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Resource Profile: EPA Patient

Das Patient-Profil für die ePA

Usages:

• Examples for this Profile: Patient/7eeb4e81-ce38-4d70-84fc-9ca4c7d0939c
• CapabilityStatements using this Profile: Capability Statement für Clients des ePA Patient Service and EPA CapabilityStatement für den Patient Service

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	TIPatient	Information about an individual or animal receiving health care services Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, pat-de-1
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR	SΣ	1..1	IdentifierKvid10	An identifier intended for computation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣC	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. 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
coding		1..*	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
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: KVZ10
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		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
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:$this
name:Name	SΣC	1..1	HumannameDeBasis	Personenname Constraints: hum-1, hum-2, hum-3, hum-4 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the 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.
family	SΣ	1..1	string	Familienname
Slices for extension				Content/Rules for all slices
extension:namenszusatz	SN	0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname	S	0..1	string	Nachname ohne Vor- und Zusätze URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort	S	0..1	string	Vorsatzwort 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	(Complex)	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
value[x]	S	1..1	code	Value of extension Binding: EntityNamePartQualifier (required): A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. Fixed Value: AC
name:Geburtsname	SΣC	0..1	HumannameDeBasis	Personenname Constraints: hum-1, hum-2, hum-3, hum-4 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the 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.
family	SΣ	1..1	string	Familienname
Slices for extension				Content/Rules for all slices
extension:namenszusatz	S	0..1	(Complex)	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/humanname-namenszusatz"
value[x]	S	0..1	string	Namenszusatz
extension:nachname	S	0..1	(Complex)	Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-own-name"
value[x]	S	1..1	string	Value of extension
extension:vorsatzwort	S	0..1	(Complex)	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"
value[x]	S	1..1	string	Value of extension
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Slices for extension				Content/Rules for all slices
extension:other-amtlich		0..1	(Complex)	Optional Extensions Element 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
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
birthDate	SΣ	1..1	date	Geburtsdatum
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	ΣC	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to Constraints: ref-1
type	Σ	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:KVNR.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:KVNR.​type	Base	extensible	Identifier Type DeBasis ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Patient.name:Name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.name:Name.prefix.​extension:prefix-qualifier.​value[x]	Base	required	EntityNamePartQualifier	📍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.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
hum-1	error	Patient.name:Name, Patient.name:Geburtsname	Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden	family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()
hum-2	error	Patient.name:Name, Patient.name:Geburtsname	Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden	family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()
hum-3	error	Patient.name:Name, Patient.name:Geburtsname	Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden	family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()
hum-4	error	Patient.name:Name, Patient.name:Geburtsname	Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden	prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())
kvid-1	warning	Patient.identifier:KVNR.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen	matches('^[A-Z][0-9]{9}$')
kvid-2	warning	Patient.identifier:KVNR.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()
pat-de-1	error	Patient	Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist	gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
ref-1	error	Patient.link.other	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from TIPatient

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	TIPatient	Information about an individual or animal receiving health care services
id	S	0..1	id	Logical id of this artifact
meta	S	0..1	Meta	Metadata about the resource
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	When the resource version last changed
identifier		1..*	Identifier	An identifier for this patient
Slices for identifier				Content/Rules for all slices
identifier:KVNR		1..1	IdentifierKvid10	An identifier intended for computation
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
active		0..0		Whether this patient's record is in active use
Slices for name				Content/Rules for all slices
name:Name		1..1	HumannameDeBasis	Personenname
prefix
Slices for extension				Content/Rules for all slices
extension:prefix-qualifier		0..1	ENQualifier(5.2.0)	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	code	Value of extension
name:Geburtsname		0..1	HumannameDeBasis	Personenname
family
Slices for extension				Content/Rules for all slices
extension:namenszusatz		0..1	HumannameNamenszusatz	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	0..1	string	Namenszusatz
extension:nachname		0..1	OwnName(5.2.0)	Portion derived from person's own surname
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	string	Value of extension
extension:vorsatzwort		0..1	OwnPrefix(5.2.0)	Voorvoegsel derived from person's own surname
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	string	Value of extension
gender
Slices for extension				Content/Rules for all slices
extension:other-amtlich		0..1	GenderOtherDE	Optional Extensions Element
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
version	S	0..1	string	Version of the system - if relevant
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	TIPatient	Information about an individual or animal receiving health care services Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, pat-de-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	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	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 Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR	SΣ	1..1	IdentifierKvid10	An identifier intended for computation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		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
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣC	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. 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
coding		1..*	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
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: KVZ10
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		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	ΣC	0..1	Period	Time period when id is/was valid for use Constraints: per-1
assigner	ΣC	0..1	Reference(Organization)	Organization that issued id (may be just text) Constraints: ref-1
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:$this
name:Name	SΣC	1..1	HumannameDeBasis	Personenname Constraints: hum-1, hum-2, hum-3, hum-4 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
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.
text	Σ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Familienname
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
extension:namenszusatz	SN	0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname	S	0..1	string	Nachname ohne Vor- und Zusätze URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort	S	0..1	string	Vorsatzwort 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	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:prefix-qualifier	S	0..1	(Complex)	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
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://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
value[x]	S	1..1	code	Value of extension Binding: EntityNamePartQualifier (required): A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. Fixed Value: AC
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	ΣC	0..1	Period	Time period when name was/is in use Constraints: per-1
name:Geburtsname	SΣC	0..1	HumannameDeBasis	Personenname Constraints: hum-1, hum-2, hum-3, hum-4 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
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.
text	Σ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Familienname
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
extension:namenszusatz	S	0..1	(Complex)	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
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/humanname-namenszusatz"
value[x]	S	0..1	string	Namenszusatz
extension:nachname	S	0..1	(Complex)	Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
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://hl7.org/fhir/StructureDefinition/humanname-own-name"
value[x]	S	1..1	string	Value of extension
extension:vorsatzwort	S	0..1	(Complex)	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
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://hl7.org/fhir/StructureDefinition/humanname-own-prefix"
value[x]	S	1..1	string	Value of extension
value		0..1	string	Primitive value for string Max Length:1048576
period	ΣC	0..1	Period	Time period when name was/is in use Constraints: per-1
telecom	ΣC	0..*	ContactPoint	A contact detail for the individual Constraints: cpt-2
gender	SΣ	0..1	code	male | female | other | unknown 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	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:other-amtlich		0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de
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	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	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	code	Primitive value for code Max Length:1048576
birthDate	SΣ	1..1	date	Geburtsdatum
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	Address	An address for the individual
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	C	0..*	Attachment	Image of the patient Constraints: att-1
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 Slice: Unordered, Open by value:url
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	C	0..*	ContactPoint	A contact detail for the person Constraints: cpt-2
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 Constraints: ref-1
period	C	0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient Constraints: per-1
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 Slice: Unordered, Open by value:url
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	C	0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider Constraints: ref-1
managingOrganization	ΣC	0..1	Reference(Organization)	Organization that is the custodian of the patient record Constraints: ref-1
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	ΣC	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to Constraints: ref-1
type	Σ	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:KVNR.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:KVNR.​type	Base	extensible	Identifier Type DeBasis ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Patient.name:Name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.name:Name.prefix.​extension:prefix-qualifier.​value[x]	Base	required	EntityNamePartQualifier	📍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.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
att-1	error	Patient.photo	If the Attachment has data, it SHALL have a contentType	data.empty() or contentType.exists()
cpt-2	error	Patient.telecom, Patient.contact.telecom	A system is required if a value is provided.	value.empty() or system.exists()
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()
hum-1	error	Patient.name:Name, Patient.name:Geburtsname	Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden	family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()
hum-2	error	Patient.name:Name, Patient.name:Geburtsname	Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden	family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()
hum-3	error	Patient.name:Name, Patient.name:Geburtsname	Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden	family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()
hum-4	error	Patient.name:Name, Patient.name:Geburtsname	Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden	prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())
kvid-1	warning	Patient.identifier:KVNR.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen	matches('^[A-Z][0-9]{9}$')
kvid-2	warning	Patient.identifier:KVNR.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()
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-de-1	error	Patient	Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist	gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
per-1	error	Patient.identifier:KVNR.period, Patient.name:Name.period, Patient.name:Geburtsname.period, Patient.contact.period	If present, start SHALL have a lower value than end	start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Patient.identifier:KVNR.assigner, Patient.contact.organization, Patient.generalPractitioner, Patient.managingOrganization, Patient.link.other	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from TIPatient

Summary

Mandatory: 2 elements
Must-Support: 20 elements
Prohibited: 1 element

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	TIPatient	Information about an individual or animal receiving health care services Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, pat-de-1
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR	SΣ	1..1	IdentifierKvid10	An identifier intended for computation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣC	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. 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
coding		1..*	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
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: KVZ10
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		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
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:$this
name:Name	SΣC	1..1	HumannameDeBasis	Personenname Constraints: hum-1, hum-2, hum-3, hum-4 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the 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.
family	SΣ	1..1	string	Familienname
Slices for extension				Content/Rules for all slices
extension:namenszusatz	SN	0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname	S	0..1	string	Nachname ohne Vor- und Zusätze URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort	S	0..1	string	Vorsatzwort 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	(Complex)	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
value[x]	S	1..1	code	Value of extension Binding: EntityNamePartQualifier (required): A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. Fixed Value: AC
name:Geburtsname	SΣC	0..1	HumannameDeBasis	Personenname Constraints: hum-1, hum-2, hum-3, hum-4 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the 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.
family	SΣ	1..1	string	Familienname
Slices for extension				Content/Rules for all slices
extension:namenszusatz	S	0..1	(Complex)	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/humanname-namenszusatz"
value[x]	S	0..1	string	Namenszusatz
extension:nachname	S	0..1	(Complex)	Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-own-name"
value[x]	S	1..1	string	Value of extension
extension:vorsatzwort	S	0..1	(Complex)	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"
value[x]	S	1..1	string	Value of extension
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Slices for extension				Content/Rules for all slices
extension:other-amtlich		0..1	(Complex)	Optional Extensions Element 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
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
birthDate	SΣ	1..1	date	Geburtsdatum
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	ΣC	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to Constraints: ref-1
type	Σ	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:KVNR.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:KVNR.​type	Base	extensible	Identifier Type DeBasis ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Patient.name:Name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.name:Name.prefix.​extension:prefix-qualifier.​value[x]	Base	required	EntityNamePartQualifier	📍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.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
hum-1	error	Patient.name:Name, Patient.name:Geburtsname	Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden	family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()
hum-2	error	Patient.name:Name, Patient.name:Geburtsname	Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden	family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()
hum-3	error	Patient.name:Name, Patient.name:Geburtsname	Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden	family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()
hum-4	error	Patient.name:Name, Patient.name:Geburtsname	Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden	prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())
kvid-1	warning	Patient.identifier:KVNR.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen	matches('^[A-Z][0-9]{9}$')
kvid-2	warning	Patient.identifier:KVNR.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()
pat-de-1	error	Patient	Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist	gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
ref-1	error	Patient.link.other	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Differential View

This structure is derived from TIPatient

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	TIPatient	Information about an individual or animal receiving health care services
id	S	0..1	id	Logical id of this artifact
meta	S	0..1	Meta	Metadata about the resource
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	When the resource version last changed
identifier		1..*	Identifier	An identifier for this patient
Slices for identifier				Content/Rules for all slices
identifier:KVNR		1..1	IdentifierKvid10	An identifier intended for computation
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
active		0..0		Whether this patient's record is in active use
Slices for name				Content/Rules for all slices
name:Name		1..1	HumannameDeBasis	Personenname
prefix
Slices for extension				Content/Rules for all slices
extension:prefix-qualifier		0..1	ENQualifier(5.2.0)	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	code	Value of extension
name:Geburtsname		0..1	HumannameDeBasis	Personenname
family
Slices for extension				Content/Rules for all slices
extension:namenszusatz		0..1	HumannameNamenszusatz	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	0..1	string	Namenszusatz
extension:nachname		0..1	OwnName(5.2.0)	Portion derived from person's own surname
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	string	Value of extension
extension:vorsatzwort		0..1	OwnPrefix(5.2.0)	Voorvoegsel derived from person's own surname
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	string	Value of extension
gender
Slices for extension				Content/Rules for all slices
extension:other-amtlich		0..1	GenderOtherDE	Optional Extensions Element
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
version	S	0..1	string	Version of the system - if relevant
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	TIPatient	Information about an individual or animal receiving health care services Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, pat-de-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	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	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 Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR	SΣ	1..1	IdentifierKvid10	An identifier intended for computation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		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
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣC	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. 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
coding		1..*	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
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: KVZ10
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		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	ΣC	0..1	Period	Time period when id is/was valid for use Constraints: per-1
assigner	ΣC	0..1	Reference(Organization)	Organization that issued id (may be just text) Constraints: ref-1
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:$this
name:Name	SΣC	1..1	HumannameDeBasis	Personenname Constraints: hum-1, hum-2, hum-3, hum-4 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
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.
text	Σ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Familienname
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
extension:namenszusatz	SN	0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname	S	0..1	string	Nachname ohne Vor- und Zusätze URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort	S	0..1	string	Vorsatzwort 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	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:prefix-qualifier	S	0..1	(Complex)	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
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://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
value[x]	S	1..1	code	Value of extension Binding: EntityNamePartQualifier (required): A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. Fixed Value: AC
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	ΣC	0..1	Period	Time period when name was/is in use Constraints: per-1
name:Geburtsname	SΣC	0..1	HumannameDeBasis	Personenname Constraints: hum-1, hum-2, hum-3, hum-4 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
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.
text	Σ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Familienname
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
extension:namenszusatz	S	0..1	(Complex)	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
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/humanname-namenszusatz"
value[x]	S	0..1	string	Namenszusatz
extension:nachname	S	0..1	(Complex)	Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
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://hl7.org/fhir/StructureDefinition/humanname-own-name"
value[x]	S	1..1	string	Value of extension
extension:vorsatzwort	S	0..1	(Complex)	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
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://hl7.org/fhir/StructureDefinition/humanname-own-prefix"
value[x]	S	1..1	string	Value of extension
value		0..1	string	Primitive value for string Max Length:1048576
period	ΣC	0..1	Period	Time period when name was/is in use Constraints: per-1
telecom	ΣC	0..*	ContactPoint	A contact detail for the individual Constraints: cpt-2
gender	SΣ	0..1	code	male | female | other | unknown 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	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:other-amtlich		0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de
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	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	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	code	Primitive value for code Max Length:1048576
birthDate	SΣ	1..1	date	Geburtsdatum
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	Address	An address for the individual
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	C	0..*	Attachment	Image of the patient Constraints: att-1
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 Slice: Unordered, Open by value:url
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	C	0..*	ContactPoint	A contact detail for the person Constraints: cpt-2
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 Constraints: ref-1
period	C	0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient Constraints: per-1
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 Slice: Unordered, Open by value:url
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	C	0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider Constraints: ref-1
managingOrganization	ΣC	0..1	Reference(Organization)	Organization that is the custodian of the patient record Constraints: ref-1
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	ΣC	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to Constraints: ref-1
type	Σ	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:KVNR.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:KVNR.​type	Base	extensible	Identifier Type DeBasis ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
Patient.name:Name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.name:Name.prefix.​extension:prefix-qualifier.​value[x]	Base	required	EntityNamePartQualifier	📍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.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
att-1	error	Patient.photo	If the Attachment has data, it SHALL have a contentType	data.empty() or contentType.exists()
cpt-2	error	Patient.telecom, Patient.contact.telecom	A system is required if a value is provided.	value.empty() or system.exists()
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()
hum-1	error	Patient.name:Name, Patient.name:Geburtsname	Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden	family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()
hum-2	error	Patient.name:Name, Patient.name:Geburtsname	Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden	family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()
hum-3	error	Patient.name:Name, Patient.name:Geburtsname	Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden	family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()
hum-4	error	Patient.name:Name, Patient.name:Geburtsname	Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden	prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())
kvid-1	warning	Patient.identifier:KVNR.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen	matches('^[A-Z][0-9]{9}$')
kvid-2	warning	Patient.identifier:KVNR.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()
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-de-1	error	Patient	Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist	gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
per-1	error	Patient.identifier:KVNR.period, Patient.name:Name.period, Patient.name:Geburtsname.period, Patient.contact.period	If present, start SHALL have a lower value than end	start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Patient.identifier:KVNR.assigner, Patient.contact.organization, Patient.generalPractitioner, Patient.managingOrganization, Patient.link.other	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from TIPatient

Summary

Mandatory: 2 elements
Must-Support: 20 elements
Prohibited: 1 element