Implementation Guide
TI Common
Version 1.3.1 - release

## Resource Profile: TI Practitioner

Official URL: https://gematik.de/fhir/ti/StructureDefinition/ti-practitioner | Version: 1.3.1
Active as of 2026-03-20 | Computable Name: TIPractitioner
Copyright/Legal: gematik GmbH / Dieses Artefakt ist lizenziert unter Apache License, Version 2.0.

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.

Usages:

- This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
id | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 0..1 | Meta | Metadata about the resource
versionId | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 0..1 | instant | When the resource version last changed
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier | S Σ | 0..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:system
identifier:TelematikID | S Σ | 0..1 | IdentifierTelematikId | An identifier for the person as this agent
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PRN
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://gematik.de/fhir/sid/telematik-id
value | S Σ | 1..1 | string | The value that is unique Example General: 123456
identifier:LANR | S Σ | 0..* | IdentifierLanr | An identifier for the person as this agent
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: LANR
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR
value | S Σ C | 1..1 | string | The value that is unique Constraints: lanr-1 Example General: 123456
name | S Σ | 1..* | HumannameDeBasis | The name(s) associated with the practitioner
use | ?!S Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | S Σ | 1..1 | string | Text representation of the full name
family | S Σ | 1..1 | string | Familienname
Slices for extension |  |  |  | Content/Rules for all slices
extension:namenszusatz | N | 0..1 | string | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname |  | 0..1 | string | Nachname ohne Vor- und Zusätze URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort |  | 0..1 | string | Vorsatzwort URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
given | 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
Slices for extension |  |  |  | Content/Rules for all slices
extension:prefix-qualifier |  | 0..1 | code | LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier Binding: EntityNamePartQualifier (required)
suffix | S Σ | 0..* | string | Namensteile nach dem Nachnamen This repeating element order: Suffixes appear in the correct order for presenting the name
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 0..1 | date | The date on which the practitioner was born
photo | S C | 0..* | Attachment | Image of the person Constraints: att-1
contentType | S Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
data | S | 0..1 | base64Binary | Data inline, base64ed
url | S Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png
qualification | S | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Coded representation of the qualification Binding: TI Practioner Qualifications (extensible)
coding | S Σ | 0..* | Coding | Code defined by a terminology system
system | S Σ | 0..1 | uri | Identity of the terminology system
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
display | S Σ | 0..1 | string | Representation defined by the system
communication | S | 0..* | CodeableConcept | A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
coding | S Σ | 0..* | Coding | Code defined by a terminology system
system | S Σ | 0..1 | uri | Identity of the terminology system
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
display | S Σ | 0..1 | string | Representation defined by the system
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Practitioner.identifier:TelematikID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Practitioner.identifier:TelematikID.​type | Base | extensible | Identifier Type DeBasis ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Practitioner.identifier:LANR.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Practitioner.identifier:LANR.​type | Base | extensible | Identifier Type DeBasis ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Practitioner.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Practitioner.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Practitioner.photo.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std.
Practitioner.qualification.​code | Base | extensible | TI Practioner Qualifications | 📦1.0.7 | TI Terminology v1.0
Practitioner.communication | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
att-1 | error | Practitioner.photo | If the Attachment has data, it SHALL have a contentType | `data.empty() or contentType.exists()`
dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Practitioner | 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 | Practitioner | 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 | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Practitioner | 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()`
lanr-1 | warning | Practitioner.identifier:LANR.value | Eine LANR muss neunstellig numerisch sein | `matches('^[0-9]{9}$')`

This structure is derived from Practitioner

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Practitioner |  | 0..* | Practitioner | A person with a formal responsibility in the provisioning of healthcare or related services
id | S | 0..1 | id | Logical id of this artifact
meta | S | 0..1 | Meta | Metadata about the resource
versionId | S | 0..1 | id | Version specific identifier
lastUpdated | S | 0..1 | instant | When the resource version last changed
Slices for identifier | S | 0..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:system
identifier:TelematikID | S | 0..1 | IdentifierTelematikId | An identifier for the person as this agent
system | S | 1..1 | uri | The namespace for the identifier value
value | S | 1..1 | string | The value that is unique
identifier:LANR | S | 0..* | IdentifierLanr | An identifier for the person as this agent
system | S | 1..1 | uri | The namespace for the identifier value
value | S | 1..1 | string | The value that is unique
name | S | 1..* | HumannameDeBasis | The name(s) associated with the practitioner
use | S | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden
text | S | 1..1 | string | Text representation of the full name
family | S | 1..1 | string | Familienname
given | S | 0..* | string | Vorname
prefix | S | 0..* | string | Namensteile vor dem Vornamen
suffix | S | 0..* | string | Namensteile nach dem Nachnamen
gender | S | 0..1 | code | male | female | other | unknown
birthDate | S | 0..1 | date | The date on which the practitioner was born
photo | S | 0..* | Attachment | Image of the person
contentType | S | 0..1 | code | Mime type of the content, with charset etc.
data | S | 0..1 | base64Binary | Data inline, base64ed
url | S | 0..1 | url | Uri where the data can be found
qualification | S | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care
code | S | 1..1 | CodeableConcept | Coded representation of the qualification Binding: TI Practioner Qualifications (extensible)
coding | S | 0..* | Coding | Code defined by a terminology system
system | S | 0..1 | uri | Identity of the terminology system
version | S | 0..1 | string | Version of the system - if relevant
code | S | 0..1 | code | Symbol in syntax defined by the system
display | S | 0..1 | string | Representation defined by the system
communication | S | 0..* | CodeableConcept | A language the practitioner can use in patient communication
coding | S | 0..* | Coding | Code defined by a terminology system
system | S | 0..1 | uri | Identity of the terminology system
version | S | 0..1 | string | Version of the system - if relevant
code | S | 0..1 | code | Symbol in syntax defined by the system
display | S | 0..1 | string | Representation defined by the system
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Practitioner.qualification.​code | Base | extensible | TI Practioner Qualifications | 📦1.0.7 | TI Terminology v1.0

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
id | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier | S Σ | 0..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:system
identifier:TelematikID | S Σ | 0..1 | IdentifierTelematikId | An identifier for the person as this agent
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PRN
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://gematik.de/fhir/sid/telematik-id
value | S Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
identifier:LANR | S Σ | 0..* | IdentifierLanr | An identifier for the person as this agent
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: LANR
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR
value | S Σ C | 1..1 | string | The value that is unique Constraints: lanr-1 Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.de/sid/arge-ik/iknr
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
display | Σ | 1..1 | string | Text alternative for the resource
active | Σ | 0..1 | boolean | Whether this practitioner's record is in active use
name | S Σ | 1..* | HumannameDeBasis | The name(s) associated with the practitioner
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!S Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | S Σ | 1..1 | string | Text representation of the full name
family | S Σ | 1..1 | string | Familienname
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:namenszusatz | N | 0..1 | string | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname |  | 0..1 | string | Nachname ohne Vor- und Zusätze URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort |  | 0..1 | string | Vorsatzwort URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
value |  | 0..1 | string | Primitive value for string Max Length:1048576
given | S Σ | 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
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:prefix-qualifier |  | 0..1 | code | LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier Binding: EntityNamePartQualifier (required)
value |  | 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
period | Σ C | 0..1 | Period | Time period when name was/is in use Constraints: per-1
telecom | Σ C | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) Constraints: cpt-2
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: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 0..1 | date | The date on which the practitioner was born
photo | S C | 0..* | Attachment | Image of the person Constraints: att-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
contentType | S Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
language | Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Example General: en-AU
data | S | 0..1 | base64Binary | Data inline, base64ed
url | S Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size | Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided)
hash | Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed)
title | Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo
creation | Σ | 0..1 | dateTime | Date attachment was first created
qualification | S | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
identifier |  | 0..* | Identifier | An identifier for this qualification for the practitioner
code | S | 1..1 | CodeableConcept | Coded representation of the qualification Binding: TI Practioner Qualifications (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | S Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 0..1 | uri | Identity of the terminology system
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
display | S Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
period | C | 0..1 | Period | Period during which the qualification is valid Constraints: per-1
issuer | C | 0..1 | Reference(Organization) | Organization that regulates and issues the qualification Constraints: ref-1
communication | S | 0..* | CodeableConcept | A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | S Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 0..1 | uri | Identity of the terminology system
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
display | S Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Practitioner.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Practitioner.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
Practitioner.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Practitioner.identifier:TelematikID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Practitioner.identifier:TelematikID.​type | Base | extensible | Identifier Type DeBasis ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Practitioner.identifier:LANR.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Practitioner.identifier:LANR.​type | Base | extensible | Identifier Type DeBasis ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Practitioner.identifier:LANR.​assigner.type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std.
Practitioner.identifier:LANR.​assigner.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Practitioner.identifier:LANR.​assigner.identifier.​type | Base | extensible | IdentifierType | 📦4.0.1 | FHIR Std.
Practitioner.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Practitioner.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Practitioner.photo.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std.
Practitioner.photo.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Practitioner.qualification.​code | Base | extensible | TI Practioner Qualifications | 📦1.0.7 | TI Terminology v1.0
Practitioner.communication | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
att-1 | error | Practitioner.photo | If the Attachment has data, it SHALL have a contentType | `data.empty() or contentType.exists()`
cpt-2 | error | Practitioner.telecom | A system is required if a value is provided. | `value.empty() or system.exists()`
dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Practitioner | 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 | Practitioner | 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 | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Practitioner | 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()`
lanr-1 | warning | Practitioner.identifier:LANR.value | Eine LANR muss neunstellig numerisch sein | `matches('^[0-9]{9}$')`
per-1 | error | Practitioner.identifier:TelematikID.period, Practitioner.identifier:LANR.period, Practitioner.identifier:LANR.assigner.identifier.period, Practitioner.name.period, Practitioner.qualification.period | If present, start SHALL have a lower value than end | `start.hasValue().not() or end.hasValue().not() or (start <= end)`
ref-1 | error | Practitioner.identifier:TelematikID.assigner, Practitioner.identifier:LANR.assigner, Practitioner.identifier:LANR.assigner.identifier.assigner, Practitioner.qualification.issuer | SHALL have a contained resource if a local reference is provided | `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`

This structure is derived from Practitioner

Summary

Mandatory: 3 elements
Must-Support: 37 elements

Structures

This structure refers to these other structures:

- Identifier-Profil für die Telematik-ID (http://fhir.de/StructureDefinition/identifier-telematik-id)
- Identifier-Profil für die Abbildung einer lebenslangen Arztnummer (http://fhir.de/StructureDefinition/identifier-lanr)
- HumanName, deutsches Basisprofil (http://fhir.de/StructureDefinition/humanname-de-basis)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Practitioner.identifier

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
id | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 0..1 | Meta | Metadata about the resource
versionId | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 0..1 | instant | When the resource version last changed
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier | S Σ | 0..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:system
identifier:TelematikID | S Σ | 0..1 | IdentifierTelematikId | An identifier for the person as this agent
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PRN
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://gematik.de/fhir/sid/telematik-id
value | S Σ | 1..1 | string | The value that is unique Example General: 123456
identifier:LANR | S Σ | 0..* | IdentifierLanr | An identifier for the person as this agent
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: LANR
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR
value | S Σ C | 1..1 | string | The value that is unique Constraints: lanr-1 Example General: 123456
name | S Σ | 1..* | HumannameDeBasis | The name(s) associated with the practitioner
use | ?!S Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | S Σ | 1..1 | string | Text representation of the full name
family | S Σ | 1..1 | string | Familienname
Slices for extension |  |  |  | Content/Rules for all slices
extension:namenszusatz | N | 0..1 | string | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname |  | 0..1 | string | Nachname ohne Vor- und Zusätze URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort |  | 0..1 | string | Vorsatzwort URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
given | 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
Slices for extension |  |  |  | Content/Rules for all slices
extension:prefix-qualifier |  | 0..1 | code | LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier Binding: EntityNamePartQualifier (required)
suffix | S Σ | 0..* | string | Namensteile nach dem Nachnamen This repeating element order: Suffixes appear in the correct order for presenting the name
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 0..1 | date | The date on which the practitioner was born
photo | S C | 0..* | Attachment | Image of the person Constraints: att-1
contentType | S Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
data | S | 0..1 | base64Binary | Data inline, base64ed
url | S Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png
qualification | S | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Coded representation of the qualification Binding: TI Practioner Qualifications (extensible)
coding | S Σ | 0..* | Coding | Code defined by a terminology system
system | S Σ | 0..1 | uri | Identity of the terminology system
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
display | S Σ | 0..1 | string | Representation defined by the system
communication | S | 0..* | CodeableConcept | A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
coding | S Σ | 0..* | Coding | Code defined by a terminology system
system | S Σ | 0..1 | uri | Identity of the terminology system
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
display | S Σ | 0..1 | string | Representation defined by the system
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Practitioner.identifier:TelematikID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Practitioner.identifier:TelematikID.​type | Base | extensible | Identifier Type DeBasis ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Practitioner.identifier:LANR.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Practitioner.identifier:LANR.​type | Base | extensible | Identifier Type DeBasis ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Practitioner.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Practitioner.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Practitioner.photo.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std.
Practitioner.qualification.​code | Base | extensible | TI Practioner Qualifications | 📦1.0.7 | TI Terminology v1.0
Practitioner.communication | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
att-1 | error | Practitioner.photo | If the Attachment has data, it SHALL have a contentType | `data.empty() or contentType.exists()`
dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Practitioner | 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 | Practitioner | 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 | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Practitioner | 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()`
lanr-1 | warning | Practitioner.identifier:LANR.value | Eine LANR muss neunstellig numerisch sein | `matches('^[0-9]{9}$')`

Differential View

This structure is derived from Practitioner

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Practitioner |  | 0..* | Practitioner | A person with a formal responsibility in the provisioning of healthcare or related services
id | S | 0..1 | id | Logical id of this artifact
meta | S | 0..1 | Meta | Metadata about the resource
versionId | S | 0..1 | id | Version specific identifier
lastUpdated | S | 0..1 | instant | When the resource version last changed
Slices for identifier | S | 0..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:system
identifier:TelematikID | S | 0..1 | IdentifierTelematikId | An identifier for the person as this agent
system | S | 1..1 | uri | The namespace for the identifier value
value | S | 1..1 | string | The value that is unique
identifier:LANR | S | 0..* | IdentifierLanr | An identifier for the person as this agent
system | S | 1..1 | uri | The namespace for the identifier value
value | S | 1..1 | string | The value that is unique
name | S | 1..* | HumannameDeBasis | The name(s) associated with the practitioner
use | S | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden
text | S | 1..1 | string | Text representation of the full name
family | S | 1..1 | string | Familienname
given | S | 0..* | string | Vorname
prefix | S | 0..* | string | Namensteile vor dem Vornamen
suffix | S | 0..* | string | Namensteile nach dem Nachnamen
gender | S | 0..1 | code | male | female | other | unknown
birthDate | S | 0..1 | date | The date on which the practitioner was born
photo | S | 0..* | Attachment | Image of the person
contentType | S | 0..1 | code | Mime type of the content, with charset etc.
data | S | 0..1 | base64Binary | Data inline, base64ed
url | S | 0..1 | url | Uri where the data can be found
qualification | S | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care
code | S | 1..1 | CodeableConcept | Coded representation of the qualification Binding: TI Practioner Qualifications (extensible)
coding | S | 0..* | Coding | Code defined by a terminology system
system | S | 0..1 | uri | Identity of the terminology system
version | S | 0..1 | string | Version of the system - if relevant
code | S | 0..1 | code | Symbol in syntax defined by the system
display | S | 0..1 | string | Representation defined by the system
communication | S | 0..* | CodeableConcept | A language the practitioner can use in patient communication
coding | S | 0..* | Coding | Code defined by a terminology system
system | S | 0..1 | uri | Identity of the terminology system
version | S | 0..1 | string | Version of the system - if relevant
code | S | 0..1 | code | Symbol in syntax defined by the system
display | S | 0..1 | string | Representation defined by the system
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Practitioner.qualification.​code | Base | extensible | TI Practioner Qualifications | 📦1.0.7 | TI Terminology v1.0

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
id | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier | S Σ | 0..* | Identifier | An identifier for the person as this agent Slice: Unordered, Open by pattern:system
identifier:TelematikID | S Σ | 0..1 | IdentifierTelematikId | An identifier for the person as this agent
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PRN
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://gematik.de/fhir/sid/telematik-id
value | S Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
identifier:LANR | S Σ | 0..* | IdentifierLanr | An identifier for the person as this agent
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: LANR
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR
value | S Σ C | 1..1 | string | The value that is unique Constraints: lanr-1 Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.de/sid/arge-ik/iknr
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
display | Σ | 1..1 | string | Text alternative for the resource
active | Σ | 0..1 | boolean | Whether this practitioner's record is in active use
name | S Σ | 1..* | HumannameDeBasis | The name(s) associated with the practitioner
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!S Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | S Σ | 1..1 | string | Text representation of the full name
family | S Σ | 1..1 | string | Familienname
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:namenszusatz | N | 0..1 | string | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname |  | 0..1 | string | Nachname ohne Vor- und Zusätze URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort |  | 0..1 | string | Vorsatzwort URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
value |  | 0..1 | string | Primitive value for string Max Length:1048576
given | S Σ | 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
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:prefix-qualifier |  | 0..1 | code | LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier Binding: EntityNamePartQualifier (required)
value |  | 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
period | Σ C | 0..1 | Period | Time period when name was/is in use Constraints: per-1
telecom | Σ C | 0..* | ContactPoint | A contact detail for the practitioner (that apply to all roles) Constraints: cpt-2
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: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 0..1 | date | The date on which the practitioner was born
photo | S C | 0..* | Attachment | Image of the person Constraints: att-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
contentType | S Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
language | Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Example General: en-AU
data | S | 0..1 | base64Binary | Data inline, base64ed
url | S Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size | Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided)
hash | Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed)
title | Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo
creation | Σ | 0..1 | dateTime | Date attachment was first created
qualification | S | 0..* | BackboneElement | Certification, licenses, or training pertaining to the provision of care
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
identifier |  | 0..* | Identifier | An identifier for this qualification for the practitioner
code | S | 1..1 | CodeableConcept | Coded representation of the qualification Binding: TI Practioner Qualifications (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | S Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 0..1 | uri | Identity of the terminology system
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
display | S Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
period | C | 0..1 | Period | Period during which the qualification is valid Constraints: per-1
issuer | C | 0..1 | Reference(Organization) | Organization that regulates and issues the qualification Constraints: ref-1
communication | S | 0..* | CodeableConcept | A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | S Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 0..1 | uri | Identity of the terminology system
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
display | S Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Practitioner.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Practitioner.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
Practitioner.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Practitioner.identifier:TelematikID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Practitioner.identifier:TelematikID.​type | Base | extensible | Identifier Type DeBasis ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Practitioner.identifier:LANR.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Practitioner.identifier:LANR.​type | Base | extensible | Identifier Type DeBasis ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Practitioner.identifier:LANR.​assigner.type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std.
Practitioner.identifier:LANR.​assigner.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Practitioner.identifier:LANR.​assigner.identifier.​type | Base | extensible | IdentifierType | 📦4.0.1 | FHIR Std.
Practitioner.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Practitioner.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Practitioner.photo.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std.
Practitioner.photo.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Practitioner.qualification.​code | Base | extensible | TI Practioner Qualifications | 📦1.0.7 | TI Terminology v1.0
Practitioner.communication | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
att-1 | error | Practitioner.photo | If the Attachment has data, it SHALL have a contentType | `data.empty() or contentType.exists()`
cpt-2 | error | Practitioner.telecom | A system is required if a value is provided. | `value.empty() or system.exists()`
dom-2 | error | Practitioner | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Practitioner | 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 | Practitioner | 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 | Practitioner | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Practitioner | 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()`
lanr-1 | warning | Practitioner.identifier:LANR.value | Eine LANR muss neunstellig numerisch sein | `matches('^[0-9]{9}$')`
per-1 | error | Practitioner.identifier:TelematikID.period, Practitioner.identifier:LANR.period, Practitioner.identifier:LANR.assigner.identifier.period, Practitioner.name.period, Practitioner.qualification.period | If present, start SHALL have a lower value than end | `start.hasValue().not() or end.hasValue().not() or (start <= end)`
ref-1 | error | Practitioner.identifier:TelematikID.assigner, Practitioner.identifier:LANR.assigner, Practitioner.identifier:LANR.assigner.identifier.assigner, Practitioner.qualification.issuer | SHALL have a contained resource if a local reference is provided | `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`

This structure is derived from Practitioner

Summary

Mandatory: 3 elements
Must-Support: 37 elements

Structures

This structure refers to these other structures:

- Identifier-Profil für die Telematik-ID (http://fhir.de/StructureDefinition/identifier-telematik-id)
- Identifier-Profil für die Abbildung einer lebenslangen Arztnummer (http://fhir.de/StructureDefinition/identifier-lanr)
- HumanName, deutsches Basisprofil (http://fhir.de/StructureDefinition/humanname-de-basis)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Practitioner.identifier

Other representations of profile: CSV, Excel, Schematron