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

NameCanonical
ISiPPflegeempfaengerhttps://gematik.de/fhir/isip/v1/Basismodul/StructureDefinition/ISiPPflegeempfaenger
useΣ ?!0..1codeBinding
typeS Σ1..1CodeableConceptBinding
systemS Σ1..1uriFixed Value
valueS Σ I1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Organization)
useΣ ?!0..1codeBinding
typeS Σ1..1CodeableConceptBinding
systemS Σ1..1uri
valueS Σ1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Organization)
useS Σ ?!0..1codeBindingFixed Value
typeS Σ1..1CodeableConceptBinding
systemΣ0..1uri
valueS Σ1..1string
periodΣ I0..1Period
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemS Σ1..1uriFixed Value
valueS Σ I1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Organization)
displayS Σ1..1string
activeS Σ ?!0..1boolean
useS Σ ?!1..1codeBinding
textΣ0..1string
namenszusatzS I0..1Extension(string)
nachnameS I0..1Extension(string)
vorsatzwortS I0..1Extension(string)
givenS Σ1..*string
url1..1System.StringFixed Value
valueCodecode
suffixΣ0..*string
periodΣ I0..1Period
useS Σ ?!1..1codeBinding
textΣ0..1string
namenszusatzS I0..1Extension(string)
nachnameS I0..1Extension(string)
vorsatzwortS I0..1Extension(string)
givenΣ0..0string
suffixΣ0..*string
periodΣ I0..1Period
systemS Σ I1..1codeBinding
valueS Σ1..1string
useS Σ ?!1..1codeBinding
rankΣ0..1positiveInt
periodΣ I0..1Period
Geschlecht-AdministrativS I0..1Extension(Coding)
url1..1System.StringFixed Value
valueCodecode
deceasedBooleanboolean
deceasedDateTimedateTime
StadtteilS I0..1Extension(string)
useΣ ?!0..1codeBinding
typeS Σ1..1codeBinding
textΣ0..1string
StrasseS I0..1Extension(string)
HausnummerS I0..1Extension(string)
AdresszusatzS I0..1Extension(string)
PostfachI0..0Extension(string)
cityS Σ1..1string
districtΣ0..0string
stateΣ0..1stringBinding
postalCodeS Σ1..1string
countryS Σ I1..1stringBinding
startΣ I0..1dateTime
endΣ I0..1dateTime
StadtteilI0..1Extension(string)
useΣ ?!0..1codeBinding
typeS Σ1..1codeBinding
textΣ0..1string
StrasseI0..0Extension(string)
HausnummerI0..0Extension(string)
AdresszusatzI0..0Extension(string)
PostfachS I0..1Extension(string)
cityS Σ1..1string
districtΣ0..0string
stateΣ0..1stringBinding
postalCodeS Σ1..1string
countryS Σ I1..1stringBinding
startΣ I0..1dateTime
endΣ I0..1dateTime
maritalStatusS0..1CodeableConceptBinding
multipleBirthBooleanboolean
multipleBirthIntegerinteger
photoI0..*Attachment
relationship0..*CodeableConceptBinding
name0..1HumanName
telecomI0..*ContactPoint
address0..1Address
gender0..1codeBinding
organizationI0..1Reference(Organization)
periodI0..1Period
codingS Σ1..1Coding
textΣ0..1string
preferred0..1boolean
generalPractitionerS I0..*Reference(ISiPPersonImGesundheitswesen)
managingOrganizationS Σ I0..1Reference(IsipOrganization)
otherΣ I1..1Reference(Patient | RelatedPerson)
typeΣ1..1codeBinding

Terminology Bindings

PathNameStrengthURL
Patient.telecom.systemkontaktartenrequiredhttps://gematik.de/fhir/isip/v1/Basismodul/ValueSet/kontaktarten
Patient.maritalStatusfamilien-standrequiredhttps://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://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "MR"
                    },
                    {
                        "code": "GKV",
                        "system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
                    }
                ]
            },
            "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"
    }
}