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

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

### Messages

Error | StructureDefinition.version | Values for version differ: '1.1.1' vs '1.2.0'
Information | StructureDefinition.date | Values for date differ: '2025-09-12' vs '2025-12-15'
Information | Patient.language | Example/preferred bindings differ at Patient.language using binding from TIPatient
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: 'Additional content defined by implementations' vs 'Extension'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. 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.' vs 'An Extension'
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: 'Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the [Location](location.html#) resource).' vs 'Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the [Location](http://hl7.org/fhir/R4/location.html#) resource).'
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 | Patient.communication.language | Example/preferred bindings differ at Patient.communication.language using binding from TIPatient
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).'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Patient |
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 | 2025-12-15 | Values Differ
description | Das Patient-Profil für die Telematikinfrastruktur (TI) FHIR Data Services |
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#DE |
kind | resource |
name | TIPatient |
publisher | gematik GmbH |
purpose |  |
status | active |
title | TI Patient |
type | Patient |
url | https://gematik.de/fhir/ti/StructureDefinition/ti-patient |
version | 1.1.1 | 1.2.0 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, pat-de-1 | C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: pat-de-1 |
id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
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 Patient.language using binding from TIPatient
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 this patient Slice: Unordered, Open by pattern:$this | S Σ | 0..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this |
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use |
Slices for name | S Σ | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:$this | S Σ | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:$this |
telecom | Σ C | 0..* | ContactPoint | A contact detail for the individual | Σ C | 0..* | ContactPoint | A contact detail for the individual |
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. |
id |  | 0..1 | string | xml:id (or equivalent in JSON) |  | 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 |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
value |  | 0..1 | code | Primitive value for code Max Length:1048576 |  | 0..1 | code | Primitive value for code Max Length:1048576 |
birthDate | S Σ | 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 | S Σ | 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 | boolean, dateTime | Indicates if the individual is deceased or not | ?!Σ | 0..1 | boolean, dateTime | Indicates if the individual is deceased or not |
address | Σ | 0..* | Address | An address for the individual | Σ | 0..* | Address | An address for the individual |
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: ?? (extensible): The domestic partnership status of a person. |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: ?? (extensible): The domestic partnership status of a person. |
multipleBirth[x] |  | 0..1 | boolean, integer | Whether patient is part of a multiple birth |  | 0..1 | boolean, integer | Whether patient is part of a multiple birth |
photo | C | 0..* | Attachment | Image of the patient | C | 0..* | Attachment | Image of the patient |
contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient |
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 |
relationship |  | 0..* | CodeableConcept | The kind of relationship Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient. |  | 0..* | CodeableConcept | The kind of relationship Binding: ?? (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 |  | 0..1 | HumanName | A name associated with the contact person |
telecom | C | 0..* | ContactPoint | A contact detail for the person | C | 0..* | ContactPoint | A contact detail for the person |
address |  | 0..1 | Address | Address for the contact person |  | 0..1 | Address | Address for the contact person |
gender |  | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. |  | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. |
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact | C | 0..1 | Reference(Organization) | Organization that is associated with the contact |
period | C | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | C | 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 |  | 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 |  | 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 |
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
| Example/preferred bindings differ at Patient.communication.language using binding from TIPatient
preferred |  | 0..1 | boolean | Language preference indicator |  | 0..1 | boolean | Language preference indicator |
generalPractitioner | C | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider | C | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider |
managingOrganization | Σ C | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record | Σ C | 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 | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person |
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 |
other | Σ C | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | Σ C | 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: ?? (required): The type of link between this patient resource and another patient resource. | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: ?? (required): The type of link between this patient resource and another patient resource. |
Documentation for this format