## Pflegeempfänger (Patient)

Die nachfolgenden Festlegungen spezifizieren die Abbildung von Minimalanforderungen für die Bereitstellung von administrativen Pflegeempfängerdaten im Rahmen des Bestätigungsverfahrens der gematik.

### Kompatibilität

### Interaktionen

Es gelten die Festlegungen aus dem ISiK-Basismodul Patientenprofil.

### FHIR-Profil

Name | Canonical
--- | ---
ISiPPflegeempfaenger | https://gematik.de/fhir/isip/v1/Basismodul/StructureDefinition/ISiPPflegeempfaenger

Patient |  |  | Patient | There are no (further) constraints on this element Data Type Patient
telecom | S |  |  | There are no (further) constraints on this element Element Id
    Patient.telecom
system | S |  | Binding | There are no (further) constraints on this element Element Id
    Patient.telecom.system
Binding KontaktArtenVS (required)
value | S |  |  | There are no (further) constraints on this element Element Id
    Patient.telecom.value
use | S | 1.. |  | There are no (further) constraints on this element Element Id
    Patient.telecom.use
deceased[x] | S |  |  | There are no (further) constraints on this element Element Id
    Patient.deceased[x]
maritalStatus | S |  | Binding | There are no (further) constraints on this element Element Id
    Patient.maritalStatus
Binding FamilienStandVS (required)
communication | S |  |  | There are no (further) constraints on this element Element Id
    Patient.communication
language | S |  |  | There are no (further) constraints on this element Element Id
    Patient.communication.language
coding | S | 1..1 |  | There are no (further) constraints on this element Element Id
    Patient.communication.language.coding
generalPractitioner | S |  | Reference(ISiPPersonImGesundheitswesen) | There are no (further) constraints on this element Element Id
    Patient.generalPractitioner
Data Type Reference(ISiPPersonImGesundheitswesen)
managingOrganization | S |  | Reference(IsipOrganization) | There are no (further) constraints on this element Element Id
    Patient.managingOrganization
Data Type Reference(IsipOrganization)

Terminology Bindings

Path | Name | Strength | URL
--- | --- | --- | ---
Patient.telecom.system | kontaktarten | required | https://gematik.de/fhir/isip/v1/Basismodul/ValueSet/kontaktarten
Patient.maritalStatus | familien-stand | required | https://gematik.de/fhir/isip/v1/Basismodul/ValueSet/familien-stand

### Anmerkungen zu Must-Support-Feldern

Es gelten die Festlegungen aus dem ISiK-Basismodul Patientenprofil.

### Zusätzliche Must-Support Felder:

### `Patient.telecom`

Bedeutung: Kontaktmöglichkeit des Pflegeempfängers

### `Patient.deceased[x]`

Bedeutung: Sterbedatum, bzw. Pflegeempfänger verstorben

### `Patient.maritalStatus`

Bedeutung: Familienstand

### `Patient.communication.language`

Bedeutung: beherrschte Sprache(n) des Pflegeempfängers

### `Patient.generalPractitioner`

Bedeutung: (Haus)Ärzt:in des Pflegeempfängers

### `Patient.managingOrganization`

Bedeutung: Für die Patient:in verantwortliche Pflegeeinrichtung

### Interaktionen

Es gelten die Festlegungen aus dem ISiK-Basismodul Patientenprofil.

### Beispiele

Valides Minimalbeispiel Patient:

    {
        "resourceType": "Patient",
        "id": "ExampleISiPPflegeempfaenger",
        "meta": {
            "profile":  [
                "https://gematik.de/fhir/isip/v1/Basismodul/StructureDefinition/ISiPPflegeempfaenger"
            ]
        },
        "identifier":  [
            {
                "type": {
                    "coding":  [
                        {
                            "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
                            "code": "GKV"
                        }
                    ]
                },
                "system": "http://fhir.de/sid/gkv/kvid-10",
                "value": "A123456789"
            },
            {
                "type": {
                    "coding":  [
                        {
                            "code": "MR",
                            "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                        }
                    ]
                },
                "system": "https://fhir.krankenhaus.example/NamingSystem/PID",
                "value": "TestPID"
            },
            {
                "use": "secondary",
                "type": {
                    "coding":  [
                        {
                            "code": "PKV",
                            "system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
                        }
                    ]
                },
                "value": "1234567890",
                "assigner": {
                    "display": "Test PKV AG"
                }
            }
        ],
        "name":  [
            {
                "use": "official",
                "family": "Fürstin Von Musterfrau",
                "_family": {
                    "extension":  [
                        {
                            "url": "http://fhir.de/StructureDefinition/humanname-namenszusatz",
                            "valueString": "Graf"
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                            "valueString": "Musterfrau"
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix",
                            "valueString": "Von"
                        }
                    ]
                },
                "given":  [
                    "Erika"
                ],
                "prefix":  [
                    "Dr."
                ],
                "_prefix":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
                                "valueCode": "AC"
                            }
                        ]
                    }
                ]
            },
            {
                "use": "maiden",
                "family": "Gabler",
                "_family": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                            "valueString": "Gabler"
                        }
                    ]
                }
            }
        ],
        "active": true,
        "maritalStatus": {
            "coding":  [
                {
                    "code": "M",
                    "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
                    "display": "Married"
                }
            ]
        },
        "gender": "female",
        "birthDate": "1964-08-12",
        "address":  [
            {
                "type": "both",
                "line":  [
                    "Musterweg 2",
                    "3. Etage"
                ],
                "_line":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                                "valueString": "Musterweg"
                            },
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                                "valueString": "2"
                            }
                        ]
                    },
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator",
                                "valueString": "3. Etage"
                            }
                        ]
                    }
                ],
                "city": "Musterhausen",
                "postalCode": "98764",
                "country": "DE"
            },
            {
                "type": "postal",
                "line":  [
                    "Postfach 8 15"
                ],
                "_line":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox",
                                "valueString": "Postfach 8 15"
                            }
                        ]
                    }
                ],
                "city": "Musterhausen",
                "postalCode": "98764",
                "country": "DE"
            }
        ],
        "telecom":  [
            {
                "system": "phone",
                "value": "+49 132 455 325",
                "use": "home"
            }
        ],
        "deceasedDateTime": "2022-02-14T13:42:00+01:00",
        "communication":  [
            {
                "language": {
                    "coding":  [
                        {
                            "code": "de",
                            "system": "http://tools.ietf.org/html/bcp47",
                            "display": "German"
                        }
                    ]
                },
                "preferred": true
            }
        ],
        "generalPractitioner":  [
            {
                "reference": "Practitioner/PractitionerWalterArzt"
            }
        ],
        "managingOrganization": {
            "reference": "Organization/ExampleIsipOrganization"
        }
    }