Beispielhafte Anwendungsszenarien:

• Dokumentation demografischer Patientendaten einschließlich Name, Geschlecht, Geburtsdatum und Adresse für klinische Versorgung und Forschung
• Erfassung von Krankenversicherungsinformationen für administrative Zwecke
• Verwaltung organisationsinterner Patienten-Identifikatoren (PID) zur Verknüpfung von Patientendaten über Systeme innerhalb einer Gesundheitseinrichtung hinweg
• Ermöglichung pseudonymisierter Patientendarstellungen für Forschungszwecke unter Beibehaltung wesentlicher demografischer Merkmale

Profilspezifische Implementierungshinweise

Dieser Abschnitt enthält detaillierte Implementierungshinweise für das MII-Patient-Profil.

Patienten-Identifikation

Die Patienten-Identifikation verwendet je nach Kontext verschiedene Identifier-Typen:

• Patient.identifier:versichertenId: Lebenslange Krankenversicherten-ID (10-stellige KVID) für alle Krankenversicherungsarten (GKV, PKV, Sonderkostenträger)
  • WICHTIG: Das Assigner-Element MUSS die IKNR (Institutionskennzeichen) der ausgebenden Institution enthalten
  • Repräsentiert stets die aktuelle Versicherungsnummer der PatientIn
  • Verwenden Sie als Identifier.type den Code KVZ10 aus http://fhir.de/CodeSystem/identifier-type-de-basis
  • Die Codes GKV und PKV haben den Status retired und SOLLEN NICHT verwendet werden
• Patient.identifier:pid: Organisationsinterner Patienten-Identifier - die führende (MPI) ID der PatientIn
  • Eine Referenz auf die ausgebende Organization in Patient.identifier:pid.assigner ist EMPFOHLEN
  • Logische Referenz per IK-Nummer oder IHE Affinity Domain OID ist zulässig
  • Das CodeSystem Core-Location-Identifier für alle MII-Standorte kann verwendet werden
• Patient.identifier: Jegliche weiteren Identifier, falls GKV/PKV/PID nicht zutreffend ist

Patientenname

Patientennamen folgen dem [Deutschen FHIR-Basis-Profil für den Datentyp HumanName]:

• Namensbestandteile: Die Aufteilung des vollständigen Namens in seine Bestandteile (z.B. Vorsatzwort, Namenszusatz, Nachname) SOLL nur durchgeführt werden, falls diese Informationen explizit in dieser Granularität zur Verfügung stehen (z.B. durch einen direkten Import auf Basis eines VSDM-Datensatzes)
• Geburtsname: Per allgemeiner Konvention enthält der Geburtsname (name.use = maiden) nur den Familiennamen
• Mehrere Namen: Mehrere Namenseinträge sind für verschiedene Anwendungsfälle erlaubt (official, maiden, etc.)

Geschlecht

Die Geschlechtsdokumentation folgt den Vorgaben der [Deutschen FHIR-Basis-Profile für Geschlecht]:

• Patient.gender: Administratives Geschlecht (verpflichtend)
• Patient.gender.extension:other-amtlich: Amtliche Geschlechtscodes gemäß deutscher Vorschriften für Fälle jenseits von männlich/weiblich/unbekannt

Geburtsdatum und Vitalstatus

• Patient.birthDate: Vollständiges Geburtsdatum, wenn verfügbar. Siehe [Basisprofil - Geburtsdatum]
• Patient.deceased[x]:
  • deceasedBoolean SOLL, wo möglich, durch deceasedDateTime ersetzt werden, wenn die PatientIn verstorben ist und der Zeitpunkt bekannt ist

Adressinformationen

Adressdetails folgen dem [Basisprofil - Adresse]:

• Mehrere Adressen: Mehrere Adressen sind erlaubt
• Adressverlauf: Systeme SOLLEN ehemalige Adressen als solche kennzeichnen, sodass die aktuelle Adresse der PatientIn erkennbar ist
• Adressbestandteile:
  • address.line mit Extensions für Straße, Hausnummer, Adresszusatz, Postfach
  • address.city mit Extension für Gemeindeschlüssel und Stadtteil (bei Stadtstaaten)
  • address.postalCode für PLZ
  • address.country für Land

• Schlüsselelemente-Tabelle
• Differential-Tabelle
• Snapshot-Tabelle
• Statistiken/Referenzen
• Alle

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
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 DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Constraints: kvid-2 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://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	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
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	SΣ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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 Constraints: ext-1
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 Beipiel 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 Constraints: ext-1
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 Binding: Iso3166-1-2 (preferred)
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 Beipiel 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 Constraints: ext-1
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 Binding: Iso3166-1-2 (preferred)
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.identifier:versichertenId.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:versichertenId.​type	Base	extensible	Identifier Type DeBasis ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
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	📦1.5.4	de.basisprofil.r4 v1.5
Patient.identifier:pid.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:pid.​type	Base	extensible	Identifier Type DeBasis ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
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	📦1.5.4	de.basisprofil.r4 v1.5
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	Base	preferred	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	Base	preferred	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'))

Diese Struktur ist abgeleitet von Patient

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 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

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'))

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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
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 Slice: Unordered, Open by value:url
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 DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Constraints: kvid-2 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: KVZ10
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	IdentifierIknr	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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 Slice: Unordered, Open by value:url
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 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: XX
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
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 Slice: Unordered, Open by value:url
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 Slice: Unordered, Open by value:url
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 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: MR
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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 Slice: Unordered, Open by value:url
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 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Fixed Value: XX
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	ΣC	0..1	uri	The namespace for the identifier value Constraints: mii-pat-2 Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
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 Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official
text	Σ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Familienname
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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
value		0..1	string	Primitive value for string Max Length:1048576
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
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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)
value		0..1	string	Primitive value for string Max Length:1048576
suffix	Σ	0..*	string	Namensteile nach dem Nachnamen This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
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 Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: maiden
text	Σ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Familienname
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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
value		0..1	string	Primitive value for string Max Length:1048576
suffix	Σ	0..*	string	Namensteile nach dem Nachnamen This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
gender	SΣ	0..1	code	Administratives Geschlecht Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
id		0..1	string	xml:id (or equivalent in JSON)
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 Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
value		0..1	string	Primitive value for code
birthDate	SΣ	0..1	date	Geburtsdatum
id		0..1	string	xml:id (or equivalent in JSON)
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)
value		0..1	date	Primitive value for date
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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
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 Beipiel für Adresszeile mit Extensions für Straße und Hausnummer: Musterweg 42
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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
value		0..1	string	Primitive value for string Max Length:1048576
city	SΣ	1..1	string	Name of city, town etc. Example General: Erewhon
id		0..1	string	xml:id (or equivalent in JSON)
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 Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
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"}
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/sid/destatis/ags
version	Σ	0..1	string	Version of the system - if relevant
code	SΣC	1..1	code	Symbol in syntax defined by the system Constraints: ags-extension-1
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
value		0..1	string	Primitive value for string Max Length:1048576
state	Σ	0..1	string	Bundesland Binding: ISO-3166-2:de-Laendercodes (preferred)
postalCode	SΣ	1..1	string	Postleitzahl Example General: 9132
country	SΣ	1..1	string	Staat Binding: Iso3166-1-2 (preferred)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
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 Beipiel für Adresszeile mit Extensions für Straße und Hausnummer: Musterweg 42
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:Postfach	S	0..1	string	postBox URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox
value		0..1	string	Primitive value for string Max Length:1048576
city	SΣ	1..1	string	Name of city, town etc. Example General: Erewhon
id		0..1	string	xml:id (or equivalent in JSON)
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 Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
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"}
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/sid/destatis/ags
version	Σ	0..1	string	Version of the system - if relevant
code	SΣC	1..1	code	Symbol in syntax defined by the system Constraints: ags-extension-1
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
value		0..1	string	Primitive value for string Max Length:1048576
state	Σ	0..1	string	Bundesland Binding: ISO-3166-2:de-Laendercodes (preferred)
postalCode	SΣ	1..1	string	Postleitzahl Example General: 9132
country	SΣ	1..1	string	Staat Binding: Iso3166-1-2 (preferred)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!SΣ	0..*	BackboneElement	Verweis
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Patient.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Patient.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.identifier:versichertenId.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:versichertenId.​type	Base	extensible	Identifier Type DeBasis ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Patient.identifier:versichertenId.​assigner.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
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	📦1.5.4	de.basisprofil.r4 v1.5
Patient.identifier:pid.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:pid.​type	Base	extensible	Identifier Type DeBasis ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Patient.identifier:pid.​assigner.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
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	📦1.5.4	de.basisprofil.r4 v1.5
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.​state	Base	preferred	ISO-3166-2:de-Laendercodes	📦1.5.4	de.basisprofil.r4 v1.5
Patient.address:Strassenanschrift.​country	Base	preferred	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.​state	Base	preferred	ISO-3166-2:de-Laendercodes	📦1.5.4	de.basisprofil.r4 v1.5
Patient.address:Postfach.​country	Base	preferred	Iso 3166 Part 1: 2 Letter Codes	📦4.0.1	FHIR Std.
Patient.maritalStatus	Base	extensible	MaritalStatus	📍4.0.1	FHIR Std.
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	preferred	Common Languages	📍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-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization	name.exists() or telecom.exists() or address.exists() or organization.exists()
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'))