Implementation Guide
ePA Basisfunktionalitäten
Version 1.3.1 - release

## Resource Profile: EPA Patient

Official URL: https://gematik.de/fhir/epa/StructureDefinition/epa-patient | Version: 1.3.0
Active as of 2025-12-15 | Computable Name: EPAPatient
Copyright/Legal: gematik GmbH / Dieses Artefakt ist lizenziert unter Apache License, Version 2.0.

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 | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 0..1 | Meta | Metadata about the resource
versionId | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 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 | S Σ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR | S Σ | 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 | Σ C | 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 | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value | S Σ C | 1..1 | string | The value that is unique Constraints: kvid-1 Example General: 123456
Slices for name | S Σ | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:$this
name:Name | S Σ C | 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 | ?!S Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family | S Σ | 1..1 | string | Familienname
Slices for extension |  |  |  | Content/Rules for all slices
extension:namenszusatz | S N | 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 | S Σ | 1..* | string | Vorname This repeating element order: Given Names appear in the correct order for presenting the name
prefix | S Σ | 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 | S Σ C | 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 | ?!S Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family | S Σ | 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 | S Σ | 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] | S C | 1..1 | Coding | Value of extension Binding: GenderOtherDE ValueSet (required) Constraints: gender-amtlich-1
system | S Σ | 0..1 | uri | Identity of the terminology system
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
display | S Σ | 0..1 | string | Representation defined by the system
birthDate | S Σ | 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 | Σ C | 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 | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 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 | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 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 | S Σ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR | S Σ | 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 | Σ C | 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 | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value | S Σ C | 1..1 | string | The value that is unique Constraints: kvid-1 Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
Slices for name | S Σ | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:$this
name:Name | S Σ C | 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 | ?!S Σ | 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 | S Σ | 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 N | 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 | S Σ | 1..* | string | Vorname This repeating element order: Given Names appear in the correct order for presenting the name
prefix | S Σ | 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 | Σ C | 0..1 | Period | Time period when name was/is in use Constraints: per-1
name:Geburtsname | S Σ C | 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 | ?!S Σ | 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 | S Σ | 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 | Σ C | 0..1 | Period | Time period when name was/is in use Constraints: per-1
telecom | Σ C | 0..* | ContactPoint | A contact detail for the individual Constraints: cpt-2
gender | S Σ | 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] | S C | 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 | S Σ | 0..1 | uri | Identity of the terminology system
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
display | S 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 | code | Primitive value for code Max Length:1048576
birthDate | S Σ | 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 | Σ C | 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 | Σ C | 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 | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 0..1 | Meta | Metadata about the resource
versionId | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 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 | S Σ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR | S Σ | 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 | Σ C | 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 | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value | S Σ C | 1..1 | string | The value that is unique Constraints: kvid-1 Example General: 123456
Slices for name | S Σ | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:$this
name:Name | S Σ C | 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 | ?!S Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family | S Σ | 1..1 | string | Familienname
Slices for extension |  |  |  | Content/Rules for all slices
extension:namenszusatz | S N | 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 | S Σ | 1..* | string | Vorname This repeating element order: Given Names appear in the correct order for presenting the name
prefix | S Σ | 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 | S Σ C | 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 | ?!S Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family | S Σ | 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 | S Σ | 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] | S C | 1..1 | Coding | Value of extension Binding: GenderOtherDE ValueSet (required) Constraints: gender-amtlich-1
system | S Σ | 0..1 | uri | Identity of the terminology system
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
display | S Σ | 0..1 | string | Representation defined by the system
birthDate | S Σ | 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 | Σ C | 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 | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 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 | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 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 | S Σ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR | S Σ | 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 | Σ C | 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 | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value | S Σ C | 1..1 | string | The value that is unique Constraints: kvid-1 Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
Slices for name | S Σ | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:$this
name:Name | S Σ C | 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 | ?!S Σ | 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 | S Σ | 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 N | 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 | S Σ | 1..* | string | Vorname This repeating element order: Given Names appear in the correct order for presenting the name
prefix | S Σ | 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 | Σ C | 0..1 | Period | Time period when name was/is in use Constraints: per-1
name:Geburtsname | S Σ C | 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 | ?!S Σ | 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 | S Σ | 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 | Σ C | 0..1 | Period | Time period when name was/is in use Constraints: per-1
telecom | Σ C | 0..* | ContactPoint | A contact detail for the individual Constraints: cpt-2
gender | S Σ | 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] | S C | 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 | S Σ | 0..1 | uri | Identity of the terminology system
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
display | S 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 | code | Primitive value for code Max Length:1048576
birthDate | S Σ | 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 | Σ C | 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 | Σ C | 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

Other representations of profile: CSV, Excel, Schematron