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fix: modified patient merge to reflect the R5 backport
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ImplementationGuide/markdown/Datenobjekte/Datenobjekte_Subscription.md
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| ## Subscription patient-merge [(R5 Backport Subscription)](https://hl7.org/fhir/uv/subscriptions-backport/components.html) | ||
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...nGuide/markdown/Subscription/Subscription_AnmerkungenZuDenMustSupportFeldern.md
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| ### Anmerkungen zu den Must-Support-Feldern | ||
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| ### `Subscription.status` | ||
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| **Bedeutung:** Der Status der Subscription, der den Serverstatus der Subscription angibt. Neue Subscriptions werden immer mit dem Status `requested` an den Server übergeben. Der Server ändert im Anschluss den status auf `active` oder im Fehlerfall auf `error`. | ||
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| **Hinweise:** Siehe [R4 Subscriptions](https://hl7.org/fhir/R4/subscription.html) | ||
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| ### `Subscription.reason` | ||
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| **Bedeutung:** Beschreibung wieso diese Subscription erstellt wurde. | ||
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| **Hinweise:** Siehe [R4 Subscriptions](https://hl7.org/fhir/R4/subscription.html) | ||
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| ### `Subscription.category` | ||
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| **Bedeutung:** Canonical URL des Subscription-Topics, aktuell nur unterstützt: https://gematik.de/fhir/isik/SubscriptionTopic/patient-merge | ||
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| **Hinweise:** Siehe [Subscriptions R5 Backport](https://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition-backport-subscription.html) | ||
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| ### `Subscription.type` | ||
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| **Bedeutung:** Der Typ des Kommunikationskanals, über den Subscription-Benachrichtigungen gesendet werden sollen. | ||
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| **Hinweise:** Siehe [R4 Subscriptions](https://hl7.org/fhir/R4/subscription.html) | ||
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| ### `Subscription.endpoint` | ||
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| **Bedeutung:** Adresse des Kommunikationskanals/ Endpunkts an den Subscription-Benachrichtigungen gesendet werden sollen. Dies ist nur für rest-hook Subscriptions relevant. | ||
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| **Hinweise:** Siehe [R4 Subscriptions](https://hl7.org/fhir/R4/subscription.html) | ||
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| ### `Subscription.payload` | ||
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| **Bedeutung:** Format in dem Subscription Notifications versendet werden sollen (JSON oder XML) | ||
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| **Hinweise:** Siehe [R4 Subscriptions](https://hl7.org/fhir/R4/subscription.html) | ||
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| ### `Subscription.payload.extension[content]` | ||
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| **Bedeutung:** Welcher Ressourceninhalt in der Nutzlast der Benachrichtigung geliefert werden soll. Zur Auswahl stehen eine leere Nutzlast (`empty`), nur die Ressourcenid (`id-only`) oder der gesamte Inhalt der Ressource (`full-resource`). | ||
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| **Hinweise:** Siehe [Extension: Backport R5 Subscription Payload Content Information](https://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition-backport-payload-content.html) | ||
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| ### `Subscription.header` | ||
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| **Bedeutung:** http-Header welcher dazu genutzt werden kann einen Authorization-header zu setzen. Dies ist nur für rest-hook Subscriptions relevant. | ||
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| **Hinweise:** ACHTUNG: dieses Datenfeld muss bei READ-Interaktionen maskiert werden! Siehe [R4 Subscriptions](https://hl7.org/fhir/R4/subscription.html) |
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ImplementationGuide/markdown/Subscription/Subscription_Beispiele.md
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| ### Beispiele | ||
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| #### Subscription | ||
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| {{json:PatientMergeSubscriptionExample}} | ||
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| #### SubscriptionNotification-Bundle | ||
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| {{json:SubscriptionNotificationBundleExample}} | ||
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| #### Patientenobjekte | ||
| "Quell" Patienten-Ressource: | ||
| {{json:DorisQuelle}} | ||
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| und | ||
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| "Ziel" Patienten-Ressource: | ||
| {{json:DorisZiel}} | ||
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| Mittels eines Patient-merge-Vorgangs wird die "Ziel" Patienten-Ressource ausgewählt und beide Ressourcen entsprechend modifiziert: | ||
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| Resultierende Patientin: | ||
| {{json:DorisResultat}} | ||
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ImplementationGuide/markdown/Subscription/Subscription_Interaktionen.md
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| ### Interaktionen | ||
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| Für die Ressource Subscription MUSS die REST-Interaktion "READ", "CREATE", "UPDATE", "DELETE" implementiert werden. | ||
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ImplementationGuide/markdown/Subscription/Subscription_Kompatibilitaet.md
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| ### Kompatibilität | ||
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| Das Profil PatientMergeSubscription basiert auf dem [Backport-Subscription Profil](https://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition-backport-subscription.html). | ||
| Der [SubscriptionStatus](https://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition-backport-subscription-status-r4.html), sowie das [Subscription Notification Bundle](https://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition-backport-subscription-notification-r4.html) werden unverändert direkt aus dem [Subscriptions R5 Backport IG](https://hl7.org/fhir/uv/subscriptions-backport/index.html) genutzt. | ||
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ImplementationGuide/markdown/Subscription/Subscription_Motivation.md
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| ## Motivation | ||
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| Duplizierte Patientendatensätze innerhalb eines patientenführenden Systems treten im betrieblichen Alltag immer wieder auf. Diese Duplikate werden nach dem Bekanntwerden auf ein Patientenobjekt zusammengeführt (gemerged). | ||
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| Um als Subsystem über ein Patienten-Merge-Event informiert zu werden, wird der FHIR Subscription Mechanismus gemäß der FHIR R5 Spezifikation genutzt. | ||
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ImplementationGuide/markdown/Subscription/Subscription_Profil.md
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| ## Profil | ||
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| @``` | ||
| from StructureDefinition where url = 'https://gematik.de/fhir/isik/StructureDefinition/patient-merge-subscription' select Name: name, Canonical: url | ||
| ``` | ||
| {{tree:https://gematik.de/fhir/isik/StructureDefinition/patient-merge-subscription, hybrid}} | ||
| @``` from StructureDefinition where url = 'https://gematik.de/fhir/isik/StructureDefinition/patient-merge-subscription' for differential.element.constraint select key, severity, human, expression``` | ||
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| --- |
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116 changes: 116 additions & 0 deletions
116
Resources/fsh-generated/resources/Bundle-SubscriptionNotificationBundleExample.json
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| { | ||
| "resourceType": "Bundle", | ||
| "id": "SubscriptionNotificationBundleExample", | ||
| "type": "history", | ||
| "entry": [ | ||
| { | ||
| "fullUrl": "urn:uuid:9bb6fcbd-8391-4e35-bd4c-620a2db47af0", | ||
| "resource": { | ||
| "resourceType": "Parameters", | ||
| "id": "SubscriptionNotification", | ||
| "meta": { | ||
| "profile": [ | ||
| "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-subscription-status-r4" | ||
| ] | ||
| }, | ||
| "parameter": [ | ||
| { | ||
| "name": "subscription", | ||
| "valueReference": { | ||
| "reference": "Subscription/1" | ||
| } | ||
| }, | ||
| { | ||
| "name": "topic", | ||
| "valueCanonical": "https://gematik.de/fhir/isik/SubscriptionTopic/patient-merge" | ||
| }, | ||
| { | ||
| "name": "status", | ||
| "valueCode": "active" | ||
| }, | ||
| { | ||
| "name": "type", | ||
| "valueCode": "event-notification" | ||
| }, | ||
| { | ||
| "name": "events-since-subscription-start", | ||
| "valueString": "1" | ||
| }, | ||
| { | ||
| "name": "notification-event", | ||
| "part": [ | ||
| { | ||
| "name": "event-number", | ||
| "valueString": "1" | ||
| }, | ||
| { | ||
| "name": "timestamp", | ||
| "valueDate": "2024-02-22" | ||
| }, | ||
| { | ||
| "name": "focus", | ||
| "valueReference": { | ||
| "reference": "Patient/DorisQuelle" | ||
| } | ||
| } | ||
| ] | ||
| } | ||
| ] | ||
| } | ||
| }, | ||
| { | ||
| "fullUrl": "http://example.com/fhir/Patient/DorisQuelle/_history/2", | ||
| "resource": { | ||
| "resourceType": "Patient", | ||
| "id": "DorisQuelle", | ||
| "meta": { | ||
| "profile": [ | ||
| "https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient" | ||
| ] | ||
| }, | ||
| "identifier": [ | ||
| { | ||
| "type": { | ||
| "coding": [ | ||
| { | ||
| "code": "MR", | ||
| "system": "http://terminology.hl7.org/CodeSystem/v2-0203" | ||
| } | ||
| ] | ||
| }, | ||
| "system": "https://fhir.krankenhaus.example/sid/PID", | ||
| "value": "654321" | ||
| }, | ||
| { | ||
| "system": "http://fhir.de/sid/gkv/kvid-10", | ||
| "type": { | ||
| "coding": [ | ||
| { | ||
| "code": "GKV", | ||
| "system": "http://fhir.de/CodeSystem/identifier-type-de-basis" | ||
| } | ||
| ] | ||
| }, | ||
| "value": "A123456789" | ||
| } | ||
| ], | ||
| "name": [ | ||
| { | ||
| "use": "official", | ||
| "family": "Duplikat", | ||
| "given": [ | ||
| "Doris" | ||
| ] | ||
| } | ||
| ], | ||
| "active": false, | ||
| "gender": "female", | ||
| "birthDate": "1964-08-12" | ||
| }, | ||
| "request": { | ||
| "method": "PUT", | ||
| "url": "Patient/DorisQuelle" | ||
| } | ||
| } | ||
| ] | ||
| } |
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