Generated Narrative: StructureDefinition ISiKPersonImGesundheitsberuf Name Flags Card. Type Description & Constraints Practitioner C 0..* Practitioner A person with a formal responsibility in the provisioning of healthcare or related services Constraints: prac-de-1 #xD; id S 0..1 id serverseitige, interne ID des Datensatzes #xD; meta #xD; versionId 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes #xD; lastUpdated 0..1 instant Zeitpunkt der letzten Änderung #xD; implicitRules 0..0 Verweis auf die Regeln, nach denen die Ressource erstellt wurde #xD; Slices for identifier S 1..* Identifier An identifier for the person as this agent Slice: Unordered, Open by pattern:$this #xD; identifier:Arztnummer S 0..* IdentifierLanr(1.6.0) Lebenslange Arztnummer Required Pattern: At least the following #xD; type 1..1 CodeableConcept Description of identifier Fixed Value: (Complex) #xD; coding 1..* Coding Code defined by a terminology system Fixed Value: (Complex) #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: LANR #xD; identifier:EFN S 0..1 IdentifierEfn(1.6.0) Einheitliche Fortbildungsnummer für Ärzte in Deutschland Required Pattern: At least the following #xD; type 1..1 CodeableConcept Description of identifier Fixed Value: (Complex) #xD; coding 1..* Coding Code defined by a terminology system Fixed Value: (Complex) #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: DN #xD; identifier:TelematikId S 0..1 IdentifierTelematikId(1.6.0) Telematik-ID Required Pattern: At least the following #xD; type 1..1 CodeableConcept Description of identifier Fixed Value: (Complex) #xD; coding 1..* Coding Code defined by a terminology system Fixed Value: (Complex) #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: PRN #xD; identifier:Mitarbeiterkennzeichen S 0..1 Identifier Mitarbeiterkennzeichen Required Pattern: At least the following #xD; type S 1..1 CodeableConcept Description of identifier Fixed Value: (Complex) #xD; coding 1..* Coding Code defined by a terminology system Fixed Value: (Complex) #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: EN #xD; system S 0..1 uri The namespace for the identifier value #xD; value S 0..1 string The value that is unique #xD; Slices for name S 1..* HumanName The name(s) associated with the practitioner Slice: Unordered, Open by pattern:$this #xD; name:Name S 1..1 HumannameDeBasis(1.6.0) Vollständiger Name Required Pattern: At least the following #xD; use S 1..1 code Verwendungszweck Fixed Value: official #xD; family S 1..1 string Nachname #xD; given S 1..* string Vorname #xD; prefix S 0..* string Präfix #xD; name:Geburtsname 0..1 HumannameDeBasis(1.6.0) The name(s) associated with the practitioner Required Pattern: At least the following #xD; use S 1..1 code usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden #xD; family 1..1 string Familienname #xD; given 0..0 Vorname #xD; prefix 0..0 Namensteile vor dem Vornamen #xD; telecom #xD; system 1..1 code phone | fax | email | pager | url | sms | other #xD; value 1..1 string The actual contact point details #xD; Slices for address S 0..* Address Address(es) of the practitioner that are not role specific (typically home address) Slice: Unordered, Open by pattern:$this #xD; address:Strassenanschrift S 0..* AddressDeBasis(1.6.0) Straßenanschrift Required Pattern: At least the following #xD; Slices for extension Content/Rules for all slices #xD; extension:Stadtteil S 0..1 ADXPPrecinct(5.3.0) precinct #xD; type S 1..1 code postal | physical | both Fixed Value: both #xD; line S 1..3 string Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung #xD; Slices for extension Content/Rules for all slices #xD; extension:Strasse S 0..1 ADXPStreetName(5.3.0) streetName #xD; extension:Hausnummer S 0..1 ADXPHouseNumber(5.3.0) houseNumber #xD; extension:Adresszusatz S 0..1 ADXPAdditionalLocator(5.3.0) additionalLocator #xD; extension:Postfach 0..0 postBox #xD; city S 1..1 string Name of city, town etc. #xD; postalCode S 1..1 string Postleitzahl #xD; country S 1..1 string Staat #xD; address:Postfach S 0..* AddressDeBasis(1.6.0) Postfachanschrift Required Pattern: At least the following #xD; type S 1..1 code postal | physical | both Fixed Value: postal #xD; line S 1..3 string Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung #xD; Slices for extension Content/Rules for all slices #xD; extension:Strasse 0..0 streetName #xD; extension:Hausnummer 0..0 houseNumber #xD; extension:Adresszusatz 0..0 additionalLocator #xD; extension:Postfach S 0..1 ADXPPostBox(5.3.0) postBox #xD; city S 1..1 string Name of city, town etc. #xD; postalCode S 1..1 string Postleitzahl #xD; country S 1..1 string Staat #xD; gender S 0..1 code Ist das Geschlecht des Arztes bekannt, MUSS es bereitgestellt werden. Eine korrekte Kodierung des Geschlechtseintrags 'divers' MUSS per GenderOtherDE-Extension unterstüzt werden. #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:Geschlecht-Administrativ S 0..1 (Complex) Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de #xD; value[x] S 1..1 Coding Value of extension #xD; qualification #xD; code 1..1 CodeableConcept Coded representation of the qualification #xD; Documentation for this format
Dieses Profil ermöglicht die Nutzung von in Gesundheitsberufen tätigen Personen in ISiK Szenarien. **Motivation**: Das Profil ISIKPersonImGesundheitsberuf bildet alle denkbaren medizinischen Leistungserbringer und Fachexperten ab. In den ISiK-FHIR-Profilen können PersonImGesundheitsberuf bspw. als Ausführende einer Prozedur auftreten, im Element `performer` der Procedure Ressource, oder als die Person, die eine Diagnose stellt, im Element `asserter` der Condition Ressource. In FHIR werden PersonImGesundheitsberuf mit der [`Practitioner`](https://hl7.org/fhir/R4/practitioner.html)-Ressource repräsentiert. Für das Profil ISIKPersonImGesundheitsberuf wird eine Kompatibilität mit folgenden Profilen angestrebt; allerdings kann nicht sichergestellt werden, dass Instanzen, die gegen ISIKPersonImGesundheitsberuf valide sind, auch valide sind gegen: * [Profil KBV_PR_Base_Practitioner der KBV Basisprofile](https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Practitioner). * [Profil HiGHmed_IC_Practitioner, MI Initiative - HiGHmed Use Case Infection Control der Medizininformatik Initiative ](https://simplifier.net/medizininformatikinitiative-highmed-ic/highmed-ic-practitioner) Gegen folgende Profile ist das Profil ISiKPersonImGesundheitsberuf unmittelbar kompatibel: * [Profil TIPractitioner der gematik](https://gematik.de/fhir/ti/StructureDefinition/ti-practitioner) Hinweise zu Inkompatibilitäten können über die [Portalseite](https://service.gematik.de/servicedesk/customer/portal/16) gemeldet werden.
A person with a formal responsibility in the provisioning of healthcare or related services
A person who is directly or indirectly involved in the provisioning of healthcare.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
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()
not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
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()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If a resource is contained in another resource, it SHALL NOT have a security label
When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
A resource should have narrative for robust management
Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist
gender='other' or gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').empty()
serverseitige, interne ID des Datensatzes
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
**bedingtes Pflichtfeld/bedingtes MS:** Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine `id` verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine `id`verfügen.
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.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
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.
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.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
Eindeutiger Name der serverseitigen Version des Datensatzes
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.
Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine `versionID` verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine `versionID`verfügen.
When the resource last changed - e.g. when the version changed.
Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein `lastUpdate` verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über ein `lastUpdate`verfügen.
Identifies where the resource comes from
A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) 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.
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.
Profiles this resource claims to conform to
A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).
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.
Security Labels applied to this resource
Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
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.
Security Labels from the Healthcare Privacy and Security Classification System.
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.
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.
Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Verweis auf die Regeln, nach denen die Ressource erstellt wurde
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.
Begründung Constraint: In ISiK existiert kein Use-Case für dieses Element. Da es sich um ein Modifying Element handelt, wird es daher ausgeschlossen. Darüber hinaus werden die Regeln als URI vorgehalten. Dies führt dazu, dass sich hinter der URI eine beliebige Menge an Regeln befinden kann; wodurch nicht sichergestellt werden kann, dass alle Clients die Regeln korrekt interpretieren können.
This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
The base language in which the resource is written.
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).
Text summary of the resource, for human interpretation
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.
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.
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.
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.
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.
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).
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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
An identifier for the person as this agent
An identifier that applies to this person in this role.
Often, specific identities are assigned for the agent.
Im Krankenhaus ist die lebenslange Arztnummer der Ärzte bekannt und MUSS zur eindeutigen Identifikation eines Arztes bereitgestellt werden. **Hinweise:** Siehe [Beschreibung der Deutschen Basisprofile](https://ig.fhir.de/basisprofile-de/1.2.0/LebenslangeArztnummerLANR-Identifier.html) Während die Deutschen Basisprofile hier die Abkürzung LANR verwenden, ist im KBV-Kontext das Akronym ANR gebräuchlich. Die Bezeichnung des Slices hat jedoch keinerlei Auswirkungen auf die Kompatibilität.
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
usual | official | temp | secondary | old (If known)
Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
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.
Identifies the purpose for this identifier, if known .
A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
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.
Allows users to make use of identifiers when the identifier system is not known.
A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
fhir:CodeableConcept rdfs:subClassOf dt:CD
Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Identifier.system is always case sensitive.
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.
The 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](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Eine LANR muss neunstellig numerisch sein
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
Time period when id is/was valid for use
Time period during which identifier is/was valid for use.
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](http://hl7.org/fhir/R4/datatypes.html#Duration).
If present, start SHALL have a lower value than end
start.hasValue().not() or end.hasValue().not() or (start <= end)
not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))
IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
Role.effectiveTime or implied by context
Organization that issued id (may be just text)
Organization 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.
SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])
The target of a resource reference is a RIM entry point (Act, Role, or Entity)
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
Literal reference, Relative, internal or absolute URL
A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Type the reference refers to (e.g. "Patient")
The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Aa resource (or, for logical models, the URI of the logical model).
Logical reference, when literal reference is not known
An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
CX / EI (occasionally, more often EI maps to a resource id or a URL)
II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
Plain text narrative that identifies the resource in addition to the resource reference.
This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Einheitliche Fortbildungsnummer für Ärzte in Deutschland
In bestimmten KIS wird keine EFN geführt, da diese aus Compliance-Gründen getrennt in HR-Systemen vorgehalten wird (Hinweis kam von Stakeholder), daher soll der entsprechende Test im Test-System mit "warningOnly" ausgegeben werden.
**Begründung MS:** Zur Verknüpfung der Patient Instanz mit Diensten der Telematik Infrastruktur SOLL die ID mit angegeben sein.
Für interne Kennzeichnung von Personen KANN ein institutionsbezogenes Mitarbeiterkennzeichen angegeben werden. Begründung MS: Nicht immer gibt es eine offizielle Kennzeichnung, von Personen. Damit eine interne Kennzeichnung möglich ist, bietet dieser Slice die Möglichkeit, ein internes Mitarbeiterkennzeichen anzugeben.
Whether this practitioner's record is in active use
Whether this practitioner's record is in active use.
If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.
Need to be able to mark a practitioner record as not to be used because it was created in error.
This resource is generally assumed to be active if no value is provided for the active element
The name(s) associated with the practitioner
The name(s) associated with the practitioner.
The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.
./PreferredName (GivenNames, FamilyName, TitleCode)
Der Name des Arztes MUSS in konkreten Anwendungen angezeigt werden können. Es MUSS nach dem Namen des Arztes gesucht werden können.
Hier ist stets der Wert `official` anzugeben. **Begründung Pflichtfeld:** Dient als Unterscheidungs- und Auswahlkriterium
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
XPN.7, but often indicated by which field contains the name
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.
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.
Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.
Vollständiger Nachname bzw. Familienname der Person, einschließlich Vor- und Zusätze. **Begründung Pflichtfeld:** Ein offizieller Name ist nur zulässig, wenn der Nachname und mindestens ein Vorname angegeben sind.
Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst
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.
Nachname 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".
Vorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK")
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.
Kann mehrfach verwendet werden, um den Rufnamen sowie weitere Vornamen, Mittelnamen oder Mittel-Initialen abzubilden. **Begründung Pflichtfeld:** Ein offizieller Name ist nur zulässig, wenn der Nachname und mindestens ein Vorname angegeben sind.
Given Names appear in the correct order for presenting the name
Namensteile vor dem Vornamen, z.B. akademischer Titel.
Präfix, z.B. akademischer Titel od. militärischer Rang
Prefixes appear in the correct order for presenting the name
LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
Spezialisierung 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.
Note that FHIR strings SHALL NOT exceed 1MB in size
Suffixes appear in the correct order for presenting the name
Indicates the period of time when this name was valid for the named person.
Allows names to be placed in historical context.
The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate. In general, select the value to be used in the ResourceReference.display based on this: 1. There is more than 1 name 2. Use = usual 3. Period is current to the date of the usage 4. Use = official 5. Other order as decided by internal business rules.
usual | official | temp | nickname | anonymous | old | maiden
Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
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.
A contact detail for the practitioner (that apply to all roles)
A contact detail for the practitioner, e.g. a telephone number or an email address.
Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.
Need to know how to reach a practitioner independent to any roles the practitioner may have.
phone | fax | email | pager | url | sms | other
Telecommunications form for contact point - what communications system is required to make use of the contact.
Telecommunications form for contact point.
The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Need to support legacy numbers that are not in a tightly controlled format.
home | work | temp | old | mobile - purpose of this contact point
Identifies the purpose for the contact point.
Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
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
Specify preferred order of use (1 = highest)
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.
Note that rank does not necessarily follow the order in which the contacts are represented in the instance.
Time period when the contact point was/is in use
Time period when the contact point was/is in use.
Address(es) of the practitioner that are not role specific (typically home address)
Address(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent.
In order to differentiate between post box addresses and physical addresses, street names and house numbers, and to add city district names, vendors can opt to support the extensions as suggested in the German Address Base Profile http://fhir.de/StructureDefinition/address-de-basis. Such differentiations are however not required within the scope of this specification.
The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.
Ist die Adresse bekannt, unter der ein Arzt erreichbar ist, MUSS sie bereitgestellt werden. Diese kann zur Unterscheidung von Personen herangezogen werden. Die Ausdifferenzierung der Adresse in die Adressbestandteile erfolgt in Hinblick auf eine einheitliche Verwendung von Adressen.
home | work | temp | old | billing - purpose of this address
Applications can assume that an address is current unless it explicitly says that it is temporary or old.
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
Distinguishes 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](http://hl7.org/fhir/R4/location.html#) resource).
The type of an address (physical / postal).
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.
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.
XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6
Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung
Diese 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 Postfach 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.
The order in which lines should appear in an address label
Beispiel für Adresszeile mit Extensions für Straße und Hausnummer
XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)
The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building.
This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342"). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch "t.o." means "opposite to" for house boats located across the street facing houses).
A numbered box located in a post station.
The name of the city, town, suburb, village or other community or delivery center.
The 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.
Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen
Staatsangabe (ohne festgeschriebenen Wertevorrat)
ISO 3166 3 letter codes can be used in place of a human readable country name.
Kodierte Angabe des Länderkennzeichens nach ISO 3166-1.
Diese Abbildung entspricht der auf EU-Ebene in Abstimmung befindlichen Profilierung zur [Kodierung der Landesangabe](https://build.fhir.org/ig/hl7-eu/base/StructureDefinition-Address-eu.html). Durch die Verwendung der internationalen Kodierung wird die interoperable Verwendung der Adressangabe erleichtert.
Source 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.
Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
A coded representation for a string. Could be codes for country in a country address part, codes for prefixes in a name part, etc.
Allows addresses to be placed in historical context.
Ist die Postfachadresse bekannt, unter der ein Arzt erreichbar ist, MUSS sie bereitgestellt werden. Diese kann zur Unterscheidung von Personen herangezogen werden. Die Ausdifferenzierung der Adresse in die Adressbestandteile erfolgt in Hinblick auf eine einheitliche Verwendung von Adressen.
Ist das Geschlecht des Arztes bekannt, MUSS es bereitgestellt werden. Eine korrekte Kodierung des Geschlechtseintrags 'divers' MUSS per GenderOtherDE-Extension unterstüzt werden.
Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.
The gender of a person used for administrative purposes.
unique id for the element within a resource (for internal references)
Optional Extension Element - found in all resources.
The date on which the practitioner was born
Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.
./ImageURI (only supports the URI reference)
Certification, licenses, or training pertaining to the provision of care
The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.
Extensions that cannot be ignored even if unrecognized
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).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
An identifier for this qualification for the practitioner
An identifier that applies to this person's qualification in this role.
Often, specific identities are assigned for the qualification.
Coded representation of the qualification
Coded representation of the qualification.
Zur Kodierung der Qualifikation ist das entsprechende [ValueSet der KBV](https://fhir.kbv.de/ValueSet/KBV_VS_Base_Practitioner_Speciality) zu empfehlen.
Specific qualification the practitioner has to provide a service.
Period during which the qualification is valid
Period during which the qualification is valid.
Qualifications are often for a limited period of time, and can be revoked.
./Qualifications.StartDate and ./Qualifications.EndDate
Organization that regulates and issues the qualification
Organization that regulates and issues the qualification.
A language the practitioner can use in patient communication
A language the practitioner can use in patient communication.
The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.
Knowing which language a practitioner speaks can help in facilitating communication with patients.