlich sein, sei es nur, um einen von der eGK eingelesenen Datensatz, in dem eine solche Differenzierung stattfindet, exakt reproduzieren zu können. Für diesen Fall stehen diverse Extensions zur Verfügung.
Es ist jedoch zu beachten, dass Address.line auch bei Verwendung der Extensions stets gefüllt sein muss, da nicht davon ausgegangen werden kann, dass alle Systeme die Extensions interpretieren können!
Address | 0..* | Address | Element IdAddress Eine Adresse gemäß postalischer Konventionen DefinitionEine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden. Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird. Insbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend. 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).
Beispiel für einfache Adresse { "use": "home", "type": "postal", "line": [ "Musterweg 42" ], "city": "Musterhausen", "postalCode": "99999" } Mappings
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extension | 0..* | Extension | Element IdAddress.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Constraints
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Stadtteil | 0..* | Extension | Element IdAddress.extension:Stadtteil Stadt- oder Ortsteil Alternate namesextensions, user content DefinitionA subsection of a municipality. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct Constraints
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url | 1..1 | uriFixed Value | Element IdAddress.extension:Stadtteil.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct
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value[x] | 0..1 | Element IdAddress.extension:Stadtteil.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). A stream of bytes, base64 encoded Unordered, Closed, by $this(Type) Constraints
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valueString | 0..1 | string | Element IdAddress.extension:Stadtteil.value[x]:valueString Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). A stream of bytes, base64 encoded
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use | Σ ?! | 0..1 | codeBinding | Element IdAddress.use home | work | temp | old | billing - purpose of this address DefinitionThe purpose of this address. Allows an appropriate address to be chosen from a list of many. Applications can assume that an address is current unless it explicitly says that it is temporary or old.
General home Mappings
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type | Σ | 0..1 | codeBinding | Element IdAddress.type postal | physical | both DefinitionDistinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).
General both Mappings
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text | Σ | 0..1 | string | Element IdAddress.text Text representation of the address DefinitionSpecifies 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. A renderable, unencoded form. 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.
General 137 Nowhere Street, Erewhon 9132 Mappings
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line | Σ | 0..* | string | Element IdAddress.line Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung DefinitionDiese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können. Note that FHIR strings SHALL NOT exceed 1MB in size
General 137 Nowhere Street Beipiel für Adresszeile mit Extensions für Straße und Hausnummer Musterweg 42 Mappings
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extension | 0..* | Extension | Element IdAddress.line.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Constraints
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Strasse | 0..1 | Extension | Element IdAddress.line.extension:Strasse Strassenname (ohne Hausnummer) Alternate namesextensions, user content DefinitionStrassenname (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. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName Constraints
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url | 1..1 | uriFixed Value | Element IdAddress.line.extension:Strasse.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
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value[x] | 0..1 | Element IdAddress.line.extension:Strasse.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). A stream of bytes, base64 encoded Unordered, Closed, by $this(Type) Constraints
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valueString | 0..1 | string | Element IdAddress.line.extension:Strasse.value[x]:valueString Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). A stream of bytes, base64 encoded
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Hausnummer | 0..1 | Extension | Element IdAddress.line.extension:Hausnummer Hausnummer Alternate namesextensions, user content DefinitionHausnummer, 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. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber Constraints
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url | 1..1 | uriFixed Value | Element IdAddress.line.extension:Hausnummer.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
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value[x] | 0..1 | Element IdAddress.line.extension:Hausnummer.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). A stream of bytes, base64 encoded Unordered, Closed, by $this(Type) Constraints
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valueString | 0..1 | string | Element IdAddress.line.extension:Hausnummer.value[x]:valueString Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). A stream of bytes, base64 encoded
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Adresszusatz | 0..1 | Extension | Element IdAddress.line.extension:Adresszusatz Adresszusatz Alternate namesextensions, user content DefinitionZusätzliche 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. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator Constraints
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url | 1..1 | uriFixed Value | Element IdAddress.line.extension:Adresszusatz.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator
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value[x] | 0..1 | Element IdAddress.line.extension:Adresszusatz.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). A stream of bytes, base64 encoded Unordered, Closed, by $this(Type) Constraints
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valueString | 0..1 | string | Element IdAddress.line.extension:Adresszusatz.value[x]:valueString Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). A stream of bytes, base64 encoded
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Postfach | 0..1 | Extension | Element IdAddress.line.extension:Postfach Postfach Alternate namesextensions, user content DefinitionPostfach-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. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox Constraints
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url | 1..1 | uriFixed Value | Element IdAddress.line.extension:Postfach.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox
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value[x] | 0..1 | Element IdAddress.line.extension:Postfach.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). A stream of bytes, base64 encoded Unordered, Closed, by $this(Type) Constraints
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valueString | 0..1 | string | Element IdAddress.line.extension:Postfach.value[x]:valueString Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). A stream of bytes, base64 encoded
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city | Σ | 0..1 | string | Element IdAddress.city Name of city, town etc. Alternate namesMunicpality DefinitionThe name of the city, town, suburb, village or other community or delivery center. Note that FHIR strings SHALL NOT exceed 1MB in size
General Erewhon Mappings
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district | Σ | 0..0 | string | Element IdAddress.district District name (aka county) Alternate namesCounty DefinitionThe name of the administrative area (county). District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.
General Madison Mappings
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state | Σ | 0..1 | stringBinding | Element IdAddress.state Bundesland Alternate namesProvince, Territory DefinitionName (oder Kürzel) des Bundeslandes. Note that FHIR strings SHALL NOT exceed 1MB in size http://fhir.de/ValueSet/iso/bundeslaender (preferred) Constraints
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postalCode | Σ | 0..1 | string | Element IdAddress.postalCode Postleitzahl Alternate namesZip DefinitionPostleitzahl gemäß der im jeweiligen Land gültigen Konventionen Note that FHIR strings SHALL NOT exceed 1MB in size
General 9132 Mappings
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country | Σ | 0..1 | stringBinding | Element IdAddress.country Staat DefinitionStaat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben ISO 3166 3 letter codes can be used in place of a human readable country name.
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period | Σ | 0..1 | Period | Element IdAddress.period Time period when address was/is in use DefinitionTime period when address was/is in use. Allows addresses to be placed in historical context. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
General { "start": "2010-03-23", "end": "2010-07-01" } Mappings
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start | Σ | 0..1 | dateTime | Element IdAddress.period.start Starting time with inclusive boundary DefinitionThe start of the period. The boundary is inclusive. If the low element is missing, the meaning is that the low boundary is not known.
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end | Σ | 0..1 | dateTime | Element IdAddress.period.end End time with inclusive boundary, if not ongoing DefinitionThe end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
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<address> <line value="221B Baker Street"/> <city value="London"/> </address>
<address> <use value="home" /> <type value="both" /> <line value="Milchstrasse 42" /> <city value="Spöck" /> <postalCode value="76297" /> <country value="DE" /> </address>
<address> <line value="Musterstraße 1"> <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"> <valueString value="1" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"> <valueString value="Musterstraße" /> </extension> </line> <city value="Musterstadt" /> <postalCode value="77777" /> <country value="DE" /> </address>
<address> <line value="Postfach 670525"> <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox"> <valueString value="Postfach 670525" /> </extension> </line> <city value="Musterstadt" /> <postalCode value="77777" /> <country value="DE" /> </address>
Nach § 21 KHEntgG muss beim Wohnort eines Patienten in Stadtstaaten zusätzlich in der Adresse der Stadtteil (oft auch "Ortsteil" genannt) angeben werden. Z.b. "Musterstraße 1a, 10409 Berlin, Kreuzberg". Es ist zu beachten, dass "Kreuzberg" hier ein eigenständiges Datenelement ist und nicht mit dem Wohnort (Address.city) vermischt werden sollte.
Der Ortsteil wird in FHIR als Address.line abgebildet. Zusätzlich kann die Extension iso21090-ADXP-precinct zur Differenzierung von anderen Adresskomponenten genutzt werden.
Beispiel:
<address> <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct"> <valueString value="Kreuzberg"/> </extension> <line value="Erlanger Allee 112"/> <line value="Kreuzberg"/> <city value="Berlin"/> </address>