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

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

### Messages

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Patient |
copyright | gematik GmbH / Dieses Artefakt ist lizenziert unter [Apache License](./license.html), Version 2.0. |
date | 2026-03-20 |
description | Das Patient-Profil für die Telematikinfrastruktur (TI) FHIR Data Services |
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#DE |
kind | resource |
name | TIPatient |
publisher | gematik GmbH |
purpose |  |
status | active |
title | TI Patient |
type | Patient |
url | https://gematik.de/fhir/ti/StructureDefinition/ti-patient |
version | 1.3.0 |

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: pat-de-1 | C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: pat-de-1 |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
Slices for modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
Slices for identifier | S Σ | 0..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this | S Σ | 0..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this |
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use |
Slices for name | S Σ | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:$this | S Σ | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:$this |
telecom | Σ C | 0..* | ContactPoint | A contact detail for the individual | Σ C | 0..* | ContactPoint | A contact detail for the individual |
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. | S Σ | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. |
id |  | 0..1 | string | xml:id (or equivalent in JSON) |  | 0..1 | string | xml:id (or equivalent in JSON) |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
value |  | 0..1 | code | Primitive value for code Max Length:1048576 |  | 0..1 | code | Primitive value for code Max Length:1048576 |
birthDate | S Σ | 1..1 | date | Geburtsdatum | S Σ | 1..1 | date | Geburtsdatum |
deceased[x] | ?!Σ | 0..1 | boolean, dateTime | Indicates if the individual is deceased or not | ?!Σ | 0..1 | boolean, dateTime | Indicates if the individual is deceased or not |
address | Σ | 0..* | Address | An address for the individual | Σ | 0..* | Address | An address for the individual |
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: ?? (extensible): The domestic partnership status of a person. |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: ?? (extensible): The domestic partnership status of a person. |
multipleBirth[x] |  | 0..1 | boolean, integer | Whether patient is part of a multiple birth |  | 0..1 | boolean, integer | Whether patient is part of a multiple birth |
photo | C | 0..* | Attachment | Image of the patient | C | 0..* | Attachment | Image of the patient |
contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
relationship |  | 0..* | CodeableConcept | The kind of relationship Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient. |  | 0..* | CodeableConcept | The kind of relationship Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient. |
name |  | 0..1 | HumanName | A name associated with the contact person |  | 0..1 | HumanName | A name associated with the contact person |
telecom | C | 0..* | ContactPoint | A contact detail for the person | C | 0..* | ContactPoint | A contact detail for the person |
address |  | 0..1 | Address | Address for the contact person |  | 0..1 | Address | Address for the contact person |
gender |  | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. |  | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. |
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact | C | 0..1 | Reference(Organization) | Organization that is associated with the contact |
period | C | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | C | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient |
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
preferred |  | 0..1 | boolean | Language preference indicator |  | 0..1 | boolean | Language preference indicator |
generalPractitioner | C | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider | C | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider |
managingOrganization | Σ C | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record | Σ C | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record |
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
other | Σ C | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | Σ C | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to |
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: ?? (required): The type of link between this patient resource and another patient resource. | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: ?? (required): The type of link between this patient resource and another patient resource. |
Documentation for this format