Generated Narrative: StructureDefinition ISiKAngehoeriger Name Flags Card. Type Description & Constraints RelatedPerson C 0..* RelatedPerson A person that is related to a patient, but who is not a direct target of care Constraints: relatedp-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; active S 0..1 boolean Status des Datensatzes #xD; patient S 1..1 Reference(Patient) Patientenbezug #xD; reference S 1..1 string Patienten-Link #xD; relationship S 0..* CodeableConcept Verwandtschaftsverhältnis #xD; Slices for name S 0..* HumanName Offizieller Name der angehörigen Person Slice: Unordered, Open by pattern:$this #xD; name:Name S 0..1 HumannameDeBasis(1.6.0) Slice für den offiziellen Namen der angehörigen Person Required Pattern: At least the following #xD; use S 0..1 code Verwendungszweck Fixed Value: official #xD; family S 0..1 string Nachname #xD; given S 0..* string Vorname #xD; prefix S 0..* string Präfix #xD; telecom S 0..* ContactPoint Telekommunikationsverbindung #xD; system S 1..1 code Art der Telekommunikationsverbindung #xD; value S 1..1 string Telekommunikations-Endpunkt #xD; Slices for address S 0..* Address Offizielle Adresse der angehörigen Person Slice: Unordered, Open by pattern:$this #xD; address:Strassenanschrift S<a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( address-cnt-2or3-char )">C 0..* AddressDeBasis(1.6.0) Straßenanschrift Constraints: <span style="font-weight:bold" title="The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2." class="constraint">address-cnt-2or3-char 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 Adresstyp Fixed Value: both #xD; line S 1..3 string Adresszeile #xD; Slices for extension Content/Rules for all slices #xD; extension:Strasse 0..1 ADXPStreetName(5.3.0) Strassenname #xD; extension:Hausnummer 0..1 ADXPHouseNumber(5.3.0) houseNumber #xD; extension:Adresszusatz 0..1 ADXPAdditionalLocator(5.3.0) additionalLocator #xD; extension:Postfach 0..0 Postfachnummer #xD; city S 1..1 string Stadt #xD; postalCode S 1..1 string Postleitzahl #xD; country S 1..1 string Land #xD; address:Postfach S<a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( address-cnt-2or3-char )">C 0..* AddressDeBasis(1.6.0) Postfachadresse Constraints: <span style="font-weight:bold" title="The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2." class="constraint">address-cnt-2or3-char Required Pattern: At least the following #xD; type S 1..1 code Adresstyp Fixed Value: postal #xD; line S 1..3 string Adresszeile #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 0..1 ADXPPostBox(5.3.0) Postfachnummer #xD; city S 1..1 string Stadt #xD; postalCode S 1..1 string Postleitzahl #xD; country S 1..1 string Land #xD; Documentation for this format
Dieses Profil ermöglicht die Darstellung von Angehörigen in ISiK Szenarien. **Motivation** Der Angehörige wird vor allem im Zusammenhang mit Anwendungsszenarien verwendet, in denen das Versicherungsverhältnis eine Rolle spielt. Hier können Angehörige, bspw. der hauptversicherte Elternteil eines minderjährigen Kindes, in der Familienversicherung sein. In Selbstzahler-Szenarien können Angehörige die Zahler für eine im Krankenhaus erbrachte Leistung sein. In FHIR werden Angehörige von Patienten mit der RelatedPerson-Ressource repräsentiert. **Kompatibilität** Für das Profil ISiKAngehoeriger wurde bis zum Zeitpunkt der Veröffentlichung kein Abgleich der Kompatibilität zu anderen Profilen (der KBV und der Medizininformatik-Initiative) durchgeführt. Hinweise zu Inkompatibilitäten können über die [Portalseite](https://service.gematik.de/servicedesk/customer/portal/16) gemeldet werden.
A person that is related to a patient, but who is not a direct target of care
Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.
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
Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden
gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
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
Identifier for a person within a particular scope.
People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.
Whether this related person record is in active use.
**Einschränkung der übergreifenden MS-Definition:** Die Implementierung dieses Elements ist für Server optional. Die Kennzeichnung als Must-Support erfolgt, da es sich um ein als Modifier-Element markiertes Feld in der Kernspezifikation handelt. **Hinweis zur Verwendung:** * `true` = Der Datensatz befindet sich in Verwendung/kann verwendet werden * `false`= Der Datensatz wurde storniert (z.B. bei Dubletten, Merge) oder archiviert **WICHTIGER Hinweis für Implementierer:** * Alle server-seitigen Implementierungen SOLLEN in der Lage sein, die systemintern möglichen Statuswerte korrekt in FHIR abzubilden. * Alle client-seitigen Implementierungen SOLLEN in der Lage sein, sämtliche Status-Codes zu interpretieren und dem Anwender in angemessener Form darstellen zu können.
Need to be able to mark a related person record as not to be used, such as if it was created in error.
This resource is generally assumed to be active if no value is provided for the active element
This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Motivation Kardinalität und Must-Support: Referenz auf den Patienten, zu dem diese angehörige Person in Beziehung steht. Diese Verlinkung ist essentiell für die Dokumentation der Beziehung zwischen Patient und Angehörigem.
We need to know which patient this RelatedPerson is related to.
scoper[classCode=PSN|ANM and determinerCode='INSTANCE']/playedRole[classCode='PAT']/id
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.
**Begründung Pflichtfeld:** Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu [ISiKPatient](https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient) sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden.
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).
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.
The nature of the relationship between a patient and the related person.
**Begründung MS:** Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)
We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.
Aufgrund der primären Nutzung von Angehörigen-Informationen im ISiK-Kontext als Brief- und Rechnungsempfänger, ist die Angabe des offiziellen Namens relevant. Wenn kein Name vorliegt, MUSS die [data-absent-reason-Extension](https://www.hl7.org/fhir/R4/extension-data-absent-reason.html) eingesetzt werden. **Weitere Hinweise:** siehe [Deutsche Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-Ressourcen-Patient?version=current#ig-markdown-Ressourcen-Patient-Name)
Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.
Slice für den offiziellen Namen der angehörigen Person
Basierend auf dem Pattern .use = official wird dieser Slice gewählt. **Begründung MS:** Siehe untergeordnete Elemente
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
Verwendungszweck des Namens. Der präferierte Namen für die Brief- und Rechnungszustellung SOLLTE als `official` gekennzeichnet werden und mindestens über einen Vor- und Nachnamen verfügen. **Begründung MS:** 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.
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.
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.
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).
Allows names to be placed in historical context.
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"]
A contact detail for the person, e.g. a telephone number or an email address.
Telekommunikationsverbindung (z.B. Telefonnummer, eMail-Adresse) **Begründung MS:** Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)
People have (primary) ways to contact them in some way such as phone, email.
Telecommunications form for contact point - what communications system is required to make use of the contact.
**Begründung Pflichtfeld:** Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)
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).
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.
Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.
Needed for identification of the person, in combination with (at least) name and birth date.
The gender of a person used for administrative purposes.
The date on which the related person was born
The date on which the related person was born.
Offizielle Adresse der angehörigen Person
Address where the related person can be contacted or visited.
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.
Need to keep track where the related person can be contacted per postal mail or visited.
Wohn- oder Aufenthaltsort des Angehörigen
The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.
country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
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.
Hier ist stets der Wert `both` anzugeben. **Begründung Pflichtfeld:** Dient als Unterscheidungs- und Auswahlkriterium
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
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.
Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, 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. **Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar. **Begründung für Reduktion der max. Kardinalität:** Die maximale Kardinalität wurde in Übereinstimmung mit der DIN-Norm 5008 (Schreib- und Gestaltungsregeln für die Text- und Informationsverarbeitung) auf 3 beschränkt.
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)
Strassenname (ohne Hausnummer). Bei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.
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.
Hausnummer, sowie Zusätze (Appartmentnummer, Etage...). Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.
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).
Zusätzliche Informationen, wie z.B. '3. Etage', 'Appartment C'. Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.
A numbered box located in a post station.
Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type `physical` oder `both` verwendet werden. **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.
The name of the city, town, suburb, village or other community or delivery center.
**Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.
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)
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.
Adresse, die nur für postalische Zustellung genutzt werden kann.
Hier ist stets der Wert `postal` anzugeben. **Begründung Pflichtfeld:** Dient als Unterscheidungs- und Auswahlkriterium
Diese Komponente enthält die Postfachadresse als String der Form 'Postfach: 12345'. Bei Verwendung der Postfach-Extension, um die Postfachnummer 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. **Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar. **Begründung für Reduktion der max. Kardinalität:** Die maximale Kardinalität wurde in Übereinstimmung mit der DIN-Norm 5008 (Schreib- und Gestaltungsregeln für die Text- und Informationsverarbeitung) auf 3 beschränkt.
Many EHR systems have the capability to capture an image of persons. Fits with newer social media usage too.
player[classCode='PSN' and determinerCode='INSTANCE']/desc
Period of time that this relationship is considered valid
The period of time during which this relationship is or was active. If there are no dates defined, then the interval is unknown.
A language which may be used to communicate with about the patient's health
A language which may be used to communicate with about the patient's health.
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 RelatedPerson.Communication associations. If the RelatedPerson does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.
If a related person 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.
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
The language which can be used to communicate with the patient about his or her health
The 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.
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.
Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.
player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code
Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).
This language is specifically identified for communicating healthcare information.
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.