ISiKPZNCoding
type: StructureDefinition
node role: treeRoot
resource.id:
  value: ISiKPZNCoding
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative: StructureDefinition ISiKPZNCoding Name Flags Card. Type Description & Constraints Coding CodingPZN(1.6.0) #xD; system S 1..1 uri System #xD; code S 1..1 code Code #xD; display S 0..1 string Display #xD; Documentation for this format
structure definition.url:
  value: https://gematik.de/fhir/isik/StructureDefinition/ISiKPZNCoding
structure definition.version:
  value: 6.0.0
structure definition.name:
  value: ISiKPZNCoding
structure definition.title:
  value: ISiKPZNCoding
structure definition.status:
  value: active
structure definition.experimental:
  value: false
structure definition.date:
  value: 2026-07-01
structure definition.publisher:
  value: gematik GmbH
structure definition.contact:
  index: 0
  contact detail.name:
    value: gematik GmbH
  contact detail.telecom:
    index: 0
    contact point.system:
      value: url
    contact point.value:
      value: https://gematik.de
structure definition.description:
  value: Data Type profile for ATC Codings in ISiK
structure definition.fhir version:
  value: 4.0.1
structure definition.kind:
  value: complex-type
structure definition.abstract:
  value: false
structure definition.type:
  value: Coding
structure definition.base definition:
  value: http://fhir.de/StructureDefinition/CodingPZN
  link: http://fhir.de/StructureDefinition/CodingPZN
structure definition.derivation:
  value: constraint
structure definition.snapshot:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    extension.value string:
      value: 1.6.0
  structure definition.snapshot.element:
    index: 0
    element.id:
      value: Coding
    element definition.path:
      value: Coding
    element definition.short:
      value: A reference to a code defined by a terminology system
    element definition.definition:
      value: A reference to a code defined by a terminology system.
    element definition.comment:
      value: Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.
    element definition.min:
      value: 0
    element definition.max:
      value: *
    element definition.base:
      element definition.base.path:
        value: Coding
      element definition.base.min:
        value: 0
      element definition.base.max:
        value: *
    element definition.condition:
      value: ele-1
      index: 0
    element definition.constraint:
      index: 0
      element definition.constraint.key:
        value: ele-1
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: All FHIR elements must have a @value or children
      element definition.constraint.expression:
        value: hasValue() or (children().count() > id.count())
      element definition.constraint.xpath:
        value: @value|f:*|h:div
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/Element
        link: http://hl7.org/fhir/StructureDefinition/Element
    element definition.mapping:
      index: 0
      element definition.mapping.identity:
        value: rim
      element definition.mapping.map:
        value: n/a
    element definition.mapping:
      index: 1
      element definition.mapping.identity:
        value: v2
      element definition.mapping.map:
        value: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
    element definition.mapping:
      index: 2
      element definition.mapping.identity:
        value: rim
      element definition.mapping.map:
        value: CV
    element definition.mapping:
      index: 3
      element definition.mapping.identity:
        value: orim
      element definition.mapping.map:
        value: fhir:Coding rdfs:subClassOf dt:CDCoding
  structure definition.snapshot.element:
    index: 1
    element.id:
      value: Coding.id
    element definition.path:
      value: Coding.id
    element definition.representation:
      value: xmlAttr
      index: 0
    element definition.short:
      value: Unique id for inter-element referencing
    element definition.definition:
      value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
    element definition.min:
      value: 0
    element definition.max:
      value: 1
    element definition.base:
      element definition.base.path:
        value: Element.id
      element definition.base.min:
        value: 0
      element definition.base.max:
        value: 1
    element definition.type:
      index: 0
      element.extension:
        index: 0
      element definition.type.code:
        value: http://hl7.org/fhirpath/System.String
    element definition.mapping:
      index: 0
      element definition.mapping.identity:
        value: rim
      element definition.mapping.map:
        value: n/a
  structure definition.snapshot.element:
    index: 2
    element.id:
      value: Coding.extension
    element definition.path:
      value: Coding.extension
    element definition.slicing:
      element definition.slicing.discriminator:
        index: 0
      element definition.slicing.description:
        value: Extensions are always sliced by (at least) url
      element definition.slicing.rules:
        value: open
    element definition.short:
      value: Additional content defined by implementations
    element definition.definition:
      value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
    element definition.comment:
      value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
    element definition.alias:
      value: extensions
      index: 0
    element definition.alias:
      value: user content
      index: 1
    element definition.min:
      value: 0
    element definition.max:
      value: *
    element definition.base:
      element definition.base.path:
        value: Element.extension
      element definition.base.min:
        value: 0
      element definition.base.max:
        value: *
    element definition.type:
      index: 0
      element definition.type.code:
        value: Extension
    element definition.condition:
      value: ele-1
      index: 0
    element definition.constraint:
      index: 0
      element definition.constraint.key:
        value: ele-1

value: string

value: value

value: url

value: error

value: All FHIR elements must have a @value or children

value: hasValue() or (children().count() > id.count())

value: @value|f:*|h:div

index: 1
element definition.constraint.key:
  value: ext-1
element definition.constraint.severity:
  value: error
element definition.constraint.human:
  value: Must have either extensions or value[x], not both
element definition.constraint.expression:
  value: extension.exists() != value.exists()
element definition.constraint.xpath:
  value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
element definition.constraint.source:
  value: http://hl7.org/fhir/StructureDefinition/Extension
  link: http://hl7.org/fhir/StructureDefinition/Extension

index: 0
element definition.mapping.identity:
  value: rim
element definition.mapping.map:
  value: n/a

index: 1
element definition.mapping.identity:
  value: rim
element definition.mapping.map:
  value: N/A

index: 3
element.id:
  value: Coding.system
element definition.path:
  value: Coding.system
element definition.short:
  value: System
element definition.definition:
  value: The identification of the code system that defines the meaning of the symbol in the code.
element definition.comment:
  value: Motivation MS: URL des CodeSystems des kodierten Wertes.
element definition.requirements:
  value: Need to be unambiguous about the source of the definition of the symbol.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Coding.system
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: uri
element definition.fixed uri:
  value: http://fhir.de/CodeSystem/ifa/pzn
element definition.condition:
  value: ele-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: C*E.3
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./codeSystem
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

index: 4
element.id:
  value: Coding.version
element definition.path:
  value: Coding.version
element definition.short:
  value: Version of the system - if relevant
element definition.definition:
  value: The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
element definition.comment:
  value: Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Coding.version
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.condition:
  value: ele-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: C*E.7
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./codeSystemVersion
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

index: 5
element.id:
  value: Coding.code
element definition.path:
  value: Coding.code
element definition.short:
  value: Code
element definition.definition:
  value: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
element definition.comment:
  value: Motivation MS: Kodierter Wert aus einem CodeSystem.
element definition.requirements:
  value: Need to refer to a particular code in the system.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Coding.code
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.condition:
  value: ele-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: C*E.1
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./code
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

index: 6
element.id:
  value: Coding.display
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  extension.value boolean:
    value: true
element definition.path:
  value: Coding.display
element definition.short:
  value: Display
element definition.definition:
  value: A representation of the meaning of the code in the system, following the rules of the system.
element definition.comment:
  value: Motivation MS: Anzeigename des kodierten Wertes.
element definition.requirements:
  value: Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Coding.display
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.condition:
  value: ele-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: C*E.2 - but note this is not well followed
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: CV.displayName
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

index: 7
element.id:
  value: Coding.userSelected
element definition.path:
  value: Coding.userSelected
element definition.short:
  value: If this coding was chosen directly by the user
element definition.definition:
  value: Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
element definition.comment:
  value: Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
element definition.requirements:
  value: This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Coding.userSelected
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: boolean
element definition.condition:
  value: ele-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: Sometimes implied by being first
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: CD.codingRationale
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: orim
  element definition.mapping.map:
    value: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

structure definition.differential.element:
  index: 0
  element.id:
    value: Coding.system
  element definition.path:
    value: Coding.system
  element definition.short:
    value: System
  element definition.comment:
    value: Motivation MS: URL des CodeSystems des kodierten Wertes.
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 1
  element.id:
    value: Coding.code
  element definition.path:
    value: Coding.code
  element definition.short:
    value: Code
  element definition.comment:
    value: Motivation MS: Kodierter Wert aus einem CodeSystem.
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 2
  element.id:
    value: Coding.display
  element definition.path:
    value: Coding.display
  element definition.short:
    value: Display
  element definition.comment:
    value: Motivation MS: Anzeigename des kodierten Wertes.
  element definition.must support:
    value: true