Profile Comparison between https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient vs http://hl7.eu/fhir/hdr/StructureDefinition/patient-obl-eu-hdr

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Patient	http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core	Values Differ
copyright		Used by permission of HL7 Europe, all rights reserved Creative Commons License	Added the item 'Used by permission of HL7 Europe, all rights reserved Creative Commons License'
date	2025-06-26	2025-06-03T12:48:49+02:00	Values Differ
description	Dieses Profil spezifiziert die Minimalanforderungen für die Bereitstellung von administrativen Patientendaten im Rahmen des Bestätigungsverfahrens der gematik. ### Motivation Der Austausch administrativer Patientendaten ist eine der grundlegenden Funktionalitäten beim Datenaustausch in der klinischen Versorgung. In FHIR werden sämtliche klinischen Ressourcen durch Verlinkung auf die Ressource 'Patient' in einen Patientenkontext gestellt. Die Herstellung des korrekten Patientenkontextes durch Suchen der Patientenressource anhand von Eigenschaften wie Aufnahmenummer, Name oder Geburtsdatum, die Anzeige der zutreffenden Suchergebnisse und der Auswahl bzw. Bestätigung des richtigen Datensatzes durch den Anwender steht am Beginn der meisten klinischen Workflows. ### Kompatibilität Für das Profil ISIKPatient wird eine Kompatibilität mit folgenden Profilen angestrebt; allerdings kann nicht sichergestellt werden, dass Instanzen, die gegen ISIKPatient valide sind, auch valide sind gegen: * [Profil KBV_PR_Base_Patient der KBV Basisprofile](https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Patient) * [Profil Patient im International Patient Summary (IPS)](https://hl7.org/fhir/uv/ips/StructureDefinition-Patient-uv-ips.html) * [Profil Patient der MI-Initiative](https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient) Hinweise zu Inkompatibilitäten können über die [Portalseite](https://service.gematik.de/servicedesk/customer/portal/16) gemeldet werden.	This profile defines obligations for an human Patient in FHIR for the purpose of this guide.	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]		http://unstats.un.org/unsd/methods/m49/m49.htm#150	Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
kind	resource
name	ISiKPatient	PatientEuObligations	Values Differ
publisher	gematik GmbH	HL7 Europe	Values Differ
purpose
status	active	draft	Values Differ
title		Patient: obligations	Added the item 'Patient: obligations'
type	Patient
url	https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient	http://hl7.eu/fhir/hdr/StructureDefinition/patient-obl-eu-hdr	Values Differ
version	5.0.0	0.1.0-ballot	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services isik-pat-1: Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden		0..*	PatientEuCore	Information about an individual or animal receiving health care services
id	Σ	0..1	string	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this	OΣ	0..*	Identifier	Patient identifiers Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHALL:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
active	?!SΣ	0..1	boolean	Status des Datensatzes	?!Σ	0..1	boolean	Whether this patient's record is in active use	Elements differ in definition for mustSupport: 'true' vs 'false'
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by pattern:$this	ΣC	1..*	??	A name associated with the patient eu-pat-1: given, family, text or a data-absent-reason extension SHALL be present	Elements differ in definition for mustSupport: 'true' vs 'false'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
use					?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name.	Added this element
text					OΣ	0..1	string	Text representation of the full name. Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHOULD:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Added this element
family					OΣ	0..1	string	Family name. Example spanish name: Valero Iglesias Example spanish: Valero Iglesias Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHALL:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Added this element
given					OΣ	0..*	string	Given names. Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Example spanish name: Borja Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHALL:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Added this element
prefix					Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name	Added this element
suffix					Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name	Added this element
period					Σ	0..1	Period	Time period when name was/is in use	Added this element
telecom	Σ	0..*	ContactPoint	A contact detail for the individual	OΣ	0..*	ContactPoint	A contact detail for the patient Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHOULD:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ?? (required): Telecommunications form for contact point.					Removed this element
value	Σ	1..1	string	The actual contact point details					Removed this element
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ?? (required): Use of contact point.					Removed this element
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)					Removed this element
period	Σ	0..1	Period	Time period when the contact point was/is in use					Removed this element
gender	SΣ	1..1	code	Administratives Geschlecht Binding: ?? (required): The gender of a person used for administrative purposes.	OΣ	0..1	code	Administrative Gender Binding: ?? (required): The gender of a person used for administrative purposes. Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHALL:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
id		0..1	string	xml:id (or equivalent in JSON)					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
value		0..1	string	Primitive value for code					Removed this element
birthDate	SΣ	1..1	date	Geburtsdatum	OΣ	1..1	date	The date of birth for the patient Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHALL:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	xml:id (or equivalent in JSON)		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Extension Slice: Unordered, Open by value:url
value		0..1	date	Primitive value for date		0..1	date	Primitive value for date
deceased[x]	?!Σ	0..1	boolean, dateTime	Indicates if the individual is deceased or not	?!Σ	0..1	boolean, dateTime	Indicates if the individual is deceased or not
Slices for address	SΣ	0..*	Address	An address for the individual Slice: Unordered, Open by pattern:$this	OΣ	0..*	??	An address for the individual Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHALL:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Elements differ in definition for mustSupport: 'true' vs 'false'
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: ?? (extensible): The domestic partnership status of a person.		0..1	CodeableConcept	Marital (civil) status of a patient Binding: ?? (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1	boolean, integer	Whether patient is part of a multiple birth		0..1	boolean, integer	Whether patient is part of a multiple birth
photo		0..*	Attachment	Image of the patient		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient.		0..*	??	The kind of relationship Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person		0..1	??	Contact name
telecom		0..*	ContactPoint	A contact detail for the person		0..*	ContactPoint	Contact details for the person
address		0..1	Address	Address for the contact person		0..1	??	Contact person address
gender		0..1	code	male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes.		0..1	code	male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		1..1	CodeableConcept	Communication language Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
preferred		0..1	boolean	Language preference indicator		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider	O	0..*	Reference(Organization (EU base) | PractitionerRole (EU base) | Practitioner (EU base))	Patient's nominated primary care provider. Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHOULD:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!SΣ	0..*	BackboneElement	Link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	SΣ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL					Removed this element
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	Σ	0..1	string	Text alternative for the resource					Removed this element
type	SΣ	1..1	code	replaced-by | replaces | refer | seealso Binding: ?? (required): The type of link between this patient resource and another patient resource.	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: ?? (required): The type of link between this patient resource and another patient resource.	Elements differ in definition for mustSupport: 'true' vs 'false'
Documentation for this format