Example Usage Scenarios:

• Document patient demographics including name, gender, birth date, and address for clinical care and research
• Record health insurance information for administrative purposes
• Maintain organizational patient identifiers (PID) for linking patient data across systems within a healthcare organization
• Enable pseudonymized patient representations for research use cases while preserving essential demographic characteristics

Profile Specific Implementation Guidance

This section provides detailed implementation guidance for the MII Patient Profile.

Patient Identification

Patient identification uses multiple identifier types depending on the context:

• Patient.identifier:versichertenId: Lebenslange Krankenversicherten-ID (10-stellige KVID) for all health insurance types (GKV, PKV, Sonderkostenträger)
  • IMPORTANT: The Assigner element MUST contain the IKNR (Institutionskennzeichen) of the issuing institution
  • Always represents the current insurance number of the patient
  • Use Identifier.type code KVZ10 from http://fhir.de/CodeSystem/identifier-type-de-basis
  • Codes GKV and PKV have status retired and SHOULD NOT be used
• Patient.identifier:pid: Organisationsinterner Patienten-Identifier - the leading (MPI) ID of the patient
  • A reference to the issuing Organization in Patient.identifier:pid.assigner is RECOMMENDED
  • Logical reference via IK-Nummer or IHE Affinity Domain OID is permitted
  • The CodeSystem Core-Location-Identifier for all MII sites can be used
• Patient.identifier: Any other identifiers when GKV/PKV/PID are not applicable

Patient Name

Patient names follow the German Base Profile for HumanName:

• Name Components: The breakdown of the complete name into components (e.g., Vorsatzwort, Namenszusatz, Nachname) SHOULD only be performed if this information is explicitly available at this granularity (e.g., through direct import based on a VSDM dataset)
• Birth Name: By general convention, the birth name (name.use = maiden) contains only the family name
• Multiple Names: Multiple name entries are permitted for different use cases (official, maiden, etc.)

Gender

Gender documentation follows the German Base Profile for Gender:

• Patient.gender: Administrative gender (required)
• Patient.gender.extension:other-amtlich: Official gender codes according to German regulations for cases beyond male/female/unknown
• Patient.extension:recordedSexOrGender: Repeatable sex or gender statements taken from a document or other record. These statements are kept separate from the administrative gender in Patient.gender and can, for example, represent sex assigned at birth.
  • value: The recorded value. The MII ValueSet Person Recorded Sex or Gender SNOMED is bound with preferred strength and contains SNOMED CT findings related to biological sex as well as 261665006 | Unknown (qualifier value) |.
  • type: Identifies the kind of recorded sex or gender. http://loinc.org|76689-9 (Sex assigned at birth) SHOULD be used when documenting sex assigned at birth.
  • acquisitionDate: Date and time when the statement was first recorded in the system.

Indeterminate sex describes a sex that could not be determined, whereas Unknown indicates that the value is not known or was not recorded. Implementations SHOULD preserve this distinction.

Citizenship and Nationality

• Patient.extension:patient-citizenship: The patient's legal status as a citizen of a country. Multiple citizenships and their respective periods can be represented.
• Patient.extension:patient-nationality: The patient's nationality. Multiple nationalities and their respective periods can be represented.

Open clarification: The intended use and boundary between patient-citizenship and patient-nationality still need to be clarified. In particular, it remains unresolved whether the German concept “Staatsangehörigkeit” refers specifically to legal citizenship or to nationality in a broader legal, cultural, or ethnic sense. See #86.

Birth Date, Place of Birth, and Vital Status

• Patient.birthDate: Full birth date when available. See German Base Profile - Geburtsdatum
• Patient.extension:birthPlace: The patient's registered place of birth. To represent the country of birth, use valueAddress.country; the countryCode extension supports coding with ISO 3166-1 alpha-2 codes using a preferred binding.

EHDS outlook: The use and cardinalities of the FHIR core extensions patient-citizenship, patient-nationality, and patient-birthPlace are aligned with HL7 Europe Patient (EU base) 2.0.0 and HL7 Europe Patient (EU core) 2.0.0. This supports future interoperability in an EHDS context.

• Patient.deceased[x]:
  • deceasedBoolean SHOULD be replaced by deceasedDateTime when the patient is deceased and the datetime is known

Address Information

Address details follow the German Base Profile - Adresse:

• Multiple Addresses: Multiple addresses are permitted
• Address History: Systems SHOULD mark former addresses appropriately so that the current address of the patient is identifiable
• Address Components:
  • address.line with extensions for Straße, Hausnummer, Adresszusatz, Postfach
  • address.city with extension for Gemeindeschlüssel and Stadtteil (for city-states)
  • address.postalCode for PLZ
  • address.country for Land

EHDS outlook: Through the dependency on the German FHIR Base Profiles 1.6.0, the Patient address slices are based on AddressDeBasis 1.6.0. For a consistently coded country, implementations SHOULD use the inherited Address.country.extension:countryCode extension (iso21090-codedString) with an ISO 3166-1 alpha-2 code; source-system alpha-3 codes MUST be mapped to their alpha-2 equivalent when populating this extension. AddressDeBasis binds the extension with required strength to the ISO 3166 Part 1: 2 Letter Codes ValueSet. This uses the same extension and ValueSet as HL7 Europe Address (EU) 2.0.0, where the binding is preferred, and supports future EHDS interoperability. This recommendation concerns the coded representation in the extension; Address.country remains a string.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services Constraints: mii-pat-1
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:birthPlace	S	0..1	(Complex)	URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]	S	1..1	Address	Value of extension
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
country	SΣ	0..1	string
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:countryCode	S	0..1	(Complex)	code for string URL: http://hl7.org/fhir/StructureDefinition/iso21090-codedString
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-codedString"
value[x]	S	1..1	Coding	Value of extension Binding: Iso3166-1-2 (preferred)
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
extension:patient-citizenship	S	0..*	(Complex)	URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
Slices for extension				Content/Rules for all slices
extension:code	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"code"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: CountryValueSet (preferred)
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
extension:period	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"period"
value[x]	S	1..1	Period	Value of extension
url	S	1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-citizenship"
extension:patient-nationality	S	0..*	(Complex)	URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
Slices for extension				Content/Rules for all slices
extension:code	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"code"
value[x]	S	1..1	CodeableConcept	Value of extension
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
extension:period	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"period"
value[x]	S	1..1	Period	Value of extension
url	S	1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-nationality"
extension:recordedSexOrGender	S	0..*	(Complex)	URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
Slices for extension		1..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:value	S	1..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"value"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: MII VS Person Recorded Sex or Gender SNOMED (preferred)
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
extension:type	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"type"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: Recorded Sex Or Gender Type (example)
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
extension:effectivePeriod		0..1	Extension	When the recorded sex or gender value applies
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"effectivePeriod"
extension:acquisitionDate	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"acquisitionDate"
value[x]	S	1..1	dateTime	Value of extension
extension:source		0..1	Extension	The source of the Recorded Sex or Gender value.
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"source"
value[x]		1..1		Value of extension
valueCodeableConcept			CodeableConcept
valueReference			Reference(Organization | Device | RelatedPerson | Practitioner)
extension:sourceDocument		0..1	Extension	The document the sex or gender property was acquired from.
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"sourceDocument"
value[x]		1..1		Value of extension
valueCodeableConcept			CodeableConcept
valueReference			Reference(DocumentReference)
extension:sourceField		0..1	Extension	The name of the field within the source document where this sex or gender property is initially recorded.
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"sourceField"
value[x]		1..1	string	Value of extension
extension:jurisdiction		0..1	Extension	Who issued the document where the sex or gender was aquired
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"jurisdiction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Jurisdiction ValueSet (extensible)
extension:comment		0..1	Extension	Context or source information about the recorded sex or gender
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"comment"
value[x]		1..1	string	Value of extension
extension:genderElementQualifier		0..1	Extension	Whether this recorded sex or gender value qualifies the .gender element.
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"genderElementQualifier"
value[x]		1..1	boolean	Value of extension
url	S	1..1	uri	"http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Patienten-Identifikator Slice: Unordered, Open by pattern:$this
identifier:versichertenId	SΣ	0..1	IdentifierKvid10	Krankenversichertennummer Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
period		0..1	Period	Time period when id is/was valid for use
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣC	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Kvid DeBasis ValueSet (required): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Constraints: kvid-2 Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
text		0..1	string	Plain text representation of the concept
coding	SΣ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: KVZ10
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value	SΣC	1..1	string	The value that is unique Constraints: kvid-1 Example General: 123456
assigner	SΣC	1..1	Reference(Organization)	Organization that issued id (may be just text) Constraints: ref-1
identifier	SΣ	1..1	IdentifierIknr	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
text		0..1	string	Plain text representation of the concept
coding	SΣ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: XX
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/arge-ik/iknr
value	SΣC	1..1	string	The value that is unique Constraints: ik-1 Example General: 123456
identifier:pid	SΣ	0..*	IdentifierPid	Patientenidentifikation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
period		0..1	Period	Time period when id is/was valid for use
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
text		0..1	string	Plain text representation of the concept
coding	SΣ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: MR
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
assigner	SΣC	0..1	Reference(Organization)	Organization that issued id (may be just text) Constraints: ref-1
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
text		0..1	string	Plain text representation of the concept
coding	SΣ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: XX
system	ΣC	0..1	uri	The namespace for the identifier value Constraints: mii-pat-2 Example General: http://www.acme.com/identifiers/patient
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	0..*	HumanName	Name Slice: Unordered, Open by pattern:$this
name:name	SΣ	0..1	HumannameDeBasis	Personenname Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
text		0..1	string	Text representation of the full name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
use	?!SΣ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official
family	SΣ	1..1	string	Familienname
Slices for extension				Content/Rules for all slices
extension:namenszusatz	S	0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname	S	0..1	string	Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort	S	0..1	string	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
given	SΣ	1..*	string	Vorname This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Namensteile vor dem Vornamen This repeating element order: Prefixes appear in the correct order for presenting the name
Slices for extension				Content/Rules for all slices
extension:prefix-qualifier	S	0..1	code	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier Binding: EntityNamePartQualifier (required)
name:geburtsname	SΣ	0..1	HumannameDeBasis	Geburtsname Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
text		0..1	string	Text representation of the full name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
use	?!SΣ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: maiden
family	SΣ	1..1	string	Familienname
Slices for extension				Content/Rules for all slices
extension:namenszusatz	S	0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname	S	0..1	string	Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort	S	0..1	string	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
gender	SΣ	0..1	code	Administratives Geschlecht Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:other-amtlich	S	0..1	(Complex)	Extension Administratives Geschlecht URL: http://fhir.de/StructureDefinition/gender-amtlich-de
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/gender-amtlich-de"
value[x]	SC	1..1	Coding	Value of extension Binding: GenderOtherDE ValueSet (required) Constraints: gender-amtlich-1
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
birthDate	SΣ	0..1	date	Geburtsdatum
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
Slices for deceased[x]	?!SΣ	0..1		Verstorben Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!SΣ	0..1	boolean	Indicates if the individual is deceased or not
deceased[x]:deceasedDateTime	?!SΣ	0..1	dateTime	Indicates if the individual is deceased or not
Slices for address	SΣ	0..*	Address	Adresse Slice: Unordered, Open by pattern:$this
address:Strassenanschrift	SΣC	0..*	AddressDeBasis	Straßenanschrift Constraints: pat-cnt-2or3-char Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
text		0..1	string	Text representation of the address
state		0..1	string	Sub-unit of country (abbreviations ok)
period		0..1	Period	Time period when address was/is in use
Slices for extension				Content/Rules for all slices
extension:Stadtteil	S	0..1	string	precinct URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	SΣ	1..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Fixed Value: both
line	SΣ	1..3	string	Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street Example Beispiel für Adresszeile mit Extensions für Straße und Hausnummer: Musterweg 42
Slices for extension				Content/Rules for all slices
extension:Strasse	S	0..1	string	streetName URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
extension:Hausnummer	S	0..1	string	houseNumber URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
extension:Adresszusatz	S	0..1	string	additionalLocator URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator
city	SΣ	1..1	string	Name of city, town etc. Example General: Erewhon
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:gemeindeschluessel	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/destatis/ags
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/destatis/ags"
value[x]	S	1..1	Coding	Value of extension Example AGS Hildesheim: {"system":"http://fhir.de/sid/destatis/ags","code":"03254021"}
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/sid/destatis/ags
code	SΣC	1..1	code	Symbol in syntax defined by the system Constraints: ags-extension-1
postalCode	SΣ	1..1	string	Postleitzahl Example General: 9132
country	SΣ	1..1	string	Staat Example Beispiel für textuelle Landesangabe: Deutschland
Slices for extension				Content/Rules for all slices
extension:countryCode		0..1	(Complex)	Länderkennzeichen nach ISO 3166-1 URL: http://hl7.org/fhir/StructureDefinition/iso21090-codedString Example Beispiel für kodierte Landesangabe: {"system":"urn:iso:std:iso:3166","code":"DE","display":"Deutschland"}
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-codedString"
value[x]		1..1	Coding	Value of extension Binding: Iso3166-1-2 (required): A coded representation for a string. Could be codes for country in a country address part, codes for prefixes in a name part, etc.
address:Postfach	SΣC	0..*	AddressDeBasis	Postfach Constraints: pat-cnt-2or3-char Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
text		0..1	string	Text representation of the address
state		0..1	string	Sub-unit of country (abbreviations ok)
period		0..1	Period	Time period when address was/is in use
Slices for extension				Content/Rules for all slices
extension:Stadtteil	S	0..1	string	precinct URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	SΣ	1..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Fixed Value: postal
line	SΣ	1..3	string	Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street Example Beispiel für Adresszeile mit Extensions für Straße und Hausnummer: Musterweg 42
Slices for extension				Content/Rules for all slices
extension:Postfach	S	0..1	string	postBox URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox
city	SΣ	1..1	string	Name of city, town etc. Example General: Erewhon
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:gemeindeschluessel	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/destatis/ags
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/destatis/ags"
value[x]	S	1..1	Coding	Value of extension Example AGS Hildesheim: {"system":"http://fhir.de/sid/destatis/ags","code":"03254021"}
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/sid/destatis/ags
code	SΣC	1..1	code	Symbol in syntax defined by the system Constraints: ags-extension-1
postalCode	SΣ	1..1	string	Postleitzahl Example General: 9132
country	SΣ	1..1	string	Staat Example Beispiel für textuelle Landesangabe: Deutschland
Slices for extension				Content/Rules for all slices
extension:countryCode		0..1	(Complex)	Länderkennzeichen nach ISO 3166-1 URL: http://hl7.org/fhir/StructureDefinition/iso21090-codedString Example Beispiel für kodierte Landesangabe: {"system":"urn:iso:std:iso:3166","code":"DE","display":"Deutschland"}
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-codedString"
value[x]		1..1	Coding	Value of extension Binding: Iso3166-1-2 (required): A coded representation for a string. Could be codes for country in a country address part, codes for prefixes in a name part, etc.
link	?!SΣ	0..*	BackboneElement	Verweis
modifierExtension	?!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
type	SΣ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.extension:birthPlace.​value[x].use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.extension:birthPlace.​value[x].country.extension:countryCode.​value[x]	Base	preferred	Iso 3166 Part 1: 2 Letter Codes	📦4.0.1	FHIR Std.
Patient.extension:patient-citizenship.​extension:code.value[x]	Base	preferred	Country ValueSet	📦5.0.0	FHIR Extensions Pack v5.3
Patient.extension:recordedSexOrGender.​extension:value.value[x]	Base	preferred	MII VS Person Recorded Sex or Gender SNOMED	📦2027.0.0-ballot	This IG
Patient.extension:recordedSexOrGender.​extension:type.value[x]	Base	example	Recorded Sex Or Gender Type	📦2.0.0	THO v7.2
Patient.extension:recordedSexOrGender.​extension:jurisdiction.​value[x]	Base	extensible	Jurisdiction ValueSet	📦1.0.0	THO v7.2
Patient.identifier:versichertenId.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:versichertenId.​type	Base	required	Identifier Type Kvid DeBasis ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Patient.identifier:versichertenId.​assigner.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:versichertenId.​assigner.identifier.​type	Base	extensible	Identifier Type DeBasis ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Patient.identifier:pid.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:pid.​type	Base	extensible	Identifier Type DeBasis ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Patient.identifier:pid.​assigner.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:pid.​assigner.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name:name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.name:geburtsname.​use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.gender.extension:other-amtlich.​value[x]	Base	required	GenderOtherDE ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Patient.address:Strassenanschrift.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address:Strassenanschrift.​type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address:Strassenanschrift.​country.extension:countryCode.​value[x]	Base	required	Iso 3166 Part 1: 2 Letter Codes	📍4.0.1	FHIR Std.
Patient.address:Postfach.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address:Postfach.​type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address:Postfach.​country.extension:countryCode.​value[x]	Base	required	Iso 3166 Part 1: 2 Letter Codes	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ags-extension-1	error	Patient.address:Strassenanschrift.city.extension:gemeindeschluessel.value[x].code, Patient.address:Postfach.city.extension:gemeindeschluessel.value[x].code	Der Amtliche Gemeindeschlüssel ist nummerisch und begrenzt auf acht Stellen	$this.matches('^[0-9]{8}$')
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	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	error	Patient	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	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
gender-amtlich-1	error	Patient.gender.extension:other-amtlich.value[x]	Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist	%resource.where(gender='other').exists()
ik-1	warning	Patient.identifier:versichertenId.assigner.identifier.value	Eine IK muss eine numerische 9-stellige Zeichenkette (mit Prüfziffer) sein	matches('^[0-9]{9}$')
kvid-1	warning	Patient.identifier:versichertenId.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen	matches('^[A-Z][0-9]{9}$')
kvid-2	warning	Patient.identifier:versichertenId.type	Die type Codes 'GKV' und 'PKV' haben den Status 'retired', daher sollen diese nicht mehr verwendet werden	($this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='GKV') or $this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='PKV')).not()
mii-pat-1	error	Patient	Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden	gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
mii-pat-2	error	Patient.identifier:pid.assigner.identifier.system	Entweder IKNR oder MII Core Location Identifier muss verwendet werden	$this = 'http://fhir.de/sid/arge-ik/iknr' or $this = 'https://www.medizininformatik-initiative.de/fhir/core/CodeSystem/core-location-identifier'
pat-cnt-2or3-char	warning	Patient.address:Strassenanschrift, Patient.address:Postfach	The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.	country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
ref-1	error	Patient.identifier:versichertenId.assigner, Patient.identifier:pid.assigner	SHALL have a contained resource if a local reference is provided	reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services Constraints: mii-pat-1
id	S	0..1	id	Logical id of this artifact
meta	S	0..1	Meta	Metadata about the resource
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:birthPlace	S	0..1	(Complex)	URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Address	Value of extension
country	S	0..1	string
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:countryCode	S	0..1	(Complex)	code for string URL: http://hl7.org/fhir/StructureDefinition/iso21090-codedString
value[x]	S	1..1	Coding	Value of extension Binding: Iso3166-1-2 (preferred)
system	S	0..1	uri	Identity of the terminology system
code	S	0..1	code	Symbol in syntax defined by the system
extension:patient-citizenship	S	0..*	(Complex)	URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
Slices for extension				Content/Rules for all slices
extension:code	S	0..1	Extension	Extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	CodeableConcept	Value of extension
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
code	S	0..1	code	Symbol in syntax defined by the system
extension:period	S	0..1	Extension	Extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Period	Value of extension
url	S	1..1	uri	identifies the meaning of the extension
extension:patient-nationality	S	0..*	(Complex)	URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
Slices for extension				Content/Rules for all slices
extension:code	S	0..1	Extension	Extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	CodeableConcept	Value of extension
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
code	S	0..1	code	Symbol in syntax defined by the system
extension:period	S	0..1	Extension	Extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Period	Value of extension
url	S	1..1	uri	identifies the meaning of the extension
extension:recordedSexOrGender	S	0..*	(Complex)	URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
Slices for extension				Content/Rules for all slices
extension:value	S	1..1	Extension	Extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	CodeableConcept	Value of extension Binding: MII VS Person Recorded Sex or Gender SNOMED (preferred)
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
code	S	0..1	code	Symbol in syntax defined by the system
extension:type	S	0..1	Extension	Extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	CodeableConcept	Value of extension
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
code	S	0..1	code	Symbol in syntax defined by the system
extension:acquisitionDate	S	0..1	Extension	Extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	dateTime	Value of extension
url	S	1..1	uri	identifies the meaning of the extension
Slices for identifier	S	0..*	Identifier	Patienten-Identifikator Slice: Unordered, Open by pattern:$this
identifier:versichertenId	S	0..1	IdentifierKvid10	Krankenversichertennummer Required Pattern: At least the following
type	S	1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
coding	S	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	S	0..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
code	S	0..1	code	Symbol in syntax defined by the system Fixed Value: KVZ10
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
assigner	S	1..1	Reference(Organization)	Organization that issued id (may be just text)
identifier	S	1..1	IdentifierIknr	Logical reference, when literal reference is not known
type	S	0..1	CodeableConcept	Description of identifier
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
code	S	0..1	code	Symbol in syntax defined by the system
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
identifier:pid	S	0..*	IdentifierPid	Patientenidentifikation Required Pattern: At least the following
type	S	1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
coding	S	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	S	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	S	0..1	code	Symbol in syntax defined by the system Fixed Value: MR
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
assigner	S	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
type	S	0..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding	S	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	S	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	S	0..1	code	Symbol in syntax defined by the system Fixed Value: XX
system	C	0..1	uri	The namespace for the identifier value Constraints: mii-pat-2
Slices for name	S	0..*	HumanName	Name Slice: Unordered, Open by pattern:$this
name:name	S	0..1	HumannameDeBasis	Personenname Required Pattern: At least the following
use	S	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
family	S	1..1	string	Familienname
Slices for extension				Content/Rules for all slices
extension:namenszusatz	S	0..1	HumannameNamenszusatz	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
extension:nachname	S	0..1	OwnName(5.3.0)	Portion derived from person's own surname
extension:vorsatzwort	S	0..1	OwnPrefix(5.3.0)	Voorvoegsel derived from person's own surname
given	S	1..*	string	Vorname
prefix	S	0..*	string	Namensteile vor dem Vornamen
Slices for extension				Content/Rules for all slices
extension:prefix-qualifier	S	0..1	ENQualifier(5.3.0)	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
name:geburtsname	S	0..1	HumannameDeBasis	Geburtsname Required Pattern: At least the following
use	S	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
family	S	1..1	string	Familienname
Slices for extension				Content/Rules for all slices
extension:namenszusatz	S	0..1	HumannameNamenszusatz	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
extension:nachname	S	0..1	OwnName(5.3.0)	Portion derived from person's own surname
extension:vorsatzwort	S	0..1	OwnPrefix(5.3.0)	Voorvoegsel derived from person's own surname
given		0..0		Vorname
prefix		0..0		Namensteile vor dem Vornamen
gender	S	0..1	code	Administratives Geschlecht
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:other-amtlich	S	0..1	(Complex)	Extension Administratives Geschlecht URL: http://fhir.de/StructureDefinition/gender-amtlich-de
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Coding	Value of extension
system	S	0..1	uri	Identity of the terminology system
code	S	0..1	code	Symbol in syntax defined by the system
birthDate	S	0..1	date	Geburtsdatum
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
Slices for deceased[x]	S	0..1	boolean, dateTime	Verstorben Slice: Unordered, Open by type:$this
deceased[x]:deceasedBoolean	S	0..1	boolean	Indicates if the individual is deceased or not
deceased[x]:deceasedDateTime	S	0..1	dateTime	Indicates if the individual is deceased or not
Slices for address	S	0..*	Address	Adresse Slice: Unordered, Open by pattern:$this
address:Strassenanschrift	SC	0..*	AddressDeBasis	Straßenanschrift Constraints: pat-cnt-2or3-char Required Pattern: At least the following
Slices for extension				Content/Rules for all slices
extension:Stadtteil	S	0..1	ADXPPrecinct(5.3.0)	precinct
type	S	1..1	code	postal | physical | both Fixed Value: both
line	S	1..3	string	Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung
Slices for extension				Content/Rules for all slices
extension:Strasse	S	0..1	ADXPStreetName(5.3.0)	streetName
extension:Hausnummer	S	0..1	ADXPHouseNumber(5.3.0)	houseNumber
extension:Adresszusatz	S	0..1	ADXPAdditionalLocator(5.3.0)	additionalLocator
extension:Postfach	S	0..0		postBox
city	S	1..1	string	Name of city, town etc.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:gemeindeschluessel	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/destatis/ags
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Coding	Value of extension
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
postalCode	S	1..1	string	Postleitzahl
country	S	1..1	string	Staat
address:Postfach	SC	0..*	AddressDeBasis	Postfach Constraints: pat-cnt-2or3-char Required Pattern: At least the following
Slices for extension				Content/Rules for all slices
extension:Stadtteil	S	0..1	ADXPPrecinct(5.3.0)	precinct
type	S	1..1	code	postal | physical | both Fixed Value: postal
line	S	1..3	string	Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung
Slices for extension				Content/Rules for all slices
extension:Strasse		0..0		streetName
extension:Hausnummer		0..0		houseNumber
extension:Adresszusatz		0..0		additionalLocator
extension:Postfach	S	0..1	ADXPPostBox(5.3.0)	postBox
city	S	1..1	string	Name of city, town etc.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:gemeindeschluessel	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/destatis/ags
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Coding	Value of extension
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
postalCode	S	1..1	string	Postleitzahl
country	S	1..1	string	Staat
link	S	0..*	BackboneElement	Verweis
other	S	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	S	1..1	code	replaced-by | replaces | refer | seealso
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Patient.extension:birthPlace.​value[x].country.extension:countryCode.​value[x]	Base	preferred	Iso 3166 Part 1: 2 Letter Codes	📦4.0.1	FHIR Std.
Patient.extension:recordedSexOrGender.​extension:value.value[x]	Base	preferred	MII VS Person Recorded Sex or Gender SNOMED	📦2027.0.0-ballot	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
mii-pat-1	error	Patient	Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden	gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
mii-pat-2	error	Patient.identifier:pid.assigner.identifier.system	Entweder IKNR oder MII Core Location Identifier muss verwendet werden	$this = 'http://fhir.de/sid/arge-ik/iknr' or $this = 'https://www.medizininformatik-initiative.de/fhir/core/CodeSystem/core-location-identifier'
pat-cnt-2or3-char	warning	Patient.address:Strassenanschrift, Patient.address:Postfach	The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.	country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))