ISiK Basis Implementierungsleitfaden
Version 6.0.0-rc - ballot

Resource Profile: ISiKStandortBettenstellplatz_obl - Detailed Descriptions

Active as of 2026-04-02

Definitions for the ISiKStandortBettenstellplatz-obl resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Location
Definition

Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.

ShortDetails and position information for a physical place
Control0..*
Is Modifierfalse
Obligations
  • This is an obligation profile that only contains obligations and additional bindings
  • This profile picks up obligations and additional bindings from ISiKStandort_obl
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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())
dom-4: 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())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Location.implicitRules
Definition

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.

ShortVerweis auf die Regeln, nach denen die Ressource erstellt wurdeA set of rules under which this content was created
Comments

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.


Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..01
Typeuri
Is Modifiertrue because 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
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Location.modifierExtension
Definition

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).

ShortExtensions that cannot be ignored
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

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.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. Location.identifier
Definition

Unique code or number identifying the location to its users.

ShortEindeutiger Identifier des StandortsUnique code or number identifying the location to its users
Comments

Motivation: entspricht https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Summarytrue
Requirements

Organization label locations in registries, need to keep track of those.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Location.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • pattern @ $this
  • 8. Location.identifier:standortnummer-dkg
    Slice Namestandortnummer-dkg
    Definition

    Unique code or number identifying the location to its users.

    ShortStandortnummer nach DKGUnique code or number identifying the location to its users
    Comments

    Motivation : Entsprechend der Festlegung der DKG laut Basisprofile-DE 1.5.0 (https://simplifier.net/packages/de.basisprofil.r4/)

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1*
    TypeIdentifier(Identifier-Profil für die Standortnummer)
    Is Modifierfalse
    Summarytrue
    Requirements

    Organization label locations in registries, need to keep track of those.

    Pattern Value{
      "system" : "http://fhir.de/sid/dkgev/standortnummer"
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. Location.status
    Definition

    The status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location.

    Shortactive | suspended | inactive
    Control0..1
    BindingThe codes SHALL be taken from LocationStatushttp://hl7.org/fhir/ValueSet/location-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/location-status|4.0.1)

    Indicates whether the location is still in use.

    Typecode
    Is Modifiertrue because This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. Location.operationalStatus
    Definition

    The operational status covers operation values most relevant to beds (but can also apply to rooms/units/chairs/etc. such as an isolation unit/dialysis chair). This typically covers concepts such as contamination, housekeeping, and other activities like maintenance.

    ShortBelegungsstatus eines BettenstellplatzThe operational status of the location (typically only for a bed/room)
    Comments

    Motivation: Entsprechend der Bedarfsmeldung im Rahmen der AG zur Ausbaustufe 4 muss ein System den Belegungsstatus eines Bettenstellplatz zum Abruf bereitstellen, sofern diese Information verfügbar ist. Dies dient z.B. der Markierung als 'Isoliert'. Im Sinne der Interoperabilität ist das ValueSet verpflichtend.

    Control0..1
    BindingThe codes SHALL be taken from The codes SHOULD be taken from v2 BED STATUShttp://terminology.hl7.org/ValueSet/v2-0116
    (required to http://terminology.hl7.org/ValueSet/v2-0116)
    TypeCoding
    Is Modifierfalse
    Obligations
      ObligationsActorDocumentation
      SHALL:populate-if-knownISiK Producer (Server)

      Ein System muss den Belegungsstatus eines Bettenstellplatz zum Abruf bereitstellen, sofern diese Information verfügbar ist. Dies dient z.B. der Markierung als 'Isoliert'.

      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      14. Location.mode
      Definition

      Indicates whether a resource instance represents a specific location or a class of locations.

      ShortModus des Standortsinstance | kind
      Comments

      Motivation: Die Einschränkung auf "instance" erfolgt, da im ISiK-Kontext ausschließlich konkrete Standorte übertragen werden sollen. Hiermit wird zusätzlich die Kompatibilität zur MII-Spezifikation eines Standortes gewahrt https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location


      This is labeled as a modifier because whether or not the location is a class of locations changes how it can be used and understood.

      Control0..1
      BindingThe codes SHALL be taken from LocationModehttp://hl7.org/fhir/ValueSet/location-mode|4.0.1
      (required to http://hl7.org/fhir/ValueSet/location-mode|4.0.1)

      Indicates whether a resource instance represents a specific location or a class of locations.

      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location.

      Pattern Valueinstance
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      16. Location.physicalType
      Definition

      Physical form of the location, e.g. building, room, vehicle, road.

      ShortPhysikalischer Typ des StandortsPhysical form of the location
      Comments

      Motivation: entspricht der MII Vorgabe - siehe https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location. Ein System muss den physikalischen Typ eines Standorts zum Abruf bereitstellen, da ansonsten der Typus des Standorts nicht maschinenlesbar definiert ist.

      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from For example codes, see LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type|4.0.1
      (extensible to http://hl7.org/fhir/ValueSet/location-physical-type)
      TypeCodeableConcept
      Is Modifierfalse
      Summarytrue
      Requirements

      For purposes of showing relevant locations in queries, we need to categorize locations.

      Pattern Value{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
          "code" : "bd",
          "display" : "Bed"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

      Guidance on how to interpret the contents of this table can be foundhere

      0. Location
      Obligations
      • This is an obligation profile that only contains obligations and additional bindings
      • This profile picks up obligations and additional bindings from ISiKStandort_obl
      2. Location.operationalStatus
      Obligations
        ObligationsActorDocumentation
        SHALL:populate-if-knownISiK Producer (Server)

        Ein System muss den Belegungsstatus eines Bettenstellplatz zum Abruf bereitstellen, sofern diese Information verfügbar ist. Dies dient z.B. der Markierung als 'Isoliert'.

        Guidance on how to interpret the contents of this table can be foundhere

        0. Location
        Definition

        Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.

        ShortDetails and position information for a physical place
        Control0..*
        Is Modifierfalse
        Obligations
        • This is an obligation profile that only contains obligations and additional bindings
        • This profile picks up obligations and additional bindings from ISiKStandort_obl
        Summaryfalse
        Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
        dom-3: 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())
        dom-4: 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())
        dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
        dom-6: A resource should have narrative for robust management (text.`div`.exists())
        2. Location.id
        Definition

        The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

        Shortserverseitige, interne ID des Datensatzes
        Comments

        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.

        Control0..1
        Typeid
        Is Modifierfalse
        Summarytrue
        4. Location.meta
        Definition

        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.

        ShortMetadata about the resource
        Control0..1
        TypeMeta
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        6. Location.meta.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        8. Location.meta.extension
        Definition

        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.

        ShortAdditional content defined by implementations
        Comments

        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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Location.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 10. Location.meta.versionId
          Definition

          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.

          ShortEindeutiger Name der serverseitigen Version des Datensatzes
          Comments

          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.

          Control0..1
          Typeid
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. Location.meta.lastUpdated
          Definition

          When the resource last changed - e.g. when the version changed.

          ShortZeitpunkt der letzten Änderung
          Comments

          Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein lastUpdated verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über ein lastUpdated verfügen.

          Control0..1
          Typeinstant
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          14. Location.meta.source
          Definition

          A uri that identifies the source system of the resource. This provides a minimal amount of Provenance 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.

          ShortIdentifies where the resource comes from
          Comments

          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.

          Control0..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          16. Location.meta.profile
          Definition

          A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

          ShortProfiles this resource claims to conform to
          Comments

          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.

          Control0..*
          Typecanonical(StructureDefinition)
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          18. Location.meta.security
          Definition

          Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

          ShortSecurity Labels applied to this resource
          Comments

          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.

          Control0..*
          BindingUnless not suitable, these codes SHALL be taken from All Security Labels
          (extensible to http://hl7.org/fhir/ValueSet/security-labels|4.0.1)

          Security Labels from the Healthcare Privacy and Security Classification System.

          TypeCoding
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          20. Location.meta.tag
          Definition

          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.

          ShortTags applied to this resource
          Comments

          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.

          Control0..*
          BindingFor example codes, see CommonTags
          (example to http://hl7.org/fhir/ValueSet/common-tags|4.0.1)

          Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

          TypeCoding
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          22. Location.implicitRules
          Definition

          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.

          ShortVerweis auf die Regeln, nach denen die Ressource erstellt wurde
          Comments

          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.

          Control0..0
          Typeuri
          Is Modifiertrue because 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
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          24. Location.language
          Definition

          The base language in which the resource is written.

          ShortLanguage of the resource content
          Comments

          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).

          Control0..1
          BindingThe codes SHOULD be taken from CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

          A human language.

          Additional BindingsPurpose
          AllLanguagesMax Binding
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          26. Location.text
          Definition

          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.

          ShortText summary of the resource, for human interpretation
          Comments

          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.

          Control0..1
          TypeNarrative
          Is Modifierfalse
          Summaryfalse
          Alternate Namesnarrative, html, xhtml, display
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          28. Location.contained
          Definition

          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.

          ShortContained, inline Resources
          Comments

          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.

          Control0..*
          TypeResource
          Is Modifierfalse
          Summaryfalse
          Alternate Namesinline resources, anonymous resources, contained resources
          30. Location.extension
          Definition

          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.

          ShortAdditional content defined by implementations
          Comments

          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.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          32. Location.modifierExtension
          Definition

          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).

          ShortExtensions that cannot be ignored
          Comments

          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.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
          Summaryfalse
          Requirements

          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.

          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          34. Location.identifier
          Definition

          Unique code or number identifying the location to its users.

          ShortEindeutiger Identifier des Standorts
          Comments

          Motivation: entspricht https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location

          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..*
          TypeIdentifier
          Is Modifierfalse
          Summarytrue
          Requirements

          Organization label locations in registries, need to keep track of those.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on Location.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • pattern @ $this
          • 36. Location.identifier:standortnummer-dkg
            Slice Namestandortnummer-dkg
            Definition

            Unique code or number identifying the location to its users.

            ShortStandortnummer nach DKG
            Comments

            Motivation : Entsprechend der Festlegung der DKG laut Basisprofile-DE 1.5.0 (https://simplifier.net/packages/de.basisprofil.r4/)

            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..1
            TypeIdentifier(Identifier-Profil für die Standortnummer)
            Is Modifierfalse
            Summarytrue
            Requirements

            Organization label locations in registries, need to keep track of those.

            Pattern Value{
              "system" : "http://fhir.de/sid/dkgev/standortnummer"
            }
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            38. Location.status
            Definition

            The status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location.

            Shortactive | suspended | inactive
            Control0..1
            BindingThe codes SHALL be taken from LocationStatus
            (required to http://hl7.org/fhir/ValueSet/location-status|4.0.1)

            Indicates whether the location is still in use.

            Typecode
            Is Modifiertrue because This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            40. Location.operationalStatus
            Definition

            The operational status covers operation values most relevant to beds (but can also apply to rooms/units/chairs/etc. such as an isolation unit/dialysis chair). This typically covers concepts such as contamination, housekeeping, and other activities like maintenance.

            ShortBelegungsstatus eines Bettenstellplatz
            Comments

            Motivation: Entsprechend der Bedarfsmeldung im Rahmen der AG zur Ausbaustufe 4 muss ein System den Belegungsstatus eines Bettenstellplatz zum Abruf bereitstellen, sofern diese Information verfügbar ist. Dies dient z.B. der Markierung als 'Isoliert'. Im Sinne der Interoperabilität ist das ValueSet verpflichtend.

            Control0..1
            BindingThe codes SHALL be taken from v2 BED STATUS
            (required to http://terminology.hl7.org/ValueSet/v2-0116)
            TypeCoding
            Is Modifierfalse
            Obligations
              ObligationsActorDocumentation
              SHALL:populate-if-knownISiK Producer (Server)

              Ein System muss den Belegungsstatus eines Bettenstellplatz zum Abruf bereitstellen, sofern diese Information verfügbar ist. Dies dient z.B. der Markierung als 'Isoliert'.

              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              42. Location.name
              Definition

              Name of the location as used by humans. Does not need to be unique.

              ShortName des Standort
              Comments

              Motivation: Kein Name zwingend notwendig (z.B. für ein Zimmer), wenn über .identifier identifizierbar; weicht daher ab von https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location

              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              44. Location.alias
              Definition

              A list of alternate names that the location is known as, or was known as, in the past.

              ShortA list of alternate names that the location is known as, or was known as, in the past
              Comments

              There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the location.

              Control0..*
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Requirements

              Over time locations and organizations go through many changes and can be known by different names.

              For searching knowing previous names that the location was known by can be very useful.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              46. Location.description
              Definition

              Description of the Location, which helps in finding or referencing the place.

              ShortAdditional details about the location that could be displayed as further information to identify the location beyond its name
              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Humans need additional information to verify a correct location has been identified.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              48. Location.mode
              Definition

              Indicates whether a resource instance represents a specific location or a class of locations.

              ShortModus des Standorts
              Comments

              Motivation: Die Einschränkung auf "instance" erfolgt, da im ISiK-Kontext ausschließlich konkrete Standorte übertragen werden sollen. Hiermit wird zusätzlich die Kompatibilität zur MII-Spezifikation eines Standortes gewahrt https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location

              Control0..1
              BindingThe codes SHALL be taken from LocationMode
              (required to http://hl7.org/fhir/ValueSet/location-mode|4.0.1)

              Indicates whether a resource instance represents a specific location or a class of locations.

              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location.

              Pattern Valueinstance
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              50. Location.type
              Definition

              Indicates the type of function performed at the location.

              ShortTyp des Standorts
              Comments

              Motivation: Ein System muss den Typ eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.

              Control0..*
              BindingUnless not suitable, these codes SHALL be taken from V3 Value SetServiceDeliveryLocationRoleType
              (extensible to http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType)

              Indicates the type of function performed at the location.

              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              52. Location.telecom
              Definition

              The contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.

              ShortContact details of the location
              Control0..*
              TypeContactPoint
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              54. Location.address
              Definition

              Physical location.

              ShortAdresse des Standorts
              Comments

              Motivation: Bei Verfügbarkeit einer Adresse muss ein System diese Information bereitstellen. Darüber hinaus muss das abrufende System diese Information verarbeiten können.

              Control0..1
              TypeAddress(Adresse, deutsches Basisprofil)
              Is Modifierfalse
              Summaryfalse
              Requirements

              If locations can be visited, we need to keep track of their address.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              56. Location.physicalType
              Definition

              Physical form of the location, e.g. building, room, vehicle, road.

              ShortPhysikalischer Typ des Standorts
              Comments

              Motivation: entspricht der MII Vorgabe - siehe https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location. Ein System muss den physikalischen Typ eines Standorts zum Abruf bereitstellen, da ansonsten der Typus des Standorts nicht maschinenlesbar definiert ist.

              Control0..1
              BindingUnless not suitable, these codes SHALL be taken from LocationType
              (extensible to http://hl7.org/fhir/ValueSet/location-physical-type)
              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Requirements

              For purposes of showing relevant locations in queries, we need to categorize locations.

              Pattern Value{
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
                  "code" : "bd",
                  "display" : "Bed"
                }]
              }
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              58. Location.position
              Definition

              The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML).

              ShortGeodaten eines Standorts
              Comments

              Motivation: Ein System muss die Geodaten eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.

              Control0..1
              TypeBackboneElement
              Is Modifierfalse
              Summaryfalse
              Requirements

              For mobile applications and automated route-finding knowing the exact location of the Location is required.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              60. Location.position.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              62. Location.position.extension
              Definition

              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.

              ShortAdditional content defined by implementations
              Comments

              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.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              64. Location.position.modifierExtension
              Definition

              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).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              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.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              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.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              66. Location.position.longitude
              Definition

              Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below).

              ShortLongitude with WGS84 datum
              Control1..1
              Typedecimal
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              68. Location.position.latitude
              Definition

              Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below).

              ShortLatitude with WGS84 datum
              Control1..1
              Typedecimal
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              70. Location.position.altitude
              Definition

              Altitude. The value domain and the interpretation are the same as for the text of the altitude element in KML (see notes below).

              ShortAltitude with WGS84 datum
              Control0..1
              Typedecimal
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              72. Location.managingOrganization
              Definition

              The organization responsible for the provisioning and upkeep of the location.

              ShortVerwaltende Organisation des Standorts
              Comments

              This can also be used as the part of the organization hierarchy where this location provides services. These services can be defined through the HealthcareService resource.

              Control0..1
              TypeReference(Organization)
              Is Modifierfalse
              Summarytrue
              Requirements

              Need to know who manages the location.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              74. Location.partOf
              Definition

              Another Location of which this Location is physically a part of.

              ShortOrganisationale Zugehörigkeit
              Comments

              Motivation: Ein System muss die organisationale Zugehörigkeit eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.

              Control0..1
              TypeReference(Location)
              Is Modifierfalse
              Summaryfalse
              Requirements

              For purposes of location, display and identification, knowing which locations are located within other locations is important.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              76. Location.hoursOfOperation
              Definition

              What days/times during a week is this location usually open.

              ShortBetriebszeiten des Standorts
              Comments

              Motivation: Ein System muss die Betriebszeiten eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.

              Control0..*
              TypeBackboneElement
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              78. Location.hoursOfOperation.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              80. Location.hoursOfOperation.extension
              Definition

              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.

              ShortAdditional content defined by implementations
              Comments

              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.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              82. Location.hoursOfOperation.modifierExtension
              Definition

              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).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              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.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              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.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              84. Location.hoursOfOperation.daysOfWeek
              Definition

              Indicates which days of the week are available between the start and end Times.

              Shortmon | tue | wed | thu | fri | sat | sun
              Control0..*
              BindingThe codes SHALL be taken from DaysOfWeek
              (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)

              The days of the week.

              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              86. Location.hoursOfOperation.allDay
              Definition

              The Location is open all day.

              ShortThe Location is open all day
              Control0..1
              Typeboolean
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              88. Location.hoursOfOperation.openingTime
              Definition

              Time that the Location opens.

              ShortTime that the Location opens
              Control0..1
              Typetime
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              90. Location.hoursOfOperation.closingTime
              Definition

              Time that the Location closes.

              ShortTime that the Location closes
              Control0..1
              Typetime
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              92. Location.availabilityExceptions
              Definition

              A description of when the locations opening ours are different to normal, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as detailed in the opening hours Times.

              ShortDescription of availability exceptions
              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              94. Location.endpoint
              Definition

              Technical endpoints providing access to services operated for the location.

              ShortTechnical endpoints providing access to services operated for the location
              Control0..*
              TypeReference(Endpoint)
              Is Modifierfalse
              Summaryfalse
              Requirements

              Organizations may have different systems at different locations that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))