Implementation Guide
TI Common
Version 1.3.1 - release

## Resource Profile: TI Patient

Official URL: https://gematik.de/fhir/ti/StructureDefinition/ti-patient | Version: 1.3.0
Active as of 2026-03-20 | Computable Name: TIPatient
Copyright/Legal: gematik GmbH / Dieses Artefakt ist lizenziert unter Apache License, Version 2.0.

Das Patient-Profil für die Telematikinfrastruktur (TI) FHIR Data Services

Usages:

- Examples for this Profile: Patient/ExampleTIPatient

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
--- | --- | --- | --- | ---
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
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 this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR | S Σ | 0..1 | IdentifierKvid10 | An identifier for this patient Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
Slices for name | S Σ | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:$this
name:Name | S Σ | 1..1 | HumannameDeBasis | A name associated with the patient Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
text |  | 0..1 | string | Text representation of the full name
suffix |  | 0..* | string | Parts that come after the name
period |  | 0..1 | Period | Time period when name was/is in use
use | ?!S Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official
family | S Σ | 1..1 | string | Familienname
Slices for extension |  |  |  | Content/Rules for all slices
extension:namenszusatz | S | 0..1 | string | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname | S | 0..1 | string | Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort | S | 0..1 | string | Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
given | S Σ | 1..* | 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 | S | 0..1 | (Complex) | LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
extension |  | 0..0 |  | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
value[x] |  | 1..1 | code | Value of extension Binding: EntityNamePartQualifier (required) Fixed Value: AC
name:Geburtsname | S Σ | 0..1 | HumannameDeBasis | A name associated with the patient Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
text |  | 0..1 | string | Text representation of the full name
period |  | 0..1 | Period | Time period when name was/is in use
use | ?!S Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: maiden
family | S Σ | 1..1 | string | Familienname
Slices for extension |  |  |  | Content/Rules for all slices
extension:namenszusatz | S | 0..1 | string | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname | S | 0..1 | string | Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort | S | 0..1 | string | Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:other-amtlich |  | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required)
birthDate | S Σ | 1..1 | date | Geburtsdatum
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ C | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to Constraints: ref-1
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.name:Name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.name:Name.prefix.​extension:prefix-qualifier.​value[x] | Base | required | EntityNamePartQualifier | 📦5.2.0 | FHIR Extensions Pack v5.2
Patient.name:Geburtsname.​use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Patient | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
pat-de-1 | error | Patient | Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist | `gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()`
ref-1 | error | Patient.link.other | 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 Patient

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: pat-de-1
Slices for identifier | S | 0..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR | S | 0..1 | IdentifierKvid10 | An identifier for this patient Required Pattern: At least the following
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
Slices for name | S | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:$this
name:Name | S | 1..1 | HumannameDeBasis | A name associated with the patient Required Pattern: At least the following
use | S | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
family | S | 1..1 | string | Familienname
Slices for extension |  |  |  | Content/Rules for all slices
extension:namenszusatz | S | 0..1 | HumannameNamenszusatz | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
extension:nachname | S | 0..1 | OwnName(5.2.0) | Portion derived from person's own surname
extension:vorsatzwort | S | 0..1 | OwnPrefix(5.2.0) | Voorvoegsel derived from person's own surname
given | S | 1..* | string | Vorname
prefix | S | 0..* | string | Namensteile vor dem Vornamen
Slices for extension |  |  |  | Content/Rules for all slices
extension:prefix-qualifier | S | 0..1 | ENQualifier(5.2.0) | LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
value[x] |  | 1..1 | code | Value of extension Fixed Value: AC
name:Geburtsname | S | 0..1 | HumannameDeBasis | A name associated with the patient Required Pattern: At least the following
use | S | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
family | S | 1..1 | string | Familienname
Slices for extension |  |  |  | Content/Rules for all slices
extension:namenszusatz | S | 0..1 | HumannameNamenszusatz | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
extension:nachname | S | 0..1 | OwnName(5.2.0) | Portion derived from person's own surname
extension:vorsatzwort | S | 0..1 | OwnPrefix(5.2.0) | Voorvoegsel derived from person's own surname
given |  | 0..0 |  | Vorname
prefix |  | 0..0 |  | Namensteile vor dem Vornamen
suffix |  | 0..0 |  | Namensteile nach dem Nachnamen
gender | S | 0..1 | code | male | female | other | unknown
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:other-amtlich |  | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required)
birthDate | S | 1..1 | date | Geburtsdatum
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
pat-de-1 | error | Patient | Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist | `gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, pat-de-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations 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 this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR | S Σ | 0..1 | IdentifierKvid10 | An identifier for this patient Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
Slices for name | S Σ | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:$this
name:Name | S Σ | 1..1 | HumannameDeBasis | A name associated with the patient Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!S Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official
text | Σ | 0..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 | S | 0..1 | string | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname | S | 0..1 | string | Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort | S | 0..1 | string | Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
value |  | 0..1 | string | Primitive value for string Max Length:1048576
given | S Σ | 1..* | 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 | S | 0..1 | (Complex) | LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
value[x] |  | 1..1 | code | Value of extension Binding: EntityNamePartQualifier (required) Fixed Value: AC
value |  | 0..1 | string | Primitive value for string Max Length:1048576
suffix | Σ | 0..* | string | Namensteile nach dem Nachnamen This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ C | 0..1 | Period | Time period when name was/is in use Constraints: per-1
name:Geburtsname | S Σ | 0..1 | HumannameDeBasis | A name associated with the patient Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!S Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: maiden
text | Σ | 0..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 | S | 0..1 | string | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname | S | 0..1 | string | Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort | S | 0..1 | string | Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
value |  | 0..1 | string | Primitive value for string Max Length:1048576
period | Σ 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 individual Constraints: cpt-2
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:other-amtlich |  | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required)
value |  | 0..1 | code | Primitive value for code Max Length:1048576
birthDate | S Σ | 1..1 | date | Geburtsdatum
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | Σ | 0..* | Address | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x] |  | 0..1 |  | Whether patient is part of a multiple birth
multipleBirthBoolean |  |  | boolean |
multipleBirthInteger |  |  | integer |
photo | C | 0..* | Attachment | Image of the patient Constraints: att-1
contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relationship |  | 0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name |  | 0..1 | HumanName | A name associated with the contact person
telecom | C | 0..* | ContactPoint | A contact detail for the person Constraints: cpt-2
address |  | 0..1 | Address | Address for the contact person
gender |  | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact Constraints: ref-1
period | C | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient Constraints: per-1
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
preferred |  | 0..1 | boolean | Language preference indicator
generalPractitioner | C | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider Constraints: ref-1
managingOrganization | Σ C | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record Constraints: ref-1
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!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 Constraints: ref-1
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.name:Name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.name:Name.prefix.​extension:prefix-qualifier.​value[x] | Base | required | EntityNamePartQualifier | 📦5.2.0 | FHIR Extensions Pack v5.2
Patient.name:Geburtsname.​use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.maritalStatus | Base | extensible | MaritalStatus | 📍4.0.1 | FHIR Std.
Patient.contact.relationship | Base | extensible | Patient Contact Relationship | 📍4.0.1 | FHIR Std.
Patient.contact.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.communication.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
att-1 | error | Patient.photo | If the Attachment has data, it SHALL have a contentType | `data.empty() or contentType.exists()`
cpt-2 | error | Patient.telecom, Patient.contact.telecom | A system is required if a value is provided. | `value.empty() or system.exists()`
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Patient | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
pat-1 | error | Patient.contact | SHALL at least contain a contact's details or a reference to an organization | `name.exists() or telecom.exists() or address.exists() or organization.exists()`
pat-de-1 | error | Patient | Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist | `gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()`
per-1 | error | Patient.name:Name.period, Patient.name:Geburtsname.period, Patient.contact.period | If present, start SHALL have a lower value than end | `start.hasValue().not() or end.hasValue().not() or (start <= end)`
ref-1 | error | Patient.contact.organization, Patient.generalPractitioner, Patient.managingOrganization, Patient.link.other | 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 Patient

Summary

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

Structures

This structure refers to these other structures:

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

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

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

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, pat-de-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier | S Σ | 0..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR | S Σ | 0..1 | IdentifierKvid10 | An identifier for this patient Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
Slices for name | S Σ | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:$this
name:Name | S Σ | 1..1 | HumannameDeBasis | A name associated with the patient Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
text |  | 0..1 | string | Text representation of the full name
suffix |  | 0..* | string | Parts that come after the name
period |  | 0..1 | Period | Time period when name was/is in use
use | ?!S Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official
family | S Σ | 1..1 | string | Familienname
Slices for extension |  |  |  | Content/Rules for all slices
extension:namenszusatz | S | 0..1 | string | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname | S | 0..1 | string | Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort | S | 0..1 | string | Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
given | S Σ | 1..* | 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 | S | 0..1 | (Complex) | LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
extension |  | 0..0 |  | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
value[x] |  | 1..1 | code | Value of extension Binding: EntityNamePartQualifier (required) Fixed Value: AC
name:Geburtsname | S Σ | 0..1 | HumannameDeBasis | A name associated with the patient Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
text |  | 0..1 | string | Text representation of the full name
period |  | 0..1 | Period | Time period when name was/is in use
use | ?!S Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: maiden
family | S Σ | 1..1 | string | Familienname
Slices for extension |  |  |  | Content/Rules for all slices
extension:namenszusatz | S | 0..1 | string | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname | S | 0..1 | string | Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort | S | 0..1 | string | Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:other-amtlich |  | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required)
birthDate | S Σ | 1..1 | date | Geburtsdatum
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ C | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to Constraints: ref-1
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.name:Name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.name:Name.prefix.​extension:prefix-qualifier.​value[x] | Base | required | EntityNamePartQualifier | 📦5.2.0 | FHIR Extensions Pack v5.2
Patient.name:Geburtsname.​use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Patient | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
pat-de-1 | error | Patient | Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist | `gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()`
ref-1 | error | Patient.link.other | 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'))`

Differential View

This structure is derived from Patient

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: pat-de-1
Slices for identifier | S | 0..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR | S | 0..1 | IdentifierKvid10 | An identifier for this patient Required Pattern: At least the following
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
Slices for name | S | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:$this
name:Name | S | 1..1 | HumannameDeBasis | A name associated with the patient Required Pattern: At least the following
use | S | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
family | S | 1..1 | string | Familienname
Slices for extension |  |  |  | Content/Rules for all slices
extension:namenszusatz | S | 0..1 | HumannameNamenszusatz | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
extension:nachname | S | 0..1 | OwnName(5.2.0) | Portion derived from person's own surname
extension:vorsatzwort | S | 0..1 | OwnPrefix(5.2.0) | Voorvoegsel derived from person's own surname
given | S | 1..* | string | Vorname
prefix | S | 0..* | string | Namensteile vor dem Vornamen
Slices for extension |  |  |  | Content/Rules for all slices
extension:prefix-qualifier | S | 0..1 | ENQualifier(5.2.0) | LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
value[x] |  | 1..1 | code | Value of extension Fixed Value: AC
name:Geburtsname | S | 0..1 | HumannameDeBasis | A name associated with the patient Required Pattern: At least the following
use | S | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
family | S | 1..1 | string | Familienname
Slices for extension |  |  |  | Content/Rules for all slices
extension:namenszusatz | S | 0..1 | HumannameNamenszusatz | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
extension:nachname | S | 0..1 | OwnName(5.2.0) | Portion derived from person's own surname
extension:vorsatzwort | S | 0..1 | OwnPrefix(5.2.0) | Voorvoegsel derived from person's own surname
given |  | 0..0 |  | Vorname
prefix |  | 0..0 |  | Namensteile vor dem Vornamen
suffix |  | 0..0 |  | Namensteile nach dem Nachnamen
gender | S | 0..1 | code | male | female | other | unknown
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:other-amtlich |  | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required)
birthDate | S | 1..1 | date | Geburtsdatum
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
pat-de-1 | error | Patient | Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist | `gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, pat-de-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations 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 this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR | S Σ | 0..1 | IdentifierKvid10 | An identifier for this patient Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
type |  | 0..1 | CodeableConcept | Description of identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value |  | 0..1 | string | The value that is unique
period |  | 0..1 | Period | Time period when id is/was valid for use
assigner |  | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
Slices for name | S Σ | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:$this
name:Name | S Σ | 1..1 | HumannameDeBasis | A name associated with the patient Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!S Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official
text | Σ | 0..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 | S | 0..1 | string | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname | S | 0..1 | string | Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort | S | 0..1 | string | Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
value |  | 0..1 | string | Primitive value for string Max Length:1048576
given | S Σ | 1..* | 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 | S | 0..1 | (Complex) | LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
value[x] |  | 1..1 | code | Value of extension Binding: EntityNamePartQualifier (required) Fixed Value: AC
value |  | 0..1 | string | Primitive value for string Max Length:1048576
suffix | Σ | 0..* | string | Namensteile nach dem Nachnamen This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ C | 0..1 | Period | Time period when name was/is in use Constraints: per-1
name:Geburtsname | S Σ | 0..1 | HumannameDeBasis | A name associated with the patient Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!S Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: maiden
text | Σ | 0..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 | S | 0..1 | string | Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
extension:nachname | S | 0..1 | string | Portion derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
extension:vorsatzwort | S | 0..1 | string | Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
value |  | 0..1 | string | Primitive value for string Max Length:1048576
period | Σ 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 individual Constraints: cpt-2
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:other-amtlich |  | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required)
value |  | 0..1 | code | Primitive value for code Max Length:1048576
birthDate | S Σ | 1..1 | date | Geburtsdatum
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | Σ | 0..* | Address | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x] |  | 0..1 |  | Whether patient is part of a multiple birth
multipleBirthBoolean |  |  | boolean |
multipleBirthInteger |  |  | integer |
photo | C | 0..* | Attachment | Image of the patient Constraints: att-1
contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relationship |  | 0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name |  | 0..1 | HumanName | A name associated with the contact person
telecom | C | 0..* | ContactPoint | A contact detail for the person Constraints: cpt-2
address |  | 0..1 | Address | Address for the contact person
gender |  | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact Constraints: ref-1
period | C | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient Constraints: per-1
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
preferred |  | 0..1 | boolean | Language preference indicator
generalPractitioner | C | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider Constraints: ref-1
managingOrganization | Σ C | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record Constraints: ref-1
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!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 Constraints: ref-1
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.name:Name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.name:Name.prefix.​extension:prefix-qualifier.​value[x] | Base | required | EntityNamePartQualifier | 📦5.2.0 | FHIR Extensions Pack v5.2
Patient.name:Geburtsname.​use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.maritalStatus | Base | extensible | MaritalStatus | 📍4.0.1 | FHIR Std.
Patient.contact.relationship | Base | extensible | Patient Contact Relationship | 📍4.0.1 | FHIR Std.
Patient.contact.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.communication.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
att-1 | error | Patient.photo | If the Attachment has data, it SHALL have a contentType | `data.empty() or contentType.exists()`
cpt-2 | error | Patient.telecom, Patient.contact.telecom | A system is required if a value is provided. | `value.empty() or system.exists()`
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Patient | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
pat-1 | error | Patient.contact | SHALL at least contain a contact's details or a reference to an organization | `name.exists() or telecom.exists() or address.exists() or organization.exists()`
pat-de-1 | error | Patient | Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist | `gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()`
per-1 | error | Patient.name:Name.period, Patient.name:Geburtsname.period, Patient.contact.period | If present, start SHALL have a lower value than end | `start.hasValue().not() or end.hasValue().not() or (start <= end)`
ref-1 | error | Patient.contact.organization, Patient.generalPractitioner, Patient.managingOrganization, Patient.link.other | 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 Patient

Summary

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

Structures

This structure refers to these other structures:

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

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron