Canonical URL: http://fhir.de/StructureDefinition/patient-de-vsdm/0.2
| Patient | 0..* | Patient | Element IdPatient Patient im Kontext des deutschen VSDM Alternate namesSubjectOfCare Client Resident DefinitionPatient Ressource im Kontext des deutschen VSDM (Versichertenstammdatenmanagement, "eGK-Datensatz"). Elemente, die als "must-support" gekennzeichnet sind, repräsentieren die optionalen Informationen aus der der VSDM-Spezifikation.
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| identifier | S Σ | 0..* | Identifier | Element IdPatient.identifier Identifikator für diesen Patienten DefinitionIdentifikator für diesen Patienten Patients are almost always assigned specific numerical identifiers. Unordered, Open, by system(Value) Constraints
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| VersichertenID_GKV | S Σ | 1..1 | Identifier | Element IdPatient.identifier:VersichertenID_GKV Die Krankenversichertennummer wie auf der eGK abgebildet. DefinitionDie Krankenversichertennummer wie auf der eGK abgebildet (10-stellige, unveränderliche Nummer). Für dieses Profil muss diese Nummer angegeben werden. Die gesetzliche Krankenversichertennummer ist ein zentrales Identififaktionsmerkmal im deutschen Gesundheitswesen.
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| use | Σ ?! | 0..1 | codeBinding | Element IdPatient.identifier:VersichertenID_GKV.use usual | official | temp | secondary (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
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| type | Σ | 0..1 | CodeableConceptBinding | Element IdPatient.identifier:VersichertenID_GKV.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
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| coding | Σ | 1..1 | Coding | Element IdPatient.identifier:VersichertenID_GKV.type.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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| system | Σ | 1..1 | uri | Element IdPatient.identifier:VersichertenID_GKV.type.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.
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| version | Σ | 0..1 | string | Element IdPatient.identifier:VersichertenID_GKV.type.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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| code | Σ | 1..1 | code | Element IdPatient.identifier:VersichertenID_GKV.type.coding.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size
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| display | Σ | 0..1 | string | Element IdPatient.identifier:VersichertenID_GKV.type.coding.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size
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| userSelected | Σ | 0..1 | boolean | Element IdPatient.identifier:VersichertenID_GKV.type.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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| text | Σ | 0..1 | string | Element IdPatient.identifier:VersichertenID_GKV.type.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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| system | Σ | 1..1 | uriFixed Value | Element IdPatient.identifier:VersichertenID_GKV.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Die Versicherten-ID ist der 10-stellige unveränderliche Teil der 30-stelligen Krankenversichertennummer.
http://fhir.de/NamingSystem/gkv/kvid-10
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| value | Σ | 1..1 | string | Element IdPatient.identifier:VersichertenID_GKV.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension.
General 123456 Mappings
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| period | Σ | 0..1 | Period | Element IdPatient.identifier:VersichertenID_GKV.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. 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"). If duration is required, specify the type as Interval|Duration.
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| assigner | Σ | 0..1 | Reference(Organization) | Element IdPatient.identifier:VersichertenID_GKV.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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| active | Σ ?! | 0..1 | boolean | Element IdPatient.active Whether this patient's record is in active use DefinitionWhether this patient record is in active use. Need to be able to mark a patient record as not to be used because it was created in error. Default is true. If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient This element is labeled as a modifier because when the patient record is marked as not active it is not expected to be used/referenced without being changed back to active.
true
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| name | S Σ | 1..* | HumanName, deutsches Basisprofil (Version 0.2) | Element IdPatient.name Personenname nach deutschem Profil DefinitionPersonenname nach deutschem Profil. Dieser enthält bestimmte Extensions, die in Deutschland Verwendung finden. In diesem Profil sind die Kardinalitäten gemäß VSDM-Spezifikation berücksichtigt. Need to be able to track the patient by multiple names. Examples are your official name and a partner name. Hinweis zur Repräsentation von Anreden: Diese sollten, sofern erforderlich, ausschließlich in HumanName.text erscheinen (z.B. "Frsu Dr. Martha Musterfrau"). Nach Möglichkeit sollte die Anrede aus dem Geschlecht der Person abgeleitet werden. Das Element prefix wird nur für akademische Titel und andere Namensbestandteile verwendet. HumanName, deutsches Basisprofil (Version 0.2) Constraints
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| use | Σ ?! | 0..1 | codeBinding | Element IdPatient.name.use usual | official | temp | nickname | anonymous | old | maiden DefinitionIdentifies the purpose for this name. Allows the appropriate name for a particular context of use to be selected from among a set of names. This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one. Applications can assume that a name is current unless it explicitly says that it is temporary or old.
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| text | Σ | 0..1 | string | Element IdPatient.name.text Text representation of the full name DefinitionA full text representation of the name. A renderable, unencoded form. Can provide both a text representation and structured parts.
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| family | S Σ | 1..1 | string | Element IdPatient.name.family Familienname Alternate namessurname DefinitionDer vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt. Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
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| extension | 0..* | Extension | Element IdPatient.name.family.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. In order 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. 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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| namenszusatz | S | 0..1 | Extension(string) | Element IdPatient.name.family.extension:namenszusatz Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") Alternate namesextensions, user content DefinitionNamenszusatz, z.B. Adelstitel als Bestandteil das Nachnamens, z.B. Gräfin, Prinz oder Fürst. Im Kontext von VSDM sind ausschließlich die Namenszusätze aus DEÜV Anlage 7 zulässig. 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 http://build.fhir.org/extension-humanname-own-name.html 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. http://fhir.de/StructureDefinition/humanname-namenszusatz/0.2 Constraints
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| nachname | S | 0..1 | Extension | Element IdPatient.name.family.extension:nachname Nachname ohne Vor- und Zusätze Alternate namesextensions, user content DefinitionNachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens. 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". http://hl7.org/fhir/StructureDefinition/humanname-own-name Constraints
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| url | 1..1 | uriFixed Value | Element IdPatient.name.family.extension:nachname.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/humanname-own-name
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| valueString | 0..1 | string | Element IdPatient.name.family.extension:nachname.value[x]:valueString Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded
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| vorsatzwort | S | 0..1 | Extension | Element IdPatient.name.family.extension:vorsatzwort Vorsatzwort Alternate namesextensions, user content DefinitionVorsatzwort zum Nachnamen, z.B. "von" "van der", "zu" usw. Im Kontext von VSDM sind ausschließlich die Vorsatzwörter aus DEÜV Anlage 6 zulässig. 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. http://hl7.org/fhir/StructureDefinition/humanname-own-prefix Constraints
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| url | 1..1 | uriFixed Value | Element IdPatient.name.family.extension:vorsatzwort.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/humanname-own-prefix
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| valueString | 0..1 | string | Element IdPatient.name.family.extension:vorsatzwort.value[x]:valueString Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded
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| given | S Σ | 1..* | string | Element IdPatient.name.given Vorname Alternate namesfirst name, middle name DefinitionVorname der Person If only initials are recorded, they may be used in place of the full name. Not called "first name" since given names do not always come first.
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| prefix | S Σ | 0..* | string | Element IdPatient.name.prefix Namensteile vor dem Vornamen DefinitionNamensteile vor dem Vornamen, z.B. akademischer Titel. Note that FHIR strings may not exceed 1MB in size
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| extension | 0..* | Extension | Element IdPatient.name.prefix.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. In order 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. 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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| prefix-qualifier | S | 0..* | Extension(code) | Element IdPatient.name.prefix.extension:prefix-qualifier LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV Alternate namesextensions, user content DefinitionSpezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel Used to indicate additional information about the name part and how it should be used. http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier Constraints
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| url | 1..1 | uriFixed Value | Element IdPatient.name.prefix.extension:prefix-qualifier.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-EN-qualifier
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| valueCode | 0..1 | codeBinding | Element IdPatient.name.prefix.extension:prefix-qualifier.value[x]:valueCode Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded name-part-qualifier (required) Constraints
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| suffix | Σ | 0..* | string | Element IdPatient.name.suffix Namensteile nach dem Nachnamen DefinitionNamensteile nach dem Nachnamen Note that FHIR strings may not exceed 1MB in size
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| period | Σ | 0..1 | Period | Element IdPatient.name.period Time period when name was/is in use DefinitionIndicates the period of time when this name was valid for the named person. Allows names to be placed in historical context. This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. 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"). If duration is required, specify the type as Interval|Duration.
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| telecom | Σ | 0..* | ContactPoint | Element IdPatient.telecom A contact detail for the individual DefinitionA contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. People have (primary) ways to contact them in some way such as phone, email. 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 may 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).
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| system | Σ | 0..1 | codeBinding | Element IdPatient.telecom.system phone | fax | email | pager | url | sms | other DefinitionTelecommunications form for contact point - what communications system is required to make use of the contact. Note that FHIR strings may not exceed 1MB in size contact-point-system (required) Constraints
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| value | Σ | 0..1 | string | Element IdPatient.telecom.value The actual contact point details DefinitionThe actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). Need to support legacy numbers that are not in a tightly controlled format. Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
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| use | Σ ?! | 0..1 | codeBinding | Element IdPatient.telecom.use home | work | temp | old | mobile - purpose of this contact point DefinitionIdentifies the purpose for the contact point. Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one. Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
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| rank | Σ | 0..1 | positiveInt | Element IdPatient.telecom.rank Specify preferred order of use (1 = highest) DefinitionSpecifies a preferred order in which to use a set of contacts. Contacts are ranked with lower values coming before higher values. Note that rank does not necessarily follow the order in which the contacts are represented in the instance.
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| period | Σ | 0..1 | Period | Element IdPatient.telecom.period Time period when the contact point was/is in use DefinitionTime period when the contact point was/is in use. This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. 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"). If duration is required, specify the type as Interval|Duration.
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| gender | S Σ | 1..1 | codeBinding | Element IdPatient.gender male | female | other | unknown DefinitionGeschlecht. In diesem Profil sind die Kardinalitäten gemäß VSDM-Spezifikation berücksichtigt. Needed for identification of the individual, in combination with (at least) name and birth date. Gender of individual drives many clinical processes. The gender may 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 M and F, though the vast majority of systems and contexts only support M and F. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific gender aspect of interest (anatomical, chromosonal, 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, chromosonal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overrideable error, not a "hard" error. administrative-gender (required) Constraints
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| extension | 0..* | Extension | Element IdPatient.gender.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. In order 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. 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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| other-amtlich | S | 0..1 | Extension(Coding) | Element IdPatient.gender.extension:other-amtlich Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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://fhir.de/StructureDefinition/gender-amtlich-de/0.2 Constraints
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| url | 1..1 | uriFixed Value | Element IdPatient.gender.extension:other-amtlich.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://fhir.de/StructureDefinition/gender-amtlich-de/0.2
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| valueCoding | S | 1..1 | CodingBinding | Element IdPatient.gender.extension:other-amtlich.valueCoding:valueCoding Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded
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| system | S Σ | 1..1 | uri | Element IdPatient.gender.extension:other-amtlich.valueCoding:valueCoding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.
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| version | Σ | 0..1 | string | Element IdPatient.gender.extension:other-amtlich.value[x]:valueCoding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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| code | S Σ | 1..1 | code | Element IdPatient.gender.extension:other-amtlich.valueCoding:valueCoding.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size
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| display | Σ | 0..1 | string | Element IdPatient.gender.extension:other-amtlich.value[x]:valueCoding.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size
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| userSelected | Σ | 0..1 | boolean | Element IdPatient.gender.extension:other-amtlich.value[x]:valueCoding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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| birthDate | S Σ | 1..1 | date | Element IdPatient.birthDate Geburtsdatum DefinitionGeburtsdatum In diesem Profil sind die Kardinalitäten gemäß VSDM-Spezifikation berücksichtigt. Age of the individual drives many clinical processes. 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 maternaty/infant care systems).
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| deceased[x] | Σ ?! | 0..1 | Element IdPatient.deceased[x] Indicates if the individual is deceased or not DefinitionIndicates if the individual is deceased or not. 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. 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. This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
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| deceasedBoolean | boolean | Data Type | ||
| deceasedDateTime | dateTime | Data Type | ||
| address | Σ | 1..* | Adresse, deutsches Basisprofil (Version 0.2) | Element IdPatient.address Adresse nach deutschem Profil DefinitionAdresse nach deutschem Profil. Die in diesem Profil verwendeten Extensions bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird. May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. Note: address is for postal addresses, not physical locations. Adresse, deutsches Basisprofil (Version 0.2) Constraints
Beispiel für einfache Adresse {
"use": "home",
"type": "postal",
"line": [
"Musterweg 42"
],
"city": "Musterhausen",
"postalCode": "99999"
}Mappings
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| use | Σ ?! | 0..1 | codeBinding | Element IdPatient.address.use home | work | temp | old - purpose of this address DefinitionThe purpose of this address. Allows an appropriate address to be chosen from a list of many. This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one. 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 IdPatient.address.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. Note that FHIR strings may not exceed 1MB in size
General both Mappings
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| text | Σ | 0..1 | string | Element IdPatient.address.text Text representation of the address DefinitionA full text representation of the address. A renderable, unencoded form. Can provide both a text representation and parts.
General 137 Nowhere Street, Erewhon 9132 Mappings
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| line | S Σ | 0..* | string | Element IdPatient.address.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. home | work | temp | old - purpose of this address. Note that FHIR strings may 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 IdPatient.address.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. In order 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. 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 | S | 0..1 | Extension | Element IdPatient.address.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 IdPatient.address.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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| valueString | 0..1 | string | Element IdPatient.address.line.extension:Strasse.value[x]:valueString Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded
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| Hausnummer | S | 0..1 | Extension | Element IdPatient.address.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 IdPatient.address.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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| valueString | 0..1 | string | Element IdPatient.address.line.extension:Hausnummer.value[x]:valueString Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded
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| Adresszusatz | S | 0..1 | Extension | Element IdPatient.address.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 IdPatient.address.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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| valueString | 0..1 | string | Element IdPatient.address.line.extension:Adresszusatz.value[x]:valueString Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded
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| Postfach | S | 0..1 | Extension | Element IdPatient.address.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 IdPatient.address.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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| valueString | 0..1 | string | Element IdPatient.address.line.extension:Postfach.value[x]:valueString Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded
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| city | S Σ | 1..1 | string | Element IdPatient.address.city Name of city, town etc. Alternate namesMunicpality DefinitionThe name of the city, town, village or other community or delivery center. Note that FHIR strings may not exceed 1MB in size
General Erewhon Mappings
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| district | Σ | 0..0 | string | Element IdPatient.address.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 IdPatient.address.state Bundesland Alternate namesProvince, Territory DefinitionName (oder Kürzel) des Bundeslandes. Note that FHIR strings may not exceed 1MB in size
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| postalCode | S Σ | 1..1 | string | Element IdPatient.address.postalCode Postleitzahl Alternate namesZip DefinitionPostleitzahl gemäß der im jeweiligen Land gültigen Konventionen Note that FHIR strings may not exceed 1MB in size
General 9132 Mappings
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| country | S Σ | 1..1 | stringBinding | Element IdPatient.address.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 full country name.
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| period | Σ | 0..1 | Period | Element IdPatient.address.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. This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. 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"). If duration is required, specify the type as Interval|Duration.
General {
"start": "2010-03-23",
"end": "2010-07-01"
}Mappings
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| start | Σ | 0..1 | dateTime | Element IdPatient.address.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 IdPatient.address.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 that the period is ongoing. 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 a end value of 2012-02-03.
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| maritalStatus | 0..1 | CodeableConceptBinding | Element IdPatient.maritalStatus Marital (civil) status of a patient DefinitionThis field contains a patient's most recent marital (civil) status. Most, if not all systems capture it. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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| multipleBirth[x] | 0..1 | Element IdPatient.multipleBirth[x] Whether patient is part of a multiple birth DefinitionIndicates whether the patient is part of a multiple (bool) or indicates the actual birth order (integer). For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs. Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in tripplets would be valueInteger=2 and the third born would have valueInteger=3 If a bool value was provided for this tripplets examle, then all 3 patient records would have valueBool=true (the ordering is not indicated).
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| multipleBirthBoolean | boolean | Data Type | ||
| multipleBirthInteger | integer | Data Type | ||
| photo | 0..* | Attachment | Element IdPatient.photo Image of the patient DefinitionImage of the patient. Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too. When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Attachment".
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| contact | 0..* | BackboneElement | Element IdPatient.contact A contact party (e.g. guardian, partner, friend) for the patient DefinitionA contact party (e.g. guardian, partner, friend) for the patient. Need to track people you can contact about the patient. Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.
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| relationship | 0..* | CodeableConceptBinding | Element IdPatient.contact.relationship The kind of relationship DefinitionThe nature of the relationship between the patient and the contact person. Used to determine which contact person is the most relevant to approach, depending on circumstances. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. HL7 v2 Value Set 0131 (extensible) Constraints
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| name | 0..* | HumanName, deutsches Basisprofil (Version 0.2) | Element IdPatient.contact.name Personenname nach deutschem Profil. DefinitionPersonenname nach deutschem Profil. Dieser enthält bestimmte Extensions, die in Deutschland Verwendung finden. Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person. Hinweis zur Repräsentation von Anreden: Diese sollten, sofern erforderlich, ausschließlich in HumanName.text erscheinen (z.B. "Frsu Dr. Martha Musterfrau"). Nach Möglichkeit sollte die Anrede aus dem Geschlecht der Person abgeleitet werden. Das Element prefix wird nur für akademische Titel und andere Namensbestandteile verwendet. HumanName, deutsches Basisprofil (Version 0.2) Constraints
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| telecom | 0..* | ContactPoint | Element IdPatient.contact.telecom A contact detail for the person DefinitionA contact detail for the person, e.g. a telephone number or an email address. People have (primary) ways to contact them in some way such as phone, email. 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.
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| address | 0..* | Adresse, deutsches Basisprofil (Version 0.2) | Element IdPatient.contact.address Adresse nach deutschem Profil. DefinitionAdresse nach deutschem Profil. Die in diesem Profil verwendeten Extensions bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird. Need to keep track where the contact person can be contacted per postal mail or visited. Note: address is for postal addresses, not physical locations. Adresse, deutsches Basisprofil (Version 0.2) Constraints
Beispiel für einfache Adresse {
"use": "home",
"type": "postal",
"line": [
"Musterweg 42"
],
"city": "Musterhausen",
"postalCode": "99999"
}Mappings
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| gender | 0..1 | codeBinding | Element IdPatient.contact.gender male | female | other | unknown DefinitionAdministrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes. Needed to address the person correctly. Note that FHIR strings may not exceed 1MB in size administrative-gender (required) Constraints
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| organization | 0..1 | Reference(Organization) | Element IdPatient.contact.organization Organization that is associated with the contact DefinitionOrganization on behalf of which the contact is acting or for which the contact is working. For guardians or business related contacts, the organization is relevant. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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| period | 0..1 | Period | Element IdPatient.contact.period The period during which this contact person or organization is valid to be contacted relating to this patient DefinitionThe period during which this contact person or organization is valid to be contacted relating to this patient. This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. 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"). If duration is required, specify the type as Interval|Duration.
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| animal | Σ ?! | 0..0 | BackboneElement | Element IdPatient.animal This patient is known to be an animal (non-human) DefinitionThis patient is known to be an animal. Many clinical systems are extended to care for animal patients as well as human. Die verterinärmedizinische Profilierung von FHIR is außerhalb des Scopes der Basisprofile
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| communication | 0..* | BackboneElement | Element IdPatient.communication A list of Languages which may be used to communicate with the patient about his or her health DefinitionLanguages which may be used to communicate with the patient about his or her health. If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest. 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.
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| language | 1..1 | CodeableConceptBinding | Element IdPatient.communication.language The language which can be used to communicate with the patient about his or her health DefinitionThe ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English. Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect. The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.
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| preferred | 0..1 | boolean | Element IdPatient.communication.preferred Language preference indicator DefinitionIndicates whether or not the patient prefers this language (over other languages he masters up a certain level). People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method. This language is specifically identified for communicating healthcare information.
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| generalPractitioner | 0..* | Reference(Organisation, deutsches Basisprofil (Version 0.2) | Practitioner, deutsches Basisprofil (Version 0.2)) | Element IdPatient.generalPractitioner Patient's nominated primary care provider Alternate namescareProvider DefinitionPatient's nominated care provider. This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disablity 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. Reference(Organisation, deutsches Basisprofil (Version 0.2) | Practitioner, deutsches Basisprofil (Version 0.2)) Constraints
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| managingOrganization | Σ | 0..1 | Reference(Organisation, deutsches Basisprofil (Version 0.2)) | Element IdPatient.managingOrganization haupt-behandelnde Organisation nach deutschem Profil Definitionhaupt-behandelnde Organisation nach deutschem Profil. Dieses Profil enthält für Deutschland spezififische Besonderheiten und Extensions. Need to know who recognizes this patient record, manages and updates it. 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). Reference(Organisation, deutsches Basisprofil (Version 0.2)) Constraints
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| link | Σ ?! | 0..* | BackboneElement | Element IdPatient.link Link to another patient resource that concerns the same actual person DefinitionLink to another patient resource that concerns the same actual patient. There are multiple usecases:
There is no assumption that linked patient records have mutual links. This element is labelled as a modifier because it may not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'.
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| other | Σ | 1..1 | Reference(Patient | RelatedPerson) | Element IdPatient.link.other The other patient or related person resource that the link refers to DefinitionThe other patient resource that the link refers to. Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual. Reference(Patient | RelatedPerson) Constraints
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| type | Σ | 1..1 | codeBinding | Element IdPatient.link.type replaced-by | replaces | refer | seealso - type of link DefinitionThe type of link between this patient resource and another patient resource. Note that FHIR strings may not exceed 1MB in size
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