Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services Constraints: pat-de-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:KVNR	SΣ	0..1	IdentifierKvid10	An identifier for this patient
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:$this
name:Name	SΣ	1..1	HumannameDeBasis	A name associated with the patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
use	?!SΣ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	SΣ	1..1	string	Familienname
Slices for extension				Content/Rules for all slices
extension:namenszusatz	S	0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname	S	0..1	string	Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort	S	0..1	string	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
given	SΣ	1..*	string	Vorname This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Namensteile vor dem Vornamen This repeating element order: Prefixes appear in the correct order for presenting the name
Slices for extension				Content/Rules for all slices
extension:prefix-qualifier	S	0..1	(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
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
value[x]		1..1	code	Value of extension Binding: EntityNamePartQualifier (required) Fixed Value: AC
name:Geburtsname	SΣ	0..1	HumannameDeBasis	A name associated with the patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
use	?!SΣ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	SΣ	1..1	string	Familienname
Slices for extension				Content/Rules for all slices
extension:namenszusatz	S	0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname	S	0..1	string	Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort	S	0..1	string	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:other-amtlich		0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required) Constraints: ext-1
birthDate	SΣ	1..1	date	Das Geburtsjahr ist immer anzugeben. Im Geburtsjahr oder im Geburtstag und im Geburtsmonat ist bei Ausländern '00' bzw. '0000' zulässig. Beispiel: 1990-00-00
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	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
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	Conformance	ValueSet / Code	URI
Patient.name:Name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Patient.name:Name.prefix.extension:prefix-qualifier.value[x]	required	Fixed Value: AC http://hl7.org/fhir/ValueSet/name-part-qualifier
Patient.name:Geburtsname.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services Constraints: pat-de-1
Slices for identifier	S	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:KVNR	S	0..1	IdentifierKvid10	An identifier for this patient
Slices for name	S	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:$this
name:Name	S	1..1	HumannameDeBasis	A name associated with the patient Required Pattern: At least the following
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
use	S	1..1	code	usual | official | temp | nickname | anonymous | old | maiden
family	S	1..1	string	Familienname
Slices for extension				Content/Rules for all slices
extension:namenszusatz	S	0..1	HumannameNamenszusatz	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
extension:nachname	S	0..1	OwnName(5.2.0)	Portion derived from person's own surname
extension:vorsatzwort	S	0..1	OwnPrefix(5.2.0)	Voorvoegsel derived from person's own surname
given	S	1..*	string	Vorname
prefix	S	0..*	string	Namensteile vor dem Vornamen
Slices for extension				Content/Rules for all slices
extension:prefix-qualifier	S	0..1	ENQualifier(5.2.0)	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
value[x]		1..1	code	Value of extension Fixed Value: AC
name:Geburtsname	S	0..1	HumannameDeBasis	A name associated with the patient Required Pattern: At least the following
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
use	S	1..1	code	usual | official | temp | nickname | anonymous | old | maiden
family	S	1..1	string	Familienname
Slices for extension				Content/Rules for all slices
extension:namenszusatz	S	0..1	HumannameNamenszusatz	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
extension:nachname	S	0..1	OwnName(5.2.0)	Portion derived from person's own surname
extension:vorsatzwort	S	0..1	OwnPrefix(5.2.0)	Voorvoegsel derived from person's own surname
given		0..0
prefix		0..0
suffix		0..0
gender	S	0..1	code	male | female | other | unknown
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:other-amtlich		0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required)
birthDate	S	1..1	date	Das Geburtsjahr ist immer anzugeben. Im Geburtsjahr oder im Geburtstag und im Geburtsmonat ist bei Ausländern '00' bzw. '0000' zulässig. Beispiel: 1990-00-00
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services Constraints: pat-de-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:KVNR	SΣ	0..1	IdentifierKvid10	An identifier for this patient
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:$this
name:Name	SΣ	1..1	HumannameDeBasis	A name associated with the patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Familienname
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:namenszusatz	S	0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname	S	0..1	string	Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort	S	0..1	string	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
value		0..1	string	Primitive value for string Max Length:1048576
given	SΣ	1..*	string	Vorname This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Namensteile vor dem Vornamen This repeating element order: Prefixes appear in the correct order for presenting the name
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
value[x]		1..1	code	Value of extension Binding: EntityNamePartQualifier (required) 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	0..1	Period	Time period when name was/is in use
name:Geburtsname	SΣ	0..1	HumannameDeBasis	A name associated with the patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Familienname
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:namenszusatz	S	0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname	S	0..1	string	Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort	S	0..1	string	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
value		0..1	string	Primitive value for string Max Length:1048576
period	Σ	0..1	Period	Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
gender	SΣ	0..1	code	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	Extension Slice: Unordered, Open by value:url
extension:other-amtlich		0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required) Constraints: ext-1
value		0..1	string	Primitive value for code
birthDate	SΣ	1..1	date	Das Geburtsjahr ist immer anzugeben. Im Geburtsjahr oder im Geburtstag und im Geburtsmonat ist bei Ausländern '00' bzw. '0000' zulässig. Beispiel: 1990-00-00
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		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
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	Conformance	ValueSet / Code	URI
Patient.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.name:Name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Patient.name:Name.prefix.extension:prefix-qualifier.value[x]	required	Fixed Value: AC http://hl7.org/fhir/ValueSet/name-part-qualifier
Patient.name:Geburtsname.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status From the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship From the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
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()

Summary

Mandatory: 6 elements(2 nested mandatory elements)
Must-Support: 20 elements
Fixed: 1 element
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• HumanName, deutsches Basisprofil (http://fhir.de/StructureDefinition/humanname-de-basis)

Extensions

This structure refers to these extensions:

• http://fhir.de/StructureDefinition/gender-amtlich-de

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Patient.identifier
• The element 1 is sliced based on the value of Patient.name

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services Constraints: pat-de-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:KVNR	SΣ	0..1	IdentifierKvid10	An identifier for this patient
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:$this
name:Name	SΣ	1..1	HumannameDeBasis	A name associated with the patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
use	?!SΣ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	SΣ	1..1	string	Familienname
Slices for extension				Content/Rules for all slices
extension:namenszusatz	S	0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname	S	0..1	string	Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort	S	0..1	string	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
given	SΣ	1..*	string	Vorname This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Namensteile vor dem Vornamen This repeating element order: Prefixes appear in the correct order for presenting the name
Slices for extension				Content/Rules for all slices
extension:prefix-qualifier	S	0..1	(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
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
value[x]		1..1	code	Value of extension Binding: EntityNamePartQualifier (required) Fixed Value: AC
name:Geburtsname	SΣ	0..1	HumannameDeBasis	A name associated with the patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
use	?!SΣ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	SΣ	1..1	string	Familienname
Slices for extension				Content/Rules for all slices
extension:namenszusatz	S	0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname	S	0..1	string	Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort	S	0..1	string	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:other-amtlich		0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required) Constraints: ext-1
birthDate	SΣ	1..1	date	Das Geburtsjahr ist immer anzugeben. Im Geburtsjahr oder im Geburtstag und im Geburtsmonat ist bei Ausländern '00' bzw. '0000' zulässig. Beispiel: 1990-00-00
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	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
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	Conformance	ValueSet / Code	URI
Patient.name:Name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Patient.name:Name.prefix.extension:prefix-qualifier.value[x]	required	Fixed Value: AC http://hl7.org/fhir/ValueSet/name-part-qualifier
Patient.name:Geburtsname.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services Constraints: pat-de-1
Slices for identifier	S	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:KVNR	S	0..1	IdentifierKvid10	An identifier for this patient
Slices for name	S	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:$this
name:Name	S	1..1	HumannameDeBasis	A name associated with the patient Required Pattern: At least the following
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
use	S	1..1	code	usual | official | temp | nickname | anonymous | old | maiden
family	S	1..1	string	Familienname
Slices for extension				Content/Rules for all slices
extension:namenszusatz	S	0..1	HumannameNamenszusatz	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
extension:nachname	S	0..1	OwnName(5.2.0)	Portion derived from person's own surname
extension:vorsatzwort	S	0..1	OwnPrefix(5.2.0)	Voorvoegsel derived from person's own surname
given	S	1..*	string	Vorname
prefix	S	0..*	string	Namensteile vor dem Vornamen
Slices for extension				Content/Rules for all slices
extension:prefix-qualifier	S	0..1	ENQualifier(5.2.0)	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
value[x]		1..1	code	Value of extension Fixed Value: AC
name:Geburtsname	S	0..1	HumannameDeBasis	A name associated with the patient Required Pattern: At least the following
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
use	S	1..1	code	usual | official | temp | nickname | anonymous | old | maiden
family	S	1..1	string	Familienname
Slices for extension				Content/Rules for all slices
extension:namenszusatz	S	0..1	HumannameNamenszusatz	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
extension:nachname	S	0..1	OwnName(5.2.0)	Portion derived from person's own surname
extension:vorsatzwort	S	0..1	OwnPrefix(5.2.0)	Voorvoegsel derived from person's own surname
given		0..0
prefix		0..0
suffix		0..0
gender	S	0..1	code	male | female | other | unknown
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:other-amtlich		0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required)
birthDate	S	1..1	date	Das Geburtsjahr ist immer anzugeben. Im Geburtsjahr oder im Geburtstag und im Geburtsmonat ist bei Ausländern '00' bzw. '0000' zulässig. Beispiel: 1990-00-00
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services Constraints: pat-de-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:KVNR	SΣ	0..1	IdentifierKvid10	An identifier for this patient
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:$this
name:Name	SΣ	1..1	HumannameDeBasis	A name associated with the patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Familienname
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:namenszusatz	S	0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname	S	0..1	string	Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort	S	0..1	string	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
value		0..1	string	Primitive value for string Max Length:1048576
given	SΣ	1..*	string	Vorname This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Namensteile vor dem Vornamen This repeating element order: Prefixes appear in the correct order for presenting the name
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
value[x]		1..1	code	Value of extension Binding: EntityNamePartQualifier (required) 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	0..1	Period	Time period when name was/is in use
name:Geburtsname	SΣ	0..1	HumannameDeBasis	A name associated with the patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Familienname
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:namenszusatz	S	0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname	S	0..1	string	Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort	S	0..1	string	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
value		0..1	string	Primitive value for string Max Length:1048576
period	Σ	0..1	Period	Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
gender	SΣ	0..1	code	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	Extension Slice: Unordered, Open by value:url
extension:other-amtlich		0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required) Constraints: ext-1
value		0..1	string	Primitive value for code
birthDate	SΣ	1..1	date	Das Geburtsjahr ist immer anzugeben. Im Geburtsjahr oder im Geburtstag und im Geburtsmonat ist bei Ausländern '00' bzw. '0000' zulässig. Beispiel: 1990-00-00
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		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
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	Conformance	ValueSet / Code	URI
Patient.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.name:Name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Patient.name:Name.prefix.extension:prefix-qualifier.value[x]	required	Fixed Value: AC http://hl7.org/fhir/ValueSet/name-part-qualifier
Patient.name:Geburtsname.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status From the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship From the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
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()

Summary

Mandatory: 6 elements(2 nested mandatory elements)
Must-Support: 20 elements
Fixed: 1 element
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• HumanName, deutsches Basisprofil (http://fhir.de/StructureDefinition/humanname-de-basis)

Extensions

This structure refers to these extensions:

• http://fhir.de/StructureDefinition/gender-amtlich-de

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Patient.identifier
• The element 1 is sliced based on the value of Patient.name