## Profile Comparison between https://gematik.de/fhir/ti/StructureDefinition/ti-practitioner vs https://gematik.de/fhir/ti/StructureDefinition/ti-practitioner

Left: | TI Practitioner (https://gematik.de/fhir/ti/StructureDefinition/ti-practitioner)
Right: | TI Practitioner (https://gematik.de/fhir/ti/StructureDefinition/ti-practitioner)

### Messages

Information | StructureDefinition.comment | Values for comment differ: 'This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http.html#read) interaction.' vs 'This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction.'
Information | StructureDefinition.definition | Values for definition differ: 'A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.' vs 'A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.'
Information | StructureDefinition.definition | Values for definition differ: 'A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).' vs 'A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).'
Information | Practitioner.language | Example/preferred bindings differ at Practitioner.language using binding from TIPractitioner
Information | StructureDefinition.requirements | Values for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).'
Information | StructureDefinition.short | Values for short differ: 'Personenname' vs 'The name(s) associated with the practitioner'
Information | StructureDefinition.definition | Values for definition differ: 'Personenname mit in Deutschland üblichen Erweiterungen' vs 'The name(s) associated with the practitioner.'
Information | StructureDefinition.comment | Values for comment differ: 'Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.' vs 'The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate. In general, select the value to be used in the ResourceReference.display based on this: 1. There is more than 1 name 2. Use = usual 3. Period is current to the date of the usage 4. Use = official 5. Other order as decided by internal business rules.'
Information | StructureDefinition.comment | Values for comment differ: 'A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. 'the patient was an inpatient of the hospital for this time range') or one value from the range applies (e.g. 'give to the patient between these two times'). Period is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).' vs 'A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. 'the patient was an inpatient of the hospital for this time range') or one value from the range applies (e.g. 'give to the patient between these two times'). Period is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).'
Information | StructureDefinition.requirements | Values for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).'
Information | StructureDefinition.comment | Values for comment differ: 'A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. 'the patient was an inpatient of the hospital for this time range') or one value from the range applies (e.g. 'give to the patient between these two times'). Period is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).' vs 'A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. 'the patient was an inpatient of the hospital for this time range') or one value from the range applies (e.g. 'give to the patient between these two times'). Period is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).'
Information | Practitioner.communication | Example/preferred bindings differ at Practitioner.communication using binding from TIPractitioner

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Practitioner |
copyright |  | gematik GmbH / Dieses Artefakt ist lizenziert unter [Apache License](./license.html), Version 2.0. | Added the item 'gematik GmbH / Dieses Artefakt ist lizenziert unter [Apache License](./license.html), Version 2.0.'
date | 2025-09-12 |
description | Dieses Profil beschreibt die Verwendung der FHIR-Ressource Practitioner im Kontext der Telematikinfrastruktur (TI). Es dient der strukturierten Darstellung von Gesundheitsfachpersonen, wie z.B. Ärzt:innen, Zahnärzt:innen, Psychotherapeut:innen oder Apotheker:innen, innerhalb TI-konformer Anwendungen. |
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#DE |
kind | resource |
name | TIPractitioner |
publisher | gematik GmbH |
purpose |  |
status | active |
title | TI Practitioner |
type | Practitioner |
url | https://gematik.de/fhir/ti/StructureDefinition/ti-practitioner |
version | 1.1.1 |

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Practitioner |  | 0..* | Practitioner | A person with a formal responsibility in the provisioning of healthcare or related services Constraints: dom-2, dom-3, dom-4, dom-5, dom-6 |  | 0..* | Practitioner | A person with a formal responsibility in the provisioning of healthcare or related services |
id | S Σ | 0..1 | string | Logical id of this artifact | S Σ | 0..1 | id | Logical id of this artifact |
meta | S Σ | 0..1 | Meta | Metadata about the resource | S Σ | 0..1 | Meta | Metadata about the resource |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 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 |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
versionId | S Σ | 0..1 | id | Version specific identifier | S Σ | 0..1 | id | Version specific identifier |
lastUpdated | S Σ | 0..1 | instant | When the resource version last changed | S Σ | 0..1 | instant | When the resource version last changed |
source | Σ | 0..1 | uri | Identifies where the resource comes from | Σ | 0..1 | uri | Identifies where the resource comes from |
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | Σ | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | Σ | 0..* | Coding | Tags applied to this resource Binding: ?? (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 | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
| Example/preferred bindings differ at Practitioner.language using binding from TIPractitioner
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 |  | 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 |  | 0..* | Resource | Contained, inline Resources |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
Slices for modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
Slices for identifier | S Σ | 0..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:system | S Σ | 0..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:system |
active | Σ | 0..1 | boolean | Whether this practitioner's record is in active use | Σ | 0..1 | boolean | Whether this practitioner's record is in active use |
name | S Σ C | 1..* | ?? | Personenname | S Σ | 1..* | ?? | The name(s) associated with the practitioner |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 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 |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name. | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name. |
text | S Σ | 1..1 | string | Text representation of the full name | S Σ | 1..1 | string | Text representation of the full name |
family | S Σ | 1..1 | string | Familienname | S Σ | 1..1 | string | Familienname |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 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 |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
value |  | 0..1 | string | Primitive value for string Max Length:1048576 |  | 0..1 | string | Primitive value for string Max Length:1048576 |
given | S Σ | 0..* | string | Vorname This repeating element order: Given Names appear in the correct order for presenting the name | S Σ | 0..* | 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 | 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 |  | 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 |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
value |  | 0..1 | string | Primitive value for string Max Length:1048576 |  | 0..1 | string | Primitive value for string Max Length:1048576 |
suffix | S Σ | 0..* | string | Namensteile nach dem Nachnamen This repeating element order: Suffixes appear in the correct order for presenting the name | S 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 | Σ C | 0..1 | Period | Time period when name was/is in use |
telecom | Σ C | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) | Σ C | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) |
address | Σ | 0..* | Address | Address(es) of the practitioner that are not role specific (typically home address) | Σ | 0..* | Address | Address(es) of the practitioner that are not role specific (typically home address) |
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. | S Σ | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. |
birthDate | S Σ | 0..1 | date | The date on which the practitioner was born | S Σ | 0..1 | date | The date on which the practitioner was born |
photo | S C | 0..* | Attachment | Image of the person | S C | 0..* | Attachment | Image of the person |
qualification | S | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care | S | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 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 |  | 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
identifier |  | 0..* | Identifier | An identifier for this qualification for the practitioner |  | 0..* | Identifier | An identifier for this qualification for the practitioner |
code | S | 1..1 | CodeableConcept | Coded representation of the qualification Binding: ?? (extensible): Specific qualification the practitioner has to provide a service. | S | 1..1 | CodeableConcept | Coded representation of the qualification Binding: ?? (extensible) |
period | C | 0..1 | Period | Period during which the qualification is valid | C | 0..1 | Period | Period during which the qualification is valid |
issuer | C | 0..1 | Reference(Organization) | Organization that regulates and issues the qualification | C | 0..1 | Reference(Organization) | Organization that regulates and issues the qualification |
communication | S | 0..* | CodeableConcept | A language the practitioner can use in patient communication Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
| S | 0..* | CodeableConcept | A language the practitioner can use in patient communication Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
| Example/preferred bindings differ at Practitioner.communication using binding from TIPractitioner
Documentation for this format