Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services This profile also imposes the profile Patient (EU core) Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, pat-de-1, pat-de-2
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	AddressEu	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:gender-identity		0..*	(Complex)	The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:pronouns		0..*	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:patient-citizenship		0..*	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthTime		0..1	dateTime	Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR	SΣ	0..1	IdentifierKvid10	An identifier for this patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	0..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:$this
name:Name	SΣ	0..1	TIHumanName	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
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
name:Geburtsname	SΣ	0..1	TIBirthName	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
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
gender	SΣ	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	SΣ	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	ΣC	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.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()
pat-de-2	error	Patient	Es muss ein Name ohne use oder ein Name mit use 'official' vorhanden sein.	name.where(use.empty() or use = 'official').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'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services This profile also imposes the profile Patient (EU core) Constraints: pat-de-1, pat-de-2
Slices for extension				Content/Rules for all slices
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
value[x]		1..1	AddressEu	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:gender-identity		0..*	(Complex)	The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:pronouns		0..*	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:patient-citizenship		0..*	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthTime		0..1	dateTime	Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
Slices for identifier	S	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR	S	0..1	IdentifierKvid10	An identifier for this patient Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
Slices for name	S	0..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:$this
name:Name	S	0..1	TIHumanName	A name associated with the patient Required Pattern: At least the following
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
name:Geburtsname	S	0..1	TIBirthName	A name associated with the patient Required Pattern: At least the following
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
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()
pat-de-2	error	Patient	Es muss ein Name ohne use oder ein Name mit use 'official' vorhanden sein.	name.where(use.empty() or use = 'official').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 This profile also imposes the profile Patient (EU core) Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, pat-de-1, pat-de-2
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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
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/patient-birthPlace"
value[x]		1..1	AddressEu	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:gender-identity		0..*	(Complex)	The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:pronouns		0..*	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:patient-citizenship		0..*	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthTime		0..1	dateTime	Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR	SΣ	0..1	IdentifierKvid10	An identifier for this patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	0..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:$this
name:Name	SΣ	0..1	TIHumanName	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
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
name:Geburtsname	SΣ	0..1	TIBirthName	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
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
telecom	ΣC	0..*	ContactPoint	A contact detail for the individual Constraints: cpt-2
gender	SΣ	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	SΣ	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	ΣC	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	ΣC	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.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()
pat-de-2	error	Patient	Es muss ein Name ohne use oder ein Name mit use 'official' vorhanden sein.	name.where(use.empty() or use = 'official').exists()
per-1	error	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'))

Summary

Mandatory: 1 element
Must-Support: 7 elements

Structures

This structure refers to these other structures:

• Address (EU) (http://hl7.eu/fhir/base/StructureDefinition/Address-eu)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• TI Human Name (https://gematik.de/fhir/ti/StructureDefinition/ti-human-name)
• TI Geburtsname (https://gematik.de/fhir/ti/StructureDefinition/ti-birth-name)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-birthPlace
• http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
• http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
• http://hl7.org/fhir/StructureDefinition/individual-pronouns
• http://hl7.org/fhir/StructureDefinition/patient-citizenship
• http://hl7.org/fhir/StructureDefinition/patient-nationality
• http://hl7.org/fhir/StructureDefinition/patient-birthTime
• 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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services This profile also imposes the profile Patient (EU core) Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, pat-de-1, pat-de-2
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	AddressEu	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:gender-identity		0..*	(Complex)	The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:pronouns		0..*	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:patient-citizenship		0..*	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthTime		0..1	dateTime	Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR	SΣ	0..1	IdentifierKvid10	An identifier for this patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	0..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:$this
name:Name	SΣ	0..1	TIHumanName	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
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
name:Geburtsname	SΣ	0..1	TIBirthName	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
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
gender	SΣ	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	SΣ	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	ΣC	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.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()
pat-de-2	error	Patient	Es muss ein Name ohne use oder ein Name mit use 'official' vorhanden sein.	name.where(use.empty() or use = 'official').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'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services This profile also imposes the profile Patient (EU core) Constraints: pat-de-1, pat-de-2
Slices for extension				Content/Rules for all slices
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
value[x]		1..1	AddressEu	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:gender-identity		0..*	(Complex)	The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:pronouns		0..*	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:patient-citizenship		0..*	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthTime		0..1	dateTime	Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
Slices for identifier	S	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR	S	0..1	IdentifierKvid10	An identifier for this patient Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
Slices for name	S	0..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:$this
name:Name	S	0..1	TIHumanName	A name associated with the patient Required Pattern: At least the following
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
name:Geburtsname	S	0..1	TIBirthName	A name associated with the patient Required Pattern: At least the following
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
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()
pat-de-2	error	Patient	Es muss ein Name ohne use oder ein Name mit use 'official' vorhanden sein.	name.where(use.empty() or use = 'official').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 This profile also imposes the profile Patient (EU core) Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, pat-de-1, pat-de-2
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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
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/patient-birthPlace"
value[x]		1..1	AddressEu	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:gender-identity		0..*	(Complex)	The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:pronouns		0..*	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:patient-citizenship		0..*	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthTime		0..1	dateTime	Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:KVNR	SΣ	0..1	IdentifierKvid10	An identifier for this patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	0..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:$this
name:Name	SΣ	0..1	TIHumanName	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
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
name:Geburtsname	SΣ	0..1	TIBirthName	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
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
telecom	ΣC	0..*	ContactPoint	A contact detail for the individual Constraints: cpt-2
gender	SΣ	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	SΣ	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	ΣC	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	ΣC	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.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()
pat-de-2	error	Patient	Es muss ein Name ohne use oder ein Name mit use 'official' vorhanden sein.	name.where(use.empty() or use = 'official').exists()
per-1	error	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'))

Summary

Mandatory: 1 element
Must-Support: 7 elements

Structures

This structure refers to these other structures:

• Address (EU) (http://hl7.eu/fhir/base/StructureDefinition/Address-eu)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• TI Human Name (https://gematik.de/fhir/ti/StructureDefinition/ti-human-name)
• TI Geburtsname (https://gematik.de/fhir/ti/StructureDefinition/ti-birth-name)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-birthPlace
• http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
• http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
• http://hl7.org/fhir/StructureDefinition/individual-pronouns
• http://hl7.org/fhir/StructureDefinition/patient-citizenship
• http://hl7.org/fhir/StructureDefinition/patient-nationality
• http://hl7.org/fhir/StructureDefinition/patient-birthTime
• 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