MIO Laborbefund
Version 1.0.0-update - ci-build

Resource Profile: KBV_PR_MIO_LAB_Practitioner - Detailed Descriptions

Draft as of 2026-06-11

Definitions for the KBV-PR-MIO-LAB-Practitioner resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Practitioner
Definition

Dieses Profil bildet eine behandelnde Person ab.


A person who is directly or indirectly involved in the provisioning of healthcare.

ShortA person with a formal responsibility in the provisioning of healthcare or related services
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
pract-de-1: 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())
2. Practitioner.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

ShortMetadata about the resource
Control0..1
TypeMeta
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Practitioner.meta.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..01
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
6. Practitioner.meta.versionId
Definition

The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

ShortVersion specific identifier
Comments

The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

Control0..1
Typeid
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Practitioner.meta.lastUpdated
Definition

When the resource last changed - e.g. when the version changed.

ShortWhen the resource version last changed
Comments

This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

Control0..1
Typeinstant
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Practitioner.meta.source
Definition

A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.


A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

ShortIdentifies where the resource comes from
Comments

In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

Control0..01
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Practitioner.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..01
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Practitioner.language
Definition

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control0..01
BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages|4.0.1
(preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Practitioner.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

ShortContained, inline Resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Control0..0*
TypeResource
Is Modifierfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
18. Practitioner.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Must Supporttrue
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Practitioner.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
  • value @ url
  • 20. Practitioner.extension:additionalComment
    Slice NameadditionalComment
    Definition

    In diesem Element werden als Freitext ergänzende Angaben zur Person gemacht, wie beispielsweise Zusatzqualifikationen.

    ShortErgänzende Angaben
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(KBV_EX_Base_Additional_Comment) (Extension Type: string)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    22. Practitioner.extension:additionalComment.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..0*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Practitioner.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 24. Practitioner.extension:additionalComment.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valuehttps://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Additional_Comment
      26. Practitioner.extension:additionalComment.value[x]
      Definition

      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortValue of extension
      Control10..1
      Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on Practitioner.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
      • type @ $this
      • 28. Practitioner.extension:additionalComment.value[x]:valueString
        Slice NamevalueString
        Definition

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortValue of extension
        Control10..1
        Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        30. Practitioner.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
        Summaryfalse
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        32. Practitioner.identifier
        Definition

        In diesem Element wird der Identifier (Identifikator) für diese behandelnde Person definiert. Der Identifikator kann aus diversen Quellen stammen.


        An identifier that applies to this person in this role.

        ShortAn identifier for the person as this agent
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..*
        TypeIdentifier
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Requirements

        Often, specific identities are assigned for the agent.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Practitioner.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ type
        • value @ system
        • 34. Practitioner.identifier:ANR
          Slice NameANR
          Definition

          In diesem Element wird die Arztnummer (umgangssprachlich auch Lebenslange Arztnummer „LANR“ genannt) nach § 108 SGB V abgebildet.


          An identifier that applies to this person in this role.

          ShortAn identifier for the person as this agent
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..*
          TypeIdentifier(Identifier-Profil für die Abbildung einer lebenslangen Arztnummer)
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          Often, specific identities are assigned for the agent.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          36. Practitioner.identifier:ANR.use
          Definition

          The purpose of this identifier.

          Shortusual | official | temp | secondary | old (If known)
          Comments

          Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

          Control0..01
          BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
          (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

          Identifies the purpose for this identifier, if known .

          Typecode
          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

          Fixed Valueofficial
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          38. Practitioner.identifier:ANR.type
          Definition

          A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

          ShortDescription of identifier
          Comments

          This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

          Control10..1
          BindingUnless not suitable, these codes SHALL be taken from Identifier Type DeBasis ValueSethttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
          (extensible to http://fhir.de/ValueSet/identifier-type-de-basis)

          A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

          TypeCodeableConcept
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows users to make use of identifiers when the identifier system is not known.

          Pattern Value{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code" : "LANR"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          40. Practitioner.identifier:ANR.type.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control10..1*
          TypeCoding
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          Allows for alternative encodings within a code system, and translations to other code systems.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          42. Practitioner.identifier:ANR.type.coding.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          44. Practitioner.identifier:ANR.type.coding.version
          Definition

          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

          ShortVersion of the system - if relevant
          Comments

          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

          NoteThis is a business version Id, not a resource version Id (see discussion)
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          46. Practitioner.identifier:ANR.type.coding.code
          Definition

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

          ShortSymbol in syntax defined by the system
          Control10..1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          48. Practitioner.identifier:ANR.type.coding.display
          Definition

          A representation of the meaning of the code in the system, following the rules of the system.

          ShortRepresentation defined by the system
          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

          Pattern ValueLifelong physician number
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          50. Practitioner.identifier:ANR.type.coding.userSelected
          Definition

          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

          ShortIf this coding was chosen directly by the user
          Comments

          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

          Control0..01
          Typeboolean
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          52. Practitioner.identifier:ANR.type.text
          Definition

          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

          ShortPlain text representation of the concept
          Comments

          Very often the text is the same as a displayName of one of the codings.

          Control0..01
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. Practitioner.identifier:ANR.system
          Definition

          Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

          ShortThe namespace for the identifier value
          Comments

          Identifier.system is always case sensitive.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

          Fixed Valuehttps://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR
          ExampleGeneral: http://www.acme.com/identifiers/patient
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. Practitioner.identifier:ANR.value
          Definition

          The portion of the identifier typically relevant to the user and which is unique within the context of the system.

          ShortThe value that is unique
          Comments

          If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          ExampleGeneral: 123456
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          lanr-1: Eine LANR muss neunstellig numerisch sein (matches('^[0-9]{9}$'))
          58. Practitioner.identifier:ANR.period
          Definition

          Time period during which identifier is/was valid for use.

          ShortTime period when id is/was valid for use
          Control0..01
          TypePeriod
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          60. Practitioner.identifier:ANR.assigner
          Definition

          Organization that issued/manages the identifier.

          ShortOrganization that issued id (may be just text)
          Comments

          The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

          Control0..01
          TypeReference(Organization, Organization)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          63. Practitioner.identifier:EFN
          Slice NameEFN
          Definition

          In diesem Element wird die einheitliche Fortbildungsnummer (EFN) abgebildet.


          An identifier that applies to this person in this role.

          ShortAn identifier for the person as this agent
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..1*
          TypeIdentifier(Identifier-Profil für die Abbildung der Einheitlichen Fortbildungsnummer (EFN))
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          Often, specific identities are assigned for the agent.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          65. Practitioner.identifier:EFN.use
          Definition

          The purpose of this identifier.

          Shortusual | official | temp | secondary | old (If known)
          Comments

          Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

          Control0..01
          BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
          (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

          Identifies the purpose for this identifier, if known .

          Typecode
          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

          Fixed Valueofficial
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          67. Practitioner.identifier:EFN.type
          Definition

          A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

          ShortDescription of identifier
          Comments

          This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

          Control10..1
          BindingUnless not suitable, these codes SHALL be taken from Identifier Type DeBasis ValueSethttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
          (extensible to http://fhir.de/ValueSet/identifier-type-de-basis)

          A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

          TypeCodeableConcept
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows users to make use of identifiers when the identifier system is not known.

          Pattern Value{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code" : "DN"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          69. Practitioner.identifier:EFN.type.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control10..1*
          TypeCoding
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          Allows for alternative encodings within a code system, and translations to other code systems.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          71. Practitioner.identifier:EFN.type.coding.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          73. Practitioner.identifier:EFN.type.coding.version
          Definition

          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

          ShortVersion of the system - if relevant
          Comments

          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

          NoteThis is a business version Id, not a resource version Id (see discussion)
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          75. Practitioner.identifier:EFN.type.coding.code
          Definition

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

          ShortSymbol in syntax defined by the system
          Control10..1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          77. Practitioner.identifier:EFN.type.coding.display
          Definition

          A representation of the meaning of the code in the system, following the rules of the system.

          ShortRepresentation defined by the system
          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

          Pattern ValueDoctor number
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          79. Practitioner.identifier:EFN.type.coding.userSelected
          Definition

          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

          ShortIf this coding was chosen directly by the user
          Comments

          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

          Control0..01
          Typeboolean
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          81. Practitioner.identifier:EFN.type.text
          Definition

          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

          ShortPlain text representation of the concept
          Comments

          Very often the text is the same as a displayName of one of the codings.

          Control0..01
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          83. Practitioner.identifier:EFN.system
          Definition

          Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

          ShortThe namespace for the identifier value
          Comments

          Identifier.system is always case sensitive.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

          Fixed Valuehttp://fhir.de/sid/bundesaerztekammer/efn
          ExampleGeneral: http://www.acme.com/identifiers/patient
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          85. Practitioner.identifier:EFN.value
          Definition

          The portion of the identifier typically relevant to the user and which is unique within the context of the system.

          ShortThe value that is unique
          Comments

          If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          ExampleGeneral: 123456
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          87. Practitioner.identifier:EFN.period
          Definition

          Time period during which identifier is/was valid for use.

          ShortTime period when id is/was valid for use
          Control0..01
          TypePeriod
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          89. Practitioner.identifier:EFN.assigner
          Definition

          Organization that issued/manages the identifier.

          ShortOrganization that issued id (may be just text)
          Comments

          The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

          Control0..01
          TypeReference(Organization, Organization)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          92. Practitioner.identifier:ZANR
          Slice NameZANR
          Definition

          In diesem Element wird die Zahnarztnummer analog zur ANR abgebildet.


          An identifier that applies to this person in this role.

          ShortAn identifier for the person as this agent
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..*
          TypeIdentifier(Identifier-Profil für die Abbildung einer lebenslangen Zahnarztnummer)
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          Often, specific identities are assigned for the agent.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          94. Practitioner.identifier:ZANR.use
          Definition

          The purpose of this identifier.

          Shortusual | official | temp | secondary | old (If known)
          Comments

          Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

          Control0..01
          BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
          (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

          Identifies the purpose for this identifier, if known .

          Typecode
          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

          Fixed Valueofficial
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          96. Practitioner.identifier:ZANR.type
          Definition

          A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

          ShortDescription of identifier
          Comments

          This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

          Control10..1
          BindingUnless not suitable, these codes SHALL be taken from Identifier Type DeBasis ValueSethttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
          (extensible to http://fhir.de/ValueSet/identifier-type-de-basis)

          A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

          TypeCodeableConcept
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows users to make use of identifiers when the identifier system is not known.

          Pattern Value{
            "coding" : [{
              "system" : "http://fhir.de/CodeSystem/identifier-type-de-basis",
              "code" : "ZANR"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          98. Practitioner.identifier:ZANR.type.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control10..1*
          TypeCoding
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          Allows for alternative encodings within a code system, and translations to other code systems.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          100. Practitioner.identifier:ZANR.type.coding.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          102. Practitioner.identifier:ZANR.type.coding.version
          Definition

          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

          ShortVersion of the system - if relevant
          Comments

          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

          NoteThis is a business version Id, not a resource version Id (see discussion)
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          104. Practitioner.identifier:ZANR.type.coding.code
          Definition

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

          ShortSymbol in syntax defined by the system
          Control10..1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          106. Practitioner.identifier:ZANR.type.coding.display
          Definition

          A representation of the meaning of the code in the system, following the rules of the system.

          ShortRepresentation defined by the system
          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

          Pattern ValueZahnarztnummer
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          108. Practitioner.identifier:ZANR.type.coding.userSelected
          Definition

          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

          ShortIf this coding was chosen directly by the user
          Comments

          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

          Control0..01
          Typeboolean
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          110. Practitioner.identifier:ZANR.type.text
          Definition

          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

          ShortPlain text representation of the concept
          Comments

          Very often the text is the same as a displayName of one of the codings.

          Control0..01
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          112. Practitioner.identifier:ZANR.system
          Definition

          Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

          ShortThe namespace for the identifier value
          Comments

          Identifier.system is always case sensitive.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

          Fixed Valuehttp://fhir.de/sid/kzbv/zahnarztnummer
          ExampleGeneral: http://www.acme.com/identifiers/patient
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          114. Practitioner.identifier:ZANR.value
          Definition

          The portion of the identifier typically relevant to the user and which is unique within the context of the system.

          ShortThe value that is unique
          Comments

          If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          ExampleGeneral: 123456
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          zanr-1: Die ZANR bestehend aus 7-stelliger Zahnarztnummer + 2-stelliger Fachbezeichnung muss 9-stellig numerisch sein (matches('^[0-9]{9}$'))
          116. Practitioner.identifier:ZANR.period
          Definition

          Time period during which identifier is/was valid for use.

          ShortTime period when id is/was valid for use
          Control0..01
          TypePeriod
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          118. Practitioner.identifier:ZANR.assigner
          Definition

          Organization that issued/manages the identifier.

          ShortOrganization that issued id (may be just text)
          Comments

          The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

          Control0..01
          TypeReference(Organization, Organization)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          121. Practitioner.identifier:Telematik-ID
          Slice NameTelematik-ID
          Definition

          Bei der Telematik-ID handelt es sich um eine eindeutige elektronische Identität von Leistungserbringenden und medizinischen Institutionen in der Telematik-Infrastruktur.


          An identifier that applies to this person in this role.

          ShortAn identifier for the person as this agent
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..*
          TypeIdentifier(Identifier-Profil für die Telematik-ID)
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          Often, specific identities are assigned for the agent.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          123. Practitioner.identifier:Telematik-ID.use
          Definition

          The purpose of this identifier.

          Shortusual | official | temp | secondary | old (If known)
          Comments

          Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

          Control0..01
          BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
          (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

          Identifies the purpose for this identifier, if known .

          Typecode
          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          125. Practitioner.identifier:Telematik-ID.type
          Definition

          A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

          ShortDescription of identifier
          Comments

          This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

          Control10..1
          BindingUnless not suitable, these codes SHALL be taken from Identifier Type DeBasis ValueSethttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
          (extensible to http://fhir.de/ValueSet/identifier-type-de-basis)

          A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

          TypeCodeableConcept
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows users to make use of identifiers when the identifier system is not known.

          Pattern Value{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code" : "PRN"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          127. Practitioner.identifier:Telematik-ID.type.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control10..1*
          TypeCoding
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          Allows for alternative encodings within a code system, and translations to other code systems.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          129. Practitioner.identifier:Telematik-ID.type.coding.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          131. Practitioner.identifier:Telematik-ID.type.coding.version
          Definition

          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

          ShortVersion of the system - if relevant
          Comments

          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

          NoteThis is a business version Id, not a resource version Id (see discussion)
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          133. Practitioner.identifier:Telematik-ID.type.coding.code
          Definition

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

          ShortSymbol in syntax defined by the system
          Control10..1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          135. Practitioner.identifier:Telematik-ID.type.coding.display
          Definition

          A representation of the meaning of the code in the system, following the rules of the system.

          ShortRepresentation defined by the system
          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

          Pattern ValueProvider number
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          137. Practitioner.identifier:Telematik-ID.type.coding.userSelected
          Definition

          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

          ShortIf this coding was chosen directly by the user
          Comments

          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

          Control0..01
          Typeboolean
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          139. Practitioner.identifier:Telematik-ID.type.text
          Definition

          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

          ShortPlain text representation of the concept
          Comments

          Very often the text is the same as a displayName of one of the codings.

          Control0..01
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          141. Practitioner.identifier:Telematik-ID.system
          Definition

          Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

          ShortThe namespace for the identifier value
          Comments

          Identifier.system is always case sensitive.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

          Fixed Valuehttps://gematik.de/fhir/sid/telematik-id
          ExampleGeneral: http://www.acme.com/identifiers/patient
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          143. Practitioner.identifier:Telematik-ID.value
          Definition

          The portion of the identifier typically relevant to the user and which is unique within the context of the system.

          ShortThe value that is unique
          Comments

          If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          ExampleGeneral: 123456
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          145. Practitioner.identifier:Telematik-ID.period
          Definition

          Time period during which identifier is/was valid for use.

          ShortTime period when id is/was valid for use
          Control0..01
          TypePeriod
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          147. Practitioner.identifier:Telematik-ID.assigner
          Definition

          Organization that issued/manages the identifier.

          ShortOrganization that issued id (may be just text)
          Comments

          The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

          Control0..01
          TypeReference(Organization, Organization)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          149. Practitioner.identifier:BNR
          Slice NameBNR
          Definition

          Die lebenslangen Beschäftigtennummer (LBNR) wird an Personen vergeben, die in der pflegerischen Versorgung tätig sind und unter die Regelungen des § 293 Absatz 8 SGB V fallen, und wird von dem Beschäftigtenverzeichnis der ambulanten Pflege (BeVaP) vergeben.


          An identifier that applies to this person in this role.

          ShortAn identifier for the person as this agent
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..*
          TypeIdentifier(Identifier-Profil für die Abbildung einer lebenslangen Beschäftigtennummer)
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          Often, specific identities are assigned for the agent.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          151. Practitioner.identifier:BNR.use
          Definition

          The purpose of this identifier.

          Shortusual | official | temp | secondary | old (If known)
          Comments

          Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

          Control0..01
          BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
          (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

          Identifies the purpose for this identifier, if known .

          Typecode
          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

          Fixed Valueofficial
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          153. Practitioner.identifier:BNR.type
          Definition

          A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

          ShortDescription of identifier
          Comments

          This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

          Control10..1
          BindingUnless not suitable, these codes SHALL be taken from Identifier Type DeBasis ValueSethttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
          (extensible to http://fhir.de/ValueSet/identifier-type-de-basis)

          A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

          TypeCodeableConcept
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows users to make use of identifiers when the identifier system is not known.

          Pattern Value{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code" : "PRN"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          155. Practitioner.identifier:BNR.type.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control10..1*
          TypeCoding
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          Allows for alternative encodings within a code system, and translations to other code systems.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          157. Practitioner.identifier:BNR.type.coding.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          159. Practitioner.identifier:BNR.type.coding.version
          Definition

          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

          ShortVersion of the system - if relevant
          Comments

          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

          NoteThis is a business version Id, not a resource version Id (see discussion)
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          161. Practitioner.identifier:BNR.type.coding.code
          Definition

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

          ShortSymbol in syntax defined by the system
          Control10..1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          163. Practitioner.identifier:BNR.type.coding.display
          Definition

          A representation of the meaning of the code in the system, following the rules of the system.

          ShortRepresentation defined by the system
          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

          Pattern ValueProvider number
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          165. Practitioner.identifier:BNR.type.coding.userSelected
          Definition

          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

          ShortIf this coding was chosen directly by the user
          Comments

          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

          Control0..01
          Typeboolean
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          167. Practitioner.identifier:BNR.type.text
          Definition

          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

          ShortPlain text representation of the concept
          Comments

          Very often the text is the same as a displayName of one of the codings.

          Control0..01
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          169. Practitioner.identifier:BNR.system
          Definition

          Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

          ShortThe namespace for the identifier value
          Comments

          Identifier.system is always case sensitive.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

          Fixed Valuehttp://fhir.de/sid/bfarm/lbnr
          ExampleGeneral: http://www.acme.com/identifiers/patient
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          171. Practitioner.identifier:BNR.value
          Definition

          The portion of the identifier typically relevant to the user and which is unique within the context of the system.

          ShortThe value that is unique
          Comments

          If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          ExampleGeneral: 123456
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          173. Practitioner.identifier:BNR.period
          Definition

          Time period during which identifier is/was valid for use.

          ShortTime period when id is/was valid for use
          Control0..01
          TypePeriod
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          175. Practitioner.identifier:BNR.assigner
          Definition

          Organization that issued/manages the identifier.

          ShortOrganization that issued id (may be just text)
          Comments

          The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

          Control0..01
          TypeReference(Organization, Organization)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          177. Practitioner.active
          Definition

          Whether this practitioner's record is in active use.

          ShortWhether this practitioner's record is in active use
          Comments

          If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.

          Control0..01
          Typeboolean
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to be able to mark a practitioner record as not to be used because it was created in error.

          Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          179. Practitioner.name
          Definition

          Dieses Element beschreibt den vollständigen Namen der behandelnden Person.


          The name(s) associated with the practitioner.

          ShortThe name(s) associated with the practitioner
          Comments

          The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

          In general, select the value to be used in the ResourceReference.display based on this:

          1. There is more than 1 name
          2. Use = usual
          3. Period is current to the date of the usage
          4. Use = official
          5. Other order as decided by internal business rules.
          Control10..1*
          TypeHumanName
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on Practitioner.name. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
          • value @ use
          • 181. Practitioner.name:name
            Slice Namename
            Definition

            Dieses Element beschreibt diverse Namensbestandteile der behandelnden Person.


            The name(s) associated with the practitioner.

            ShortThe name(s) associated with the practitioner
            Comments

            The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

            In general, select the value to be used in the ResourceReference.display based on this:

            1. There is more than 1 name
            2. Use = usual
            3. Period is current to the date of the usage
            4. Use = official
            5. Other order as decided by internal business rules.
            Control10..1*
            TypeHumanName(KBV_PR_Base_Datatype_Name)
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Requirements

            The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            183. Practitioner.name:name.use
            Definition

            Identifies the purpose for this name.

            Shortusual | official | temp | nickname | anonymous | old | maiden
            Comments

            Applications can assume that a name is current unless it explicitly says that it is temporary or old.

            Control10..1
            BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
            (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

            The use of a human name.

            Typecode
            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Allows the appropriate name for a particular context of use to be selected from among a set of names.

            Pattern Valueofficial
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            185. Practitioner.name:name.text
            Definition

            Vollständiger Name mit Vornamen und allen Vorsatzwörtern und Namenszusätzen. Der vollständige Name soll alle Namensteile in ihrer korrekten Reihenfolge abbilden.


            Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

            ShortVollständiger NameText representation of the full name
            Comments

            Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

            Control0..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Requirements

            A renderable, unencoded form.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            187. Practitioner.name:name.family
            Definition

            Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.


            The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

            ShortFamiliennameFamily name (often called 'Surname')
            Comments

            Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

            Control10..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Alternate Namessurname
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            189. Practitioner.name:name.family.extension
            Definition

            An Extension


            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortExtensionAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control10..3*
            TypeExtension
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Practitioner.name.family.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
            • value @ url
            • 191. Practitioner.name:name.family.extension:namenszusatz
              Slice Namenamenszusatz
              Definition

              Hier wird der Namenszusatz als Bestandteil des Nachnamens angegeben.

              ShortNamenszusatz
              Comments

              Die Extension wurde erstellt aufgrund der Anforderung, die auf der eGK vorhandenen Patientenstammdaten in FHIR abbilden zu können. Auf der eGK werden die Namensbestandteile "Namenszusatz" und "Vorsatzwort" getrennt vom Nachnamen gespeichert. Anhand der Liste der zulässigen Namenszusätze ist deutlich erkennbar, dass es sich hierbei sinngemäß um Adelstitel handelt. Das Vorsatzwort kann durch die Core-Extension own-prefix (Canonical: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix) abgebildet werden, für den Namenszusatz ergibt sich jedoch die Notwendikeit einer nationalen Extension, da in andern Ländern Adelstitel entweder gar nicht oder als reguläres Namenspräfix erfasst werden.

              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension(Extension zur Erfassung der VSDM Namensbestandteile) (Extension Type: string)
              Is Modifierfalse
              Must Supporttrue
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              193. Practitioner.name:name.family.extension:namenszusatz.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..0*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Practitioner.name.family.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 195. Practitioner.name:name.family.extension:namenszusatz.url
                Definition

                Source of the definition for the extension code - a logical name or a URL.

                Shortidentifies the meaning of the extension
                Comments

                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                Control1..1
                Typeuri
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                Fixed Valuehttp://fhir.de/StructureDefinition/humanname-namenszusatz
                197. Practitioner.name:name.family.extension:namenszusatz.value[x]
                Definition

                Namenszusatz zum Nachnamen z.B. Gräfin, Prinz oder Fürst


                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                ShortNamenszusatzValue of extension
                Control10..1
                Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                199. Practitioner.name:name.family.extension:nachname
                Slice Namenachname
                Definition

                The portion of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse.

                ShortPortion derived from person's own surname
                Comments

                If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's "maiden name".

                Control1..1
                This element is affected by the following invariants: ele-1
                TypeExtension(Own Name) (Extension Type: string)
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                201. Practitioner.name:name.family.extension:nachname.extension
                Definition

                An Extension


                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortExtensionAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..0*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on Practitioner.name.family.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 203. Practitioner.name:name.family.extension:nachname.url
                  Definition

                  Source of the definition for the extension code - a logical name or a URL.

                  Shortidentifies the meaning of the extension
                  Comments

                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                  Control1..1
                  Typeuri
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  Fixed Valuehttp://hl7.org/fhir/StructureDefinition/humanname-own-name
                  205. Practitioner.name:name.family.extension:nachname.value[x]
                  Definition

                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                  ShortValue of extension
                  Control10..1
                  Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  207. Practitioner.name:name.family.extension:vorsatzwort
                  Slice Namevorsatzwort
                  Definition

                  Hier wird ein Vorsatzwort angegeben.

                  ShortVoorvoegsel derived from person's own surname
                  Comments

                  An example of a voorvoegsel is the "van" in "Ludwig van Beethoven". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component.

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  TypeExtension(Own Prefix) (Extension Type: string)
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  209. Practitioner.name:name.family.extension:vorsatzwort.extension
                  Definition

                  An Extension


                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortExtensionAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..0*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on Practitioner.name.family.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 211. Practitioner.name:name.family.extension:vorsatzwort.url
                    Definition

                    Source of the definition for the extension code - a logical name or a URL.

                    Shortidentifies the meaning of the extension
                    Comments

                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                    Control1..1
                    Typeuri
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    Fixed Valuehttp://hl7.org/fhir/StructureDefinition/humanname-own-prefix
                    213. Practitioner.name:name.family.extension:vorsatzwort.value[x]
                    Definition

                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                    ShortValue of extension
                    Control10..1
                    Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    215. Practitioner.name:name.given
                    Definition

                    Vorname der Person


                    Given name.

                    ShortVornameGiven names (not always 'first'). Includes middle names
                    Comments

                    If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                    Control0..1*
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    Alternate Namesfirst name, middle name
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    217. Practitioner.name:name.prefix
                    Definition

                    Namensteile vor dem Vornamen, z.B. akademischer Titel.


                    Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

                    ShortNamensteile vor dem VornamenParts that come before the name
                    Control0..*
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    219. Practitioner.name:name.prefix.extension
                    Definition

                    An Extension


                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortExtensionAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control10..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on Practitioner.name.prefix.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                    • value @ url
                    • 221. Practitioner.name:name.prefix.extension:prefix-qualifier
                      Slice Nameprefix-qualifier
                      Definition

                      A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.

                      ShortLS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
                      Comments

                      Used to indicate additional information about the name part and how it should be used.

                      Control1..1
                      This element is affected by the following invariants: ele-1
                      TypeExtension(EN Qualifier) (Extension Type: code)
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      223. Practitioner.name:name.prefix.extension:prefix-qualifier.extension
                      Definition

                      An Extension


                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortExtensionAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..0*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on Practitioner.name.prefix.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 225. Practitioner.name:name.prefix.extension:prefix-qualifier.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed Valuehttp://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
                        227. Practitioner.name:name.prefix.extension:prefix-qualifier.value[x]
                        Definition

                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).


                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                        ShortValue of extension
                        Control10..1
                        BindingThe codes SHALL be taken from For codes, see EntityNamePartQualifier
                        (required to http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1)

                        A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.

                        Typecode, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supporttrue
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        SlicingThis element introduces a set of slices on Practitioner.name.prefix.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                        • type @ $this
                        • 229. Practitioner.name:name.prefix.extension:prefix-qualifier.value[x]:valueCode
                          Slice NamevalueCode
                          Definition

                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).


                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                          ShortValue of extension
                          Control10..1
                          BindingThe codes SHALL be taken from For codes, see EntityNamePartQualifier
                          (required to http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1)

                          A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.

                          Typecode, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supporttrue
                          Summaryfalse
                          Fixed ValueAC
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          231. Practitioner.name:name.suffix
                          Definition

                          Namensteile nach dem Nachnamen


                          Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

                          ShortNamensteile nach dem NachnamenParts that come after the name
                          Control0..0*
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          233. Practitioner.name:name.period
                          Definition

                          Indicates the period of time when this name was valid for the named person.

                          ShortTime period when name was/is in use
                          Control0..01
                          TypePeriod
                          Is Modifierfalse
                          Summarytrue
                          Requirements

                          Allows names to be placed in historical context.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          235. Practitioner.name:geburtsname
                          Slice Namegeburtsname
                          Definition

                          Der Geburtsname ist der Nachname, den eine Person bei der Geburt erhalten hat. Dieser umfasst auch das Vorsatzwort und den Namenszusatz.


                          The name(s) associated with the practitioner.

                          ShortThe name(s) associated with the practitioner
                          Comments

                          The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

                          In general, select the value to be used in the ResourceReference.display based on this:

                          1. There is more than 1 name
                          2. Use = usual
                          3. Period is current to the date of the usage
                          4. Use = official
                          5. Other order as decided by internal business rules.
                          Control0..0*
                          TypeHumanName(KBV_PR_Base_Datatype_Maiden_Name)
                          Is Modifierfalse
                          Must Supporttrue
                          Summarytrue
                          Requirements

                          The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          246. Practitioner.telecom
                          Definition

                          A contact detail for the practitioner, e.g. a telephone number or an email address.

                          ShortA contact detail for the practitioner (that apply to all roles)
                          Comments

                          Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.

                          Control0..*
                          TypeContactPoint
                          Is Modifierfalse
                          Must Supporttrue
                          Summarytrue
                          Requirements

                          Need to know how to reach a practitioner independent to any roles the practitioner may have.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          248. Practitioner.telecom.system
                          Definition

                          Definition der Art des Kontaktes, z. B. Telefon (phone), E-Mail, Fax.


                          Telecommunications form for contact point - what communications system is required to make use of the contact.

                          Shortphone | fax | email | pager | url | sms | other
                          Control10..1
                          This element is affected by the following invariants: cpt-2
                          BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
                          (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                          Telecommunications form for contact point.

                          Typecode
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supporttrue
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          250. Practitioner.telecom.value
                          Definition

                          In diesem Element können Kontaktinformationen passend zum Kontaktkanal angegeben werden. Beispiele für mögliche Werte sind: 'm.mustermann@mio42.de' (beim Kontaktkanal 'E-Mail', oder '030712345678' (beim Kontaktkanal 'Telefon').


                          The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                          ShortThe actual contact point details
                          Comments

                          Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                          Control10..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supporttrue
                          Summarytrue
                          Requirements

                          Need to support legacy numbers that are not in a tightly controlled format.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          252. Practitioner.telecom.use
                          Definition

                          Identifies the purpose for the contact point.

                          Shorthome | work | temp | old | mobile - purpose of this contact point
                          Comments

                          Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                          Control0..01
                          BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
                          (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

                          Use of contact point.

                          Typecode
                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          254. Practitioner.telecom.rank
                          Definition

                          Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                          ShortSpecify preferred order of use (1 = highest)
                          Comments

                          Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                          Control0..01
                          TypepositiveInt
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          256. Practitioner.telecom.period
                          Definition

                          Time period when the contact point was/is in use.

                          ShortTime period when the contact point was/is in use
                          Control0..01
                          TypePeriod
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          258. Practitioner.address
                          Definition

                          Dieses Element beschreibt die Anschrift der behandelnden Person.


                          Address(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent.

                          ShortAddress(es) of the practitioner that are not role specific (typically home address)
                          Comments

                          The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).

                          Control0..*
                          TypeAddress
                          Is Modifierfalse
                          Must Supporttrue
                          Summarytrue
                          Requirements

                          The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          SlicingThis element introduces a set of slices on Practitioner.address. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                          • value @ type
                          • 260. Practitioner.address.use
                            Definition

                            The purpose of this address.

                            Shorthome | work | temp | old | billing - purpose of this address
                            Comments

                            Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                            Control0..01
                            BindingThe codes SHALL be taken from AddressUsehttp://hl7.org/fhir/ValueSet/address-use|4.0.1
                            (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                            The use of an address.

                            Typecode
                            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

                            Allows an appropriate address to be chosen from a list of many.

                            ExampleGeneral: home
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            262. Practitioner.address.state
                            Definition

                            Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).

                            ShortSub-unit of country (abbreviations ok)
                            Control0..01
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Alternate NamesProvince, Territory
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            264. Practitioner.address:Strassenanschrift
                            Slice NameStrassenanschrift
                            Definition

                            Hier werden Angaben zur Straßenanschrift gemacht.


                            Address(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent.

                            ShortAddress(es) of the practitioner that are not role specific (typically home address)
                            Comments

                            The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).

                            Control0..*
                            TypeAddress(KBV_PR_Base_Datatype_Street_Address)
                            Is Modifierfalse
                            Must Supporttrue
                            Summarytrue
                            Requirements

                            The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            266. Practitioner.address:Strassenanschrift.extension
                            Definition

                            An Extension


                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortExtensionAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..1*
                            TypeExtension
                            Is Modifierfalse
                            Must Supporttrue
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on Practitioner.address.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                            • value @ url
                            • 268. Practitioner.address:Strassenanschrift.extension:Stadtteil
                              Slice NameStadtteil
                              Definition

                              In diesem Element kann der Stadt- oder Ortsteil angegeben werden, z. B. wenn der Ort ein Stadtstaat ist.

                              Shortprecinct
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              TypeExtension(ADXP Precinct) (Extension Type: string)
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              270. Practitioner.address:Strassenanschrift.extension:Stadtteil.extension
                              Definition

                              An Extension


                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortExtensionAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..0*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on Practitioner.address.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 272. Practitioner.address:Strassenanschrift.extension:Stadtteil.url
                                Definition

                                Source of the definition for the extension code - a logical name or a URL.

                                Shortidentifies the meaning of the extension
                                Comments

                                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                Control1..1
                                Typeuri
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                Fixed Valuehttp://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct
                                274. Practitioner.address:Strassenanschrift.extension:Stadtteil.value[x]
                                Definition

                                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                ShortValue of extension
                                Control10..1
                                Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                276. Practitioner.address:Strassenanschrift.use
                                Definition

                                The purpose of this address.

                                Shorthome | work | temp | old | billing - purpose of this address
                                Comments

                                Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                                Control0..01
                                BindingThe codes SHALL be taken from AddressUsehttp://hl7.org/fhir/ValueSet/address-use|4.0.1
                                (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                                The use of an address.

                                Typecode
                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Allows an appropriate address to be chosen from a list of many.

                                ExampleGeneral: home
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                278. Practitioner.address:Strassenanschrift.type
                                Definition

                                Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

                                Shortpostal | physical | both
                                Comments

                                The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).


                                The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                Control10..1
                                BindingThe codes SHALL be taken from AddressTypehttp://hl7.org/fhir/ValueSet/address-type|4.0.1
                                (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

                                The type of an address (physical / postal).

                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Pattern Valueboth
                                ExampleGeneral: both
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                280. Practitioner.address:Strassenanschrift.text
                                Definition

                                Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

                                ShortText representation of the address
                                Comments

                                Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                Control0..01
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                A renderable, unencoded form.

                                ExampleGeneral: 137 Nowhere Street, Erewhon 9132
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                282. Practitioner.address:Strassenanschrift.line
                                Definition

                                Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können. Es wird empfohlen, dass die erste Zeile für Straße und Hausnummer, die zweite Zeile für den Zusatz und die dritte Zeile für den Stadtteil verwendet wird.


                                This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

                                ShortStraßenname mit Hausnummer oder Postfach sowie weitere Angaben zur ZustellungStreet name, number, direction & P.O. Box etc.
                                Control0..3*
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                ExampleGeneral: 137 Nowhere Street
                                Beipiel für Adresszeile mit Extensions für Straße und Hausnummer: Musterweg 42
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                284. Practitioner.address:Strassenanschrift.line.extension
                                Definition

                                An Extension


                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortExtensionAdditional content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..3*
                                TypeExtension
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingThis element introduces a set of slices on Practitioner.address.line.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                                • value @ url
                                • 286. Practitioner.address:Strassenanschrift.line.extension:Strasse
                                  Slice NameStrasse
                                  Definition

                                  streetName.

                                  ShortstreetName
                                  Control0..1
                                  This element is affected by the following invariants: ele-1
                                  TypeExtension(ADXP Street Name) (Extension Type: string)
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  288. Practitioner.address:Strassenanschrift.line.extension:Strasse.extension
                                  Definition

                                  An Extension


                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                  ShortExtensionAdditional content defined by implementations
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..0*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  SlicingThis element introduces a set of slices on Practitioner.address.line.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 290. Practitioner.address:Strassenanschrift.line.extension:Strasse.url
                                    Definition

                                    Source of the definition for the extension code - a logical name or a URL.

                                    Shortidentifies the meaning of the extension
                                    Comments

                                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                    Control1..1
                                    Typeuri
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    Fixed Valuehttp://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
                                    292. Practitioner.address:Strassenanschrift.line.extension:Strasse.value[x]
                                    Definition

                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                    ShortValue of extension
                                    Control10..1
                                    Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supporttrue
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    294. Practitioner.address:Strassenanschrift.line.extension:Hausnummer
                                    Slice NameHausnummer
                                    Definition

                                    The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building.

                                    ShorthouseNumber
                                    Control0..1
                                    This element is affected by the following invariants: ele-1
                                    TypeExtension(ADXP House Number) (Extension Type: string)
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    296. Practitioner.address:Strassenanschrift.line.extension:Hausnummer.extension
                                    Definition

                                    An Extension


                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                    ShortExtensionAdditional content defined by implementations
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..0*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    SlicingThis element introduces a set of slices on Practitioner.address.line.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 298. Practitioner.address:Strassenanschrift.line.extension:Hausnummer.url
                                      Definition

                                      Source of the definition for the extension code - a logical name or a URL.

                                      Shortidentifies the meaning of the extension
                                      Comments

                                      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                      Control1..1
                                      Typeuri
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      Fixed Valuehttp://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
                                      300. Practitioner.address:Strassenanschrift.line.extension:Hausnummer.value[x]
                                      Definition

                                      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                      ShortValue of extension
                                      Control10..1
                                      Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Must Supporttrue
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      302. Practitioner.address:Strassenanschrift.line.extension:Adresszusatz
                                      Slice NameAdresszusatz
                                      Definition

                                      This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342"). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch "t.o." means "opposite to" for house boats located across the street facing houses).

                                      ShortadditionalLocator
                                      Control0..1
                                      This element is affected by the following invariants: ele-1
                                      TypeExtension(ADXP Additional Locator) (Extension Type: string)
                                      Is Modifierfalse
                                      Must Supporttrue
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      304. Practitioner.address:Strassenanschrift.line.extension:Adresszusatz.extension
                                      Definition

                                      An Extension


                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                      ShortExtensionAdditional content defined by implementations
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                      Control0..0*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesextensions, user content
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      SlicingThis element introduces a set of slices on Practitioner.address.line.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 306. Practitioner.address:Strassenanschrift.line.extension:Adresszusatz.url
                                        Definition

                                        Source of the definition for the extension code - a logical name or a URL.

                                        Shortidentifies the meaning of the extension
                                        Comments

                                        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                        Control1..1
                                        Typeuri
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        Fixed Valuehttp://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator
                                        308. Practitioner.address:Strassenanschrift.line.extension:Adresszusatz.value[x]
                                        Definition

                                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                        ShortValue of extension
                                        Control10..1
                                        Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supporttrue
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        310. Practitioner.address:Strassenanschrift.line.extension:Postfach
                                        Slice NamePostfach
                                        Definition

                                        Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type "physical" oder "both" verwendet werden.

                                        ShortPostfach
                                        Comments

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Control0..0
                                        This element is affected by the following invariants: ele-1
                                        TypeExtension(ADXP Post Box) (Extension Type: string)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Alternate Namesextensions, user content
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        312. Practitioner.address:Strassenanschrift.city
                                        Definition

                                        In dieses Feld kann der Ort eingetragen werden.


                                        The name of the city, town, suburb, village or other community or delivery center.

                                        ShortName of city, town etc.
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supporttrue
                                        Summarytrue
                                        Alternate NamesMunicpality
                                        ExampleGeneral: Erewhon
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        314. Practitioner.address:Strassenanschrift.district
                                        Definition

                                        The name of the administrative area (county).

                                        ShortDistrict name (aka county)
                                        Comments

                                        District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

                                        Control0..01
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Alternate NamesCounty
                                        ExampleGeneral: Madison
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        316. Practitioner.address:Strassenanschrift.state
                                        Definition

                                        Name (oder Kürzel) des Bundeslandes.


                                        Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).

                                        ShortBundeslandSub-unit of country (abbreviations ok)
                                        Control0..01
                                        BindingThe codes SHOULD be taken from For codes, see ISO-3166-2:de-Laendercodes
                                        (preferred to http://fhir.de/ValueSet/iso/bundeslaender)
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Alternate NamesProvince, Territory
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        318. Practitioner.address:Strassenanschrift.postalCode
                                        Definition

                                        Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen


                                        A postal code designating a region defined by the postal service.

                                        ShortPostleitzahlPostal code for area
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supporttrue
                                        Summarytrue
                                        Alternate NamesZip
                                        ExampleGeneral: 9132
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        320. Practitioner.address:Strassenanschrift.country
                                        Definition

                                        Angabe des Staates als Länderkennzeichen nach DEUEV Anlage 8.


                                        Country - a nation as commonly understood or generally accepted.

                                        ShortStaatCountry (e.g. can be ISO 3166 2 or 3 letter code)
                                        Comments

                                        ISO 3166 3 letter codes can be used in place of a human readable country name.

                                        Control0..1
                                        BindingUnless not suitable, these codes SHALL be taken from For codes, see Land/Wohnsitzländercode
                                        (extensible to https://fhir.kbv.de/ValueSet/KBV_VS_Base_Deuev_Anlage_8)
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supporttrue
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        322. Practitioner.address:Strassenanschrift.period
                                        Definition

                                        Time period when address was/is in use.

                                        ShortTime period when address was/is in use
                                        Control0..01
                                        TypePeriod
                                        Is Modifierfalse
                                        Summarytrue
                                        Requirements

                                        Allows addresses to be placed in historical context.

                                        ExampleGeneral: { "start" : "2010-03-23", "end" : "2010-07-01" }
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        324. Practitioner.address:Postfach
                                        Slice NamePostfach
                                        Definition

                                        Hier werden Angaben zu einem Postfach gemacht.


                                        Address(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent.

                                        ShortAddress(es) of the practitioner that are not role specific (typically home address)
                                        Comments

                                        The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).

                                        Control0..*
                                        TypeAddress(KBV_PR_Base_Datatype_Post_Office_Box)
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summarytrue
                                        Requirements

                                        The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        326. Practitioner.address:Postfach.extension
                                        Definition

                                        An Extension


                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                        ShortExtensionAdditional content defined by implementations
                                        Comments

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Control0..1*
                                        TypeExtension
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summaryfalse
                                        Alternate Namesextensions, user content
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        SlicingThis element introduces a set of slices on Practitioner.address.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 328. Practitioner.address:Postfach.extension:Stadtteil
                                          Slice NameStadtteil
                                          Definition

                                          A subsection of a municipality.

                                          Shortprecinct
                                          Control0..1
                                          This element is affected by the following invariants: ele-1
                                          TypeExtension(ADXP Precinct) (Extension Type: string)
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          330. Practitioner.address:Postfach.extension:Stadtteil.extension
                                          Definition

                                          An Extension


                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                          ShortExtensionAdditional content defined by implementations
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..0*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Alternate Namesextensions, user content
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          SlicingThis element introduces a set of slices on Practitioner.address.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 332. Practitioner.address:Postfach.extension:Stadtteil.url
                                            Definition

                                            Source of the definition for the extension code - a logical name or a URL.

                                            Shortidentifies the meaning of the extension
                                            Comments

                                            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                            Control1..1
                                            Typeuri
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            Fixed Valuehttp://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct
                                            334. Practitioner.address:Postfach.extension:Stadtteil.value[x]
                                            Definition

                                            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                            ShortValue of extension
                                            Control10..1
                                            Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            336. Practitioner.address:Postfach.use
                                            Definition

                                            The purpose of this address.

                                            Shorthome | work | temp | old | billing - purpose of this address
                                            Comments

                                            Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                                            Control0..01
                                            BindingThe codes SHALL be taken from AddressUsehttp://hl7.org/fhir/ValueSet/address-use|4.0.1
                                            (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                                            The use of an address.

                                            Typecode
                                            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

                                            Allows an appropriate address to be chosen from a list of many.

                                            ExampleGeneral: home
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            338. Practitioner.address:Postfach.type
                                            Definition

                                            Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

                                            Shortpostal | physical | both
                                            Comments

                                            The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).


                                            The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                            Control10..1
                                            BindingThe codes SHALL be taken from AddressTypehttp://hl7.org/fhir/ValueSet/address-type|4.0.1
                                            (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

                                            The type of an address (physical / postal).

                                            Typecode
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Summarytrue
                                            Pattern Valuepostal
                                            ExampleGeneral: both
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            340. Practitioner.address:Postfach.text
                                            Definition

                                            Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

                                            ShortText representation of the address
                                            Comments

                                            Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                            Control0..01
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

                                            A renderable, unencoded form.

                                            ExampleGeneral: 137 Nowhere Street, Erewhon 9132
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            342. Practitioner.address:Postfach.line
                                            Definition

                                            Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können.


                                            This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

                                            ShortStraßenname mit Hausnummer oder Postfach sowie weitere Angaben zur ZustellungStreet name, number, direction & P.O. Box etc.
                                            Control0..1*
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Summarytrue
                                            ExampleGeneral: 137 Nowhere Street
                                            Beipiel für Adresszeile mit Extensions für Straße und Hausnummer: Musterweg 42
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            344. Practitioner.address:Postfach.line.extension
                                            Definition

                                            An Extension


                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                            ShortExtensionAdditional content defined by implementations
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..1*
                                            TypeExtension
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summaryfalse
                                            Alternate Namesextensions, user content
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            SlicingThis element introduces a set of slices on Practitioner.address.line.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 346. Practitioner.address:Postfach.line.extension:Strasse
                                              Slice NameStrasse
                                              Definition

                                              Strassenname (ohne Hausnummer) Bei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.

                                              ShortStrassenname (ohne Hausnummer)
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..0
                                              This element is affected by the following invariants: ele-1
                                              TypeExtension(ADXP Street Name) (Extension Type: string)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              348. Practitioner.address:Postfach.line.extension:Hausnummer
                                              Slice NameHausnummer
                                              Definition

                                              Hausnummer, sowie Zusätze (Appartmentnummer, Etage...) Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.

                                              ShortHausnummer
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..0
                                              This element is affected by the following invariants: ele-1
                                              TypeExtension(ADXP House Number) (Extension Type: string)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              350. Practitioner.address:Postfach.line.extension:Adresszusatz
                                              Slice NameAdresszusatz
                                              Definition

                                              Zusätzliche Informationen, wie z.B. "3. Etage", "Appartment C" Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.

                                              ShortAdresszusatz
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..0
                                              This element is affected by the following invariants: ele-1
                                              TypeExtension(ADXP Additional Locator) (Extension Type: string)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              352. Practitioner.address:Postfach.line.extension:Postfach
                                              Slice NamePostfach
                                              Definition

                                              A numbered box located in a post station.

                                              ShortpostBox
                                              Control0..1
                                              This element is affected by the following invariants: ele-1
                                              TypeExtension(ADXP Post Box) (Extension Type: string)
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              354. Practitioner.address:Postfach.line.extension:Postfach.extension
                                              Definition

                                              An Extension


                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                              ShortExtensionAdditional content defined by implementations
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..0*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              SlicingThis element introduces a set of slices on Practitioner.address.line.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 356. Practitioner.address:Postfach.line.extension:Postfach.url
                                                Definition

                                                Source of the definition for the extension code - a logical name or a URL.

                                                Shortidentifies the meaning of the extension
                                                Comments

                                                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                Control1..1
                                                Typeuri
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                Fixed Valuehttp://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox
                                                358. Practitioner.address:Postfach.line.extension:Postfach.value[x]
                                                Definition

                                                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                ShortValue of extension
                                                Control10..1
                                                Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supporttrue
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                360. Practitioner.address:Postfach.city
                                                Definition

                                                In dieses Feld kann der Ort eingetragen werden.


                                                The name of the city, town, suburb, village or other community or delivery center.

                                                ShortName of city, town etc.
                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supporttrue
                                                Summarytrue
                                                Alternate NamesMunicpality
                                                ExampleGeneral: Erewhon
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                362. Practitioner.address:Postfach.district
                                                Definition

                                                The name of the administrative area (county).

                                                ShortDistrict name (aka county)
                                                Comments

                                                District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

                                                Control0..01
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Alternate NamesCounty
                                                ExampleGeneral: Madison
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                364. Practitioner.address:Postfach.state
                                                Definition

                                                Name (oder Kürzel) des Bundeslandes.


                                                Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).

                                                ShortBundeslandSub-unit of country (abbreviations ok)
                                                Control0..01
                                                BindingThe codes SHOULD be taken from For codes, see ISO-3166-2:de-Laendercodes
                                                (preferred to http://fhir.de/ValueSet/iso/bundeslaender)
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Alternate NamesProvince, Territory
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                366. Practitioner.address:Postfach.postalCode
                                                Definition

                                                Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen


                                                A postal code designating a region defined by the postal service.

                                                ShortPostleitzahlPostal code for area
                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supporttrue
                                                Summarytrue
                                                Alternate NamesZip
                                                ExampleGeneral: 9132
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                368. Practitioner.address:Postfach.country
                                                Definition

                                                Angabe des Staates als Länderkennzeichen nach DEUEV Anlage 8.


                                                Country - a nation as commonly understood or generally accepted.

                                                ShortStaatCountry (e.g. can be ISO 3166 2 or 3 letter code)
                                                Comments

                                                ISO 3166 3 letter codes can be used in place of a human readable country name.

                                                Control0..1
                                                BindingUnless not suitable, these codes SHALL be taken from For codes, see Land/Wohnsitzländercode
                                                (extensible to https://fhir.kbv.de/ValueSet/KBV_VS_Base_Deuev_Anlage_8)
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supporttrue
                                                Summarytrue
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                370. Practitioner.address:Postfach.period
                                                Definition

                                                Time period when address was/is in use.

                                                ShortTime period when address was/is in use
                                                Control0..01
                                                TypePeriod
                                                Is Modifierfalse
                                                Summarytrue
                                                Requirements

                                                Allows addresses to be placed in historical context.

                                                ExampleGeneral: { "start" : "2010-03-23", "end" : "2010-07-01" }
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                372. Practitioner.gender
                                                Definition

                                                Hier wird die Geschlechtsdefinition der behandelnden Person angegeben


                                                Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.

                                                Shortmale | female | other | unknown
                                                Control0..1
                                                BindingThe codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
                                                (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

                                                The gender of a person used for administrative purposes.

                                                Typecode
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supporttrue
                                                Summarytrue
                                                Requirements

                                                Needed to address the person correctly.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                374. Practitioner.gender.extension
                                                Definition

                                                An Extension


                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                ShortExtensionAdditional content defined by implementations
                                                Comments

                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                Control0..*
                                                TypeExtension
                                                Is Modifierfalse
                                                Must Supporttrue
                                                Summaryfalse
                                                Alternate Namesextensions, user content
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                SlicingThis element introduces a set of slices on Practitioner.gender.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 376. Practitioner.gender.extension:other-amtlich
                                                  Slice Nameother-amtlich
                                                  Definition

                                                  Optional Extension Element - found in all resources.

                                                  ShortOptional Extensions Element
                                                  Control0..1
                                                  This element is affected by the following invariants: ele-1
                                                  TypeExtension(Differenzierung des administrativen Geschlechts 'other') (Extension Type: Coding)
                                                  Is Modifierfalse
                                                  Must Supporttrue
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  378. Practitioner.gender.extension:other-amtlich.extension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                  ShortAdditional content defined by implementations
                                                  Comments

                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                  Control0..0*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Alternate Namesextensions, user content
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  SlicingThis element introduces a set of slices on Practitioner.gender.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 380. Practitioner.gender.extension:other-amtlich.url
                                                    Definition

                                                    Source of the definition for the extension code - a logical name or a URL.

                                                    Shortidentifies the meaning of the extension
                                                    Comments

                                                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                    Control1..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    Fixed Valuehttp://fhir.de/StructureDefinition/gender-amtlich-de
                                                    382. Practitioner.gender.extension:other-amtlich.value[x]
                                                    Definition

                                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                    ShortValue of extension
                                                    Control10..1
                                                    BindingThe codes SHALL be taken from For codes, see GenderOtherDE ValueSet
                                                    (required to http://fhir.de/ValueSet/gender-other-de)
                                                    TypeCoding, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                    Is Modifierfalse
                                                    Must Supporttrue
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    gender-amtlich-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist (%resource.where(gender='other').exists())
                                                    384. Practitioner.gender.extension:other-amtlich.value[x].system
                                                    Definition

                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                    ShortIdentity of the terminology system
                                                    Comments

                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                    Control10..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Requirements

                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    386. Practitioner.gender.extension:other-amtlich.value[x].version
                                                    Definition

                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                    ShortVersion of the system - if relevant
                                                    Comments

                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                    Control0..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    388. Practitioner.gender.extension:other-amtlich.value[x].code
                                                    Definition

                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                    ShortSymbol in syntax defined by the system
                                                    Control10..1
                                                    Typecode
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Requirements

                                                    Need to refer to a particular code in the system.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    390. Practitioner.gender.extension:other-amtlich.value[x].display
                                                    Definition

                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                    ShortRepresentation defined by the system
                                                    Control10..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Requirements

                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    392. Practitioner.gender.extension:other-amtlich.value[x].userSelected
                                                    Definition

                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                    ShortIf this coding was chosen directly by the user
                                                    Comments

                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                    Control0..01
                                                    Typeboolean
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Requirements

                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    394. Practitioner.birthDate
                                                    Definition

                                                    The date of birth for the practitioner.

                                                    ShortThe date on which the practitioner was born
                                                    Control0..01
                                                    Typedate
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Requirements

                                                    Needed for identification.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    396. Practitioner.photo
                                                    Definition

                                                    Image of the person.

                                                    ShortImage of the person
                                                    Control0..0*
                                                    TypeAttachment
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Requirements

                                                    Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    398. Practitioner.qualification
                                                    Definition

                                                    Das Element beschreibt die Qualifikation der Person (z. B. Hebamme).


                                                    The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.

                                                    ShortCertification, licenses, or training pertaining to the provision of care
                                                    Control0..*
                                                    TypeBackboneElement
                                                    Is Modifierfalse
                                                    Must Supporttrue
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    400. Practitioner.qualification.modifierExtension
                                                    Definition

                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                    Comments

                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                    Control0..*
                                                    TypeExtension
                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                    Summarytrue
                                                    Requirements

                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                    Alternate Namesextensions, user content, modifiers
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    402. Practitioner.qualification.identifier
                                                    Definition

                                                    An identifier that applies to this person's qualification in this role.

                                                    ShortAn identifier for this qualification for the practitioner
                                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                                    Control0..0*
                                                    TypeIdentifier
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Requirements

                                                    Often, specific identities are assigned for the qualification.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    404. Practitioner.qualification.code
                                                    Definition

                                                    Coded representation of the qualification.

                                                    ShortCoded representation of the qualification
                                                    Control1..1
                                                    BindingThe codes SHOULD be taken from For example codes, see Practitioner Specialityhttp://terminology.hl7.org/ValueSet/v2-2.7-0360
                                                    (preferred to https://fhir.kbv.de/ValueSet/KBV_VS_Base_Practitioner_Speciality)
                                                    TypeCodeableConcept
                                                    Is Modifierfalse
                                                    Must Supporttrue
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    406. Practitioner.qualification.code.coding
                                                    Definition

                                                    A reference to a code defined by a terminology system.

                                                    ShortCode defined by a terminology system
                                                    Comments

                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                    Control0..*
                                                    TypeCoding
                                                    Is Modifierfalse
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Requirements

                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    408. Practitioner.qualification.code.coding.system
                                                    Definition

                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                    ShortIdentity of the terminology system
                                                    Comments

                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                    Control10..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Requirements

                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    410. Practitioner.qualification.code.coding.version
                                                    Definition

                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                    ShortVersion of the system - if relevant
                                                    Comments

                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                    Control0..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    412. Practitioner.qualification.code.coding.code
                                                    Definition

                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                    ShortSymbol in syntax defined by the system
                                                    Control10..1
                                                    Typecode
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Requirements

                                                    Need to refer to a particular code in the system.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    414. Practitioner.qualification.code.coding.display
                                                    Definition

                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                    ShortRepresentation defined by the system
                                                    Control10..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Requirements

                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    416. Practitioner.qualification.code.coding.userSelected
                                                    Definition

                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                    ShortIf this coding was chosen directly by the user
                                                    Comments

                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                    Control0..01
                                                    Typeboolean
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Requirements

                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    418. Practitioner.qualification.code.text
                                                    Definition

                                                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                    ShortPlain text representation of the concept
                                                    Comments

                                                    Very often the text is the same as a displayName of one of the codings.

                                                    Control0..01
                                                    Typestring
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Requirements

                                                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    420. Practitioner.qualification.period
                                                    Definition

                                                    Period during which the qualification is valid.

                                                    ShortPeriod during which the qualification is valid
                                                    Control0..01
                                                    TypePeriod
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Requirements

                                                    Qualifications are often for a limited period of time, and can be revoked.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    422. Practitioner.qualification.issuer
                                                    Definition

                                                    Organization that regulates and issues the qualification.

                                                    ShortOrganization that regulates and issues the qualification
                                                    Control0..01
                                                    TypeReference(Organization)
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    424. Practitioner.communication
                                                    Definition

                                                    A language the practitioner can use in patient communication.

                                                    ShortA language the practitioner can use in patient communication
                                                    Comments

                                                    The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

                                                    Control0..0*
                                                    BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages|4.0.1
                                                    (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

                                                    A human language.

                                                    Additional BindingsPurpose
                                                    AllLanguagesMax Binding
                                                    TypeCodeableConcept
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Requirements

                                                    Knowing which language a practitioner speaks can help in facilitating communication with patients.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                                                    Guidance on how to interpret the contents of this table can be foundhere

                                                    0. Practitioner
                                                    Definition

                                                    Dieses Profil bildet eine behandelnde Person ab.

                                                    Invariantspract-de-1: 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())
                                                    2. Practitioner.meta
                                                    Must Supporttrue
                                                    4. Practitioner.meta.id
                                                    Control0..0
                                                    6. Practitioner.meta.versionId
                                                    Must Supporttrue
                                                    8. Practitioner.meta.lastUpdated
                                                    Must Supporttrue
                                                    10. Practitioner.meta.source
                                                    Control0..0
                                                    12. Practitioner.implicitRules
                                                    Control0..0
                                                    14. Practitioner.language
                                                    Control0..0
                                                    16. Practitioner.text
                                                    18. Practitioner.text.status
                                                    Pattern Valueextensions
                                                    20. Practitioner.contained
                                                    Control0..0
                                                    22. Practitioner.extension
                                                    Must Supporttrue
                                                    SlicingThis element introduces a set of slices on Practitioner.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                    • value @ url
                                                    • 24. Practitioner.extension:additionalComment
                                                      Slice NameadditionalComment
                                                      Definition

                                                      In diesem Element werden als Freitext ergänzende Angaben zur Person gemacht, wie beispielsweise Zusatzqualifikationen.

                                                      Control0..1
                                                      TypeExtension(KBV_EX_Base_Additional_Comment) (Extension Type: string)
                                                      Must Supporttrue
                                                      26. Practitioner.extension:additionalComment.value[x]
                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                      Must Supporttrue
                                                      28. Practitioner.extension:additionalComment.value[x]:valueString
                                                      Slice NamevalueString
                                                      Typestring
                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Must Supporttrue
                                                      30. Practitioner.identifier
                                                      Definition

                                                      In diesem Element wird der Identifier (Identifikator) für diese behandelnde Person definiert. Der Identifikator kann aus diversen Quellen stammen.

                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                      Must Supporttrue
                                                      SlicingThis element introduces a set of slices on Practitioner.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ type
                                                      • value @ system
                                                      • 32. Practitioner.identifier:ANR
                                                        Slice NameANR
                                                        Definition

                                                        In diesem Element wird die Arztnummer (umgangssprachlich auch Lebenslange Arztnummer „LANR“ genannt) nach § 108 SGB V abgebildet.

                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                        Control0..*
                                                        TypeIdentifier(Identifier-Profil für die Abbildung einer lebenslangen Arztnummer)
                                                        Must Supporttrue
                                                        34. Practitioner.identifier:ANR.use
                                                        Control0..0
                                                        36. Practitioner.identifier:ANR.type
                                                        Control1..?
                                                        38. Practitioner.identifier:ANR.type.coding
                                                        Control1..1
                                                        Must Supporttrue
                                                        40. Practitioner.identifier:ANR.type.coding.system
                                                        Control1..?
                                                        Must Supporttrue
                                                        42. Practitioner.identifier:ANR.type.coding.version
                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                        Must Supporttrue
                                                        44. Practitioner.identifier:ANR.type.coding.code
                                                        Control1..?
                                                        Must Supporttrue
                                                        46. Practitioner.identifier:ANR.type.coding.display
                                                        Control1..?
                                                        Must Supporttrue
                                                        Pattern ValueLifelong physician number
                                                        48. Practitioner.identifier:ANR.type.coding.userSelected
                                                        Control0..0
                                                        50. Practitioner.identifier:ANR.type.text
                                                        Control0..0
                                                        52. Practitioner.identifier:ANR.system
                                                        Must Supporttrue
                                                        54. Practitioner.identifier:ANR.value
                                                        Must Supporttrue
                                                        56. Practitioner.identifier:ANR.period
                                                        Control0..0
                                                        58. Practitioner.identifier:ANR.assigner
                                                        Control0..0
                                                        60. Practitioner.identifier:EFN
                                                        Slice NameEFN
                                                        Definition

                                                        In diesem Element wird die einheitliche Fortbildungsnummer (EFN) abgebildet.

                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                        Control0..1
                                                        TypeIdentifier(Identifier-Profil für die Abbildung der Einheitlichen Fortbildungsnummer (EFN))
                                                        Must Supporttrue
                                                        62. Practitioner.identifier:EFN.use
                                                        Control0..0
                                                        64. Practitioner.identifier:EFN.type
                                                        Control1..?
                                                        66. Practitioner.identifier:EFN.type.coding
                                                        Control1..1
                                                        Must Supporttrue
                                                        68. Practitioner.identifier:EFN.type.coding.system
                                                        Control1..?
                                                        Must Supporttrue
                                                        70. Practitioner.identifier:EFN.type.coding.version
                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                        Must Supporttrue
                                                        72. Practitioner.identifier:EFN.type.coding.code
                                                        Control1..?
                                                        Must Supporttrue
                                                        74. Practitioner.identifier:EFN.type.coding.display
                                                        Control1..?
                                                        Must Supporttrue
                                                        Pattern ValueDoctor number
                                                        76. Practitioner.identifier:EFN.type.coding.userSelected
                                                        Control0..0
                                                        78. Practitioner.identifier:EFN.type.text
                                                        Control0..0
                                                        80. Practitioner.identifier:EFN.system
                                                        Must Supporttrue
                                                        82. Practitioner.identifier:EFN.value
                                                        Must Supporttrue
                                                        84. Practitioner.identifier:EFN.period
                                                        Control0..0
                                                        86. Practitioner.identifier:EFN.assigner
                                                        Control0..0
                                                        88. Practitioner.identifier:ZANR
                                                        Slice NameZANR
                                                        Definition

                                                        In diesem Element wird die Zahnarztnummer analog zur ANR abgebildet.

                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                        Control0..*
                                                        TypeIdentifier(Identifier-Profil für die Abbildung einer lebenslangen Zahnarztnummer)
                                                        Must Supporttrue
                                                        90. Practitioner.identifier:ZANR.use
                                                        Control0..0
                                                        92. Practitioner.identifier:ZANR.type
                                                        Control1..?
                                                        94. Practitioner.identifier:ZANR.type.coding
                                                        Control1..1
                                                        Must Supporttrue
                                                        96. Practitioner.identifier:ZANR.type.coding.system
                                                        Control1..?
                                                        Must Supporttrue
                                                        98. Practitioner.identifier:ZANR.type.coding.version
                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                        Must Supporttrue
                                                        100. Practitioner.identifier:ZANR.type.coding.code
                                                        Control1..?
                                                        Must Supporttrue
                                                        102. Practitioner.identifier:ZANR.type.coding.display
                                                        Control1..?
                                                        Must Supporttrue
                                                        Pattern ValueZahnarztnummer
                                                        104. Practitioner.identifier:ZANR.type.coding.userSelected
                                                        Control0..0
                                                        106. Practitioner.identifier:ZANR.type.text
                                                        Control0..0
                                                        108. Practitioner.identifier:ZANR.system
                                                        Must Supporttrue
                                                        110. Practitioner.identifier:ZANR.value
                                                        Must Supporttrue
                                                        112. Practitioner.identifier:ZANR.period
                                                        Control0..0
                                                        114. Practitioner.identifier:ZANR.assigner
                                                        Control0..0
                                                        116. Practitioner.identifier:Telematik-ID
                                                        Slice NameTelematik-ID
                                                        Definition

                                                        Bei der Telematik-ID handelt es sich um eine eindeutige elektronische Identität von Leistungserbringenden und medizinischen Institutionen in der Telematik-Infrastruktur.

                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                        Control0..*
                                                        TypeIdentifier(Identifier-Profil für die Telematik-ID)
                                                        Must Supporttrue
                                                        118. Practitioner.identifier:Telematik-ID.use
                                                        Control0..0
                                                        120. Practitioner.identifier:Telematik-ID.type
                                                        Control1..?
                                                        122. Practitioner.identifier:Telematik-ID.type.coding
                                                        Control1..1
                                                        Must Supporttrue
                                                        124. Practitioner.identifier:Telematik-ID.type.coding.system
                                                        Control1..?
                                                        Must Supporttrue
                                                        126. Practitioner.identifier:Telematik-ID.type.coding.version
                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                        Must Supporttrue
                                                        128. Practitioner.identifier:Telematik-ID.type.coding.code
                                                        Control1..?
                                                        Must Supporttrue
                                                        130. Practitioner.identifier:Telematik-ID.type.coding.display
                                                        Control1..?
                                                        Must Supporttrue
                                                        Pattern ValueProvider number
                                                        132. Practitioner.identifier:Telematik-ID.type.coding.userSelected
                                                        Control0..0
                                                        134. Practitioner.identifier:Telematik-ID.type.text
                                                        Control0..0
                                                        136. Practitioner.identifier:Telematik-ID.system
                                                        Must Supporttrue
                                                        138. Practitioner.identifier:Telematik-ID.value
                                                        Must Supporttrue
                                                        140. Practitioner.identifier:Telematik-ID.period
                                                        Control0..0
                                                        142. Practitioner.identifier:Telematik-ID.assigner
                                                        Control0..0
                                                        144. Practitioner.identifier:BNR
                                                        Slice NameBNR
                                                        Definition

                                                        Die lebenslangen Beschäftigtennummer (LBNR) wird an Personen vergeben, die in der pflegerischen Versorgung tätig sind und unter die Regelungen des § 293 Absatz 8 SGB V fallen, und wird von dem Beschäftigtenverzeichnis der ambulanten Pflege (BeVaP) vergeben.

                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                        Control0..*
                                                        TypeIdentifier(Identifier-Profil für die Abbildung einer lebenslangen Beschäftigtennummer)
                                                        Must Supporttrue
                                                        146. Practitioner.identifier:BNR.use
                                                        Control0..0
                                                        148. Practitioner.identifier:BNR.type
                                                        Control1..?
                                                        150. Practitioner.identifier:BNR.type.coding
                                                        Control1..1
                                                        Must Supporttrue
                                                        152. Practitioner.identifier:BNR.type.coding.system
                                                        Control1..?
                                                        Must Supporttrue
                                                        154. Practitioner.identifier:BNR.type.coding.version
                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                        Must Supporttrue
                                                        156. Practitioner.identifier:BNR.type.coding.code
                                                        Control1..?
                                                        Must Supporttrue
                                                        158. Practitioner.identifier:BNR.type.coding.display
                                                        Control1..?
                                                        Must Supporttrue
                                                        Pattern ValueProvider number
                                                        160. Practitioner.identifier:BNR.type.coding.userSelected
                                                        Control0..0
                                                        162. Practitioner.identifier:BNR.type.text
                                                        Control0..0
                                                        164. Practitioner.identifier:BNR.system
                                                        Must Supporttrue
                                                        166. Practitioner.identifier:BNR.value
                                                        Must Supporttrue
                                                        168. Practitioner.identifier:BNR.period
                                                        Control0..0
                                                        170. Practitioner.identifier:BNR.assigner
                                                        Control0..0
                                                        172. Practitioner.active
                                                        Control0..0
                                                        174. Practitioner.name
                                                        Definition

                                                        Dieses Element beschreibt den vollständigen Namen der behandelnden Person.

                                                        Control1..1
                                                        Must Supporttrue
                                                        SlicingThis element introduces a set of slices on Practitioner.name. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                        • value @ use
                                                        • 176. Practitioner.name:name
                                                          Slice Namename
                                                          Definition

                                                          Dieses Element beschreibt diverse Namensbestandteile der behandelnden Person.

                                                          Control1..1
                                                          TypeHumanName(KBV_PR_Base_Datatype_Name)
                                                          Must Supporttrue
                                                          178. Practitioner.name:name.text
                                                          Must Supporttrue
                                                          180. Practitioner.name:name.family
                                                          Must Supporttrue
                                                          182. Practitioner.name:name.family.extension
                                                          Control1..3
                                                          Must Supporttrue
                                                          SlicingThis element introduces a set of slices on Practitioner.name.family.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 184. Practitioner.name:name.family.extension:namenszusatz
                                                            Slice Namenamenszusatz
                                                            Definition

                                                            Hier wird der Namenszusatz als Bestandteil des Nachnamens angegeben.

                                                            ShortNamenszusatz
                                                            Must Supporttrue
                                                            186. Practitioner.name:name.family.extension:namenszusatz.value[x]
                                                            Control1..?
                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                            Must Supporttrue
                                                            188. Practitioner.name:name.family.extension:nachname
                                                            Slice Namenachname
                                                            Control1..?
                                                            Must Supporttrue
                                                            190. Practitioner.name:name.family.extension:nachname.value[x]
                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                            Must Supporttrue
                                                            192. Practitioner.name:name.family.extension:vorsatzwort
                                                            Slice Namevorsatzwort
                                                            Definition

                                                            Hier wird ein Vorsatzwort angegeben.

                                                            Must Supporttrue
                                                            194. Practitioner.name:name.family.extension:vorsatzwort.value[x]
                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                            Must Supporttrue
                                                            196. Practitioner.name:name.given
                                                            Must Supporttrue
                                                            198. Practitioner.name:name.prefix
                                                            Must Supporttrue
                                                            200. Practitioner.name:name.prefix.extension
                                                            SlicingThis element introduces a set of slices on Practitioner.name.prefix.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                            • value @ url
                                                            • 202. Practitioner.name:name.prefix.extension:prefix-qualifier
                                                              Slice Nameprefix-qualifier
                                                              Must Supporttrue
                                                              204. Practitioner.name:name.prefix.extension:prefix-qualifier.value[x]
                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                              Must Supporttrue
                                                              206. Practitioner.name:name.prefix.extension:prefix-qualifier.value[x]:valueCode
                                                              Slice NamevalueCode
                                                              Typecode
                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Must Supporttrue
                                                              208. Practitioner.name:name.suffix
                                                              Control0..0
                                                              210. Practitioner.name:name.period
                                                              Control0..0
                                                              212. Practitioner.name:geburtsname
                                                              Slice Namegeburtsname
                                                              Definition

                                                              Der Geburtsname ist der Nachname, den eine Person bei der Geburt erhalten hat. Dieser umfasst auch das Vorsatzwort und den Namenszusatz.

                                                              Control0..0
                                                              TypeHumanName(KBV_PR_Base_Datatype_Maiden_Name)
                                                              Must Supporttrue
                                                              217. Practitioner.telecom
                                                              Must Supporttrue
                                                              219. Practitioner.telecom.system
                                                              Definition

                                                              Definition der Art des Kontaktes, z. B. Telefon (phone), E-Mail, Fax.

                                                              Control1..?
                                                              Must Supporttrue
                                                              221. Practitioner.telecom.value
                                                              Definition

                                                              In diesem Element können Kontaktinformationen passend zum Kontaktkanal angegeben werden. Beispiele für mögliche Werte sind: 'm.mustermann@mio42.de' (beim Kontaktkanal 'E-Mail', oder '030712345678' (beim Kontaktkanal 'Telefon').

                                                              Control1..?
                                                              Must Supporttrue
                                                              223. Practitioner.telecom.use
                                                              Control0..0
                                                              225. Practitioner.telecom.rank
                                                              Control0..0
                                                              227. Practitioner.telecom.period
                                                              Control0..0
                                                              229. Practitioner.address
                                                              Definition

                                                              Dieses Element beschreibt die Anschrift der behandelnden Person.

                                                              Must Supporttrue
                                                              SlicingThis element introduces a set of slices on Practitioner.address. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                              • value @ type
                                                              • 231. Practitioner.address.use
                                                                Control0..0
                                                                233. Practitioner.address.state
                                                                Control0..0
                                                                235. Practitioner.address:Strassenanschrift
                                                                Slice NameStrassenanschrift
                                                                Definition

                                                                Hier werden Angaben zur Straßenanschrift gemacht.

                                                                Control0..*
                                                                TypeAddress(KBV_PR_Base_Datatype_Street_Address)
                                                                Must Supporttrue
                                                                237. Practitioner.address:Strassenanschrift.extension
                                                                Control0..1
                                                                Must Supporttrue
                                                                SlicingThis element introduces a set of slices on Practitioner.address.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                • value @ url
                                                                • 239. Practitioner.address:Strassenanschrift.extension:Stadtteil
                                                                  Slice NameStadtteil
                                                                  Definition

                                                                  In diesem Element kann der Stadt- oder Ortsteil angegeben werden, z. B. wenn der Ort ein Stadtstaat ist.

                                                                  Must Supporttrue
                                                                  241. Practitioner.address:Strassenanschrift.extension:Stadtteil.value[x]
                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                  Must Supporttrue
                                                                  243. Practitioner.address:Strassenanschrift.use
                                                                  Control0..0
                                                                  245. Practitioner.address:Strassenanschrift.type
                                                                  Must Supporttrue
                                                                  247. Practitioner.address:Strassenanschrift.text
                                                                  Control0..0
                                                                  249. Practitioner.address:Strassenanschrift.line
                                                                  Must Supporttrue
                                                                  251. Practitioner.address:Strassenanschrift.line.extension
                                                                  Control0..3
                                                                  Must Supporttrue
                                                                  SlicingThis element introduces a set of slices on Practitioner.address.line.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                  • value @ url
                                                                  • 253. Practitioner.address:Strassenanschrift.line.extension:Strasse
                                                                    Slice NameStrasse
                                                                    Must Supporttrue
                                                                    255. Practitioner.address:Strassenanschrift.line.extension:Strasse.value[x]
                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                    Must Supporttrue
                                                                    257. Practitioner.address:Strassenanschrift.line.extension:Hausnummer
                                                                    Slice NameHausnummer
                                                                    Must Supporttrue
                                                                    259. Practitioner.address:Strassenanschrift.line.extension:Hausnummer.value[x]
                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                    Must Supporttrue
                                                                    261. Practitioner.address:Strassenanschrift.line.extension:Adresszusatz
                                                                    Slice NameAdresszusatz
                                                                    Must Supporttrue
                                                                    263. Practitioner.address:Strassenanschrift.line.extension:Adresszusatz.value[x]
                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                    Must Supporttrue
                                                                    265. Practitioner.address:Strassenanschrift.city
                                                                    Definition

                                                                    In dieses Feld kann der Ort eingetragen werden.

                                                                    Must Supporttrue
                                                                    267. Practitioner.address:Strassenanschrift.state
                                                                    Control0..0
                                                                    269. Practitioner.address:Strassenanschrift.postalCode
                                                                    Must Supporttrue
                                                                    271. Practitioner.address:Strassenanschrift.country
                                                                    Must Supporttrue
                                                                    273. Practitioner.address:Strassenanschrift.period
                                                                    Control0..0
                                                                    275. Practitioner.address:Postfach
                                                                    Slice NamePostfach
                                                                    Definition

                                                                    Hier werden Angaben zu einem Postfach gemacht.

                                                                    Control0..*
                                                                    TypeAddress(KBV_PR_Base_Datatype_Post_Office_Box)
                                                                    Must Supporttrue
                                                                    277. Practitioner.address:Postfach.extension
                                                                    Control0..1
                                                                    Must Supporttrue
                                                                    SlicingThis element introduces a set of slices on Practitioner.address.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                    • value @ url
                                                                    • 279. Practitioner.address:Postfach.extension:Stadtteil
                                                                      Slice NameStadtteil
                                                                      Must Supporttrue
                                                                      281. Practitioner.address:Postfach.extension:Stadtteil.value[x]
                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                      Must Supporttrue
                                                                      283. Practitioner.address:Postfach.use
                                                                      Control0..0
                                                                      285. Practitioner.address:Postfach.type
                                                                      Must Supporttrue
                                                                      287. Practitioner.address:Postfach.text
                                                                      Control0..0
                                                                      289. Practitioner.address:Postfach.line
                                                                      Control0..1
                                                                      Must Supporttrue
                                                                      291. Practitioner.address:Postfach.line.extension
                                                                      Control0..1
                                                                      Must Supporttrue
                                                                      SlicingThis element introduces a set of slices on Practitioner.address.line.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                      • value @ url
                                                                      • 293. Practitioner.address:Postfach.line.extension:Postfach
                                                                        Slice NamePostfach
                                                                        Must Supporttrue
                                                                        295. Practitioner.address:Postfach.line.extension:Postfach.value[x]
                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                        Must Supporttrue
                                                                        297. Practitioner.address:Postfach.city
                                                                        Definition

                                                                        In dieses Feld kann der Ort eingetragen werden.

                                                                        Must Supporttrue
                                                                        299. Practitioner.address:Postfach.state
                                                                        Control0..0
                                                                        301. Practitioner.address:Postfach.postalCode
                                                                        Must Supporttrue
                                                                        303. Practitioner.address:Postfach.country
                                                                        Must Supporttrue
                                                                        305. Practitioner.address:Postfach.period
                                                                        Control0..0
                                                                        307. Practitioner.gender
                                                                        Definition

                                                                        Hier wird die Geschlechtsdefinition der behandelnden Person angegeben

                                                                        Must Supporttrue
                                                                        309. Practitioner.gender.extension
                                                                        Must Supporttrue
                                                                        SlicingThis element introduces a set of slices on Practitioner.gender.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                        • value @ url
                                                                        • 311. Practitioner.gender.extension:other-amtlich
                                                                          Slice Nameother-amtlich
                                                                          Control0..1
                                                                          TypeExtension(Differenzierung des administrativen Geschlechts 'other') (Extension Type: Coding)
                                                                          Must Supporttrue
                                                                          313. Practitioner.gender.extension:other-amtlich.value[x]
                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                          Must Supporttrue
                                                                          315. Practitioner.gender.extension:other-amtlich.value[x].system
                                                                          Control1..?
                                                                          Must Supporttrue
                                                                          317. Practitioner.gender.extension:other-amtlich.value[x].version
                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                          Must Supporttrue
                                                                          319. Practitioner.gender.extension:other-amtlich.value[x].code
                                                                          Control1..?
                                                                          Must Supporttrue
                                                                          321. Practitioner.gender.extension:other-amtlich.value[x].display
                                                                          Control1..?
                                                                          Must Supporttrue
                                                                          323. Practitioner.gender.extension:other-amtlich.value[x].userSelected
                                                                          Control0..0
                                                                          325. Practitioner.birthDate
                                                                          Control0..0
                                                                          327. Practitioner.photo
                                                                          Control0..0
                                                                          329. Practitioner.qualification
                                                                          Definition

                                                                          Das Element beschreibt die Qualifikation der Person (z. B. Hebamme).

                                                                          Must Supporttrue
                                                                          331. Practitioner.qualification.identifier
                                                                          NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                          Control0..0
                                                                          333. Practitioner.qualification.code
                                                                          BindingThe codes SHOULD be taken from Practitioner Speciality
                                                                          (preferred to https://fhir.kbv.de/ValueSet/KBV_VS_Base_Practitioner_Speciality)
                                                                          Must Supporttrue
                                                                          335. Practitioner.qualification.code.coding
                                                                          Must Supporttrue
                                                                          337. Practitioner.qualification.code.coding.system
                                                                          Control1..?
                                                                          Must Supporttrue
                                                                          339. Practitioner.qualification.code.coding.version
                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                          Must Supporttrue
                                                                          341. Practitioner.qualification.code.coding.code
                                                                          Control1..?
                                                                          Must Supporttrue
                                                                          343. Practitioner.qualification.code.coding.display
                                                                          Control1..?
                                                                          Must Supporttrue
                                                                          345. Practitioner.qualification.code.coding.userSelected
                                                                          Control0..0
                                                                          347. Practitioner.qualification.code.text
                                                                          Control0..0
                                                                          349. Practitioner.qualification.period
                                                                          Control0..0
                                                                          351. Practitioner.qualification.issuer
                                                                          Control0..0
                                                                          353. Practitioner.communication
                                                                          Control0..0

                                                                          Guidance on how to interpret the contents of this table can be foundhere

                                                                          0. Practitioner
                                                                          Definition

                                                                          Dieses Profil bildet eine behandelnde Person ab.

                                                                          ShortA person with a formal responsibility in the provisioning of healthcare or related services
                                                                          Control0..*
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                                                          dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                                                          dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                                                          pract-de-1: 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())
                                                                          2. Practitioner.id
                                                                          Definition

                                                                          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                                                          ShortLogical id of this artifact
                                                                          Comments

                                                                          The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                                                          Control0..1
                                                                          Typeid
                                                                          Is Modifierfalse
                                                                          Summarytrue
                                                                          4. Practitioner.meta
                                                                          Definition

                                                                          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                                                          ShortMetadata about the resource
                                                                          Control0..1
                                                                          TypeMeta
                                                                          Is Modifierfalse
                                                                          Must Supporttrue
                                                                          Summarytrue
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          6. Practitioner.meta.id
                                                                          Definition

                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                          ShortUnique id for inter-element referencing
                                                                          Control0..0
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          8. Practitioner.meta.extension
                                                                          Definition

                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                          ShortAdditional content defined by implementations
                                                                          Comments

                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Alternate Namesextensions, user content
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          SlicingThis element introduces a set of slices on Practitioner.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                          • value @ url
                                                                          • 10. Practitioner.meta.versionId
                                                                            Definition

                                                                            The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

                                                                            ShortVersion specific identifier
                                                                            Comments

                                                                            The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

                                                                            Control0..1
                                                                            Typeid
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Must Supporttrue
                                                                            Summarytrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            12. Practitioner.meta.lastUpdated
                                                                            Definition

                                                                            When the resource last changed - e.g. when the version changed.

                                                                            ShortWhen the resource version last changed
                                                                            Comments

                                                                            This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

                                                                            Control0..1
                                                                            Typeinstant
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Must Supporttrue
                                                                            Summarytrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            14. Practitioner.meta.source
                                                                            Definition

                                                                            A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

                                                                            ShortIdentifies where the resource comes from
                                                                            Comments

                                                                            In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

                                                                            This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

                                                                            Control0..0
                                                                            Typeuri
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            16. Practitioner.meta.profile
                                                                            Definition

                                                                            A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

                                                                            ShortProfiles this resource claims to conform to
                                                                            Comments

                                                                            It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

                                                                            Control0..*
                                                                            Typecanonical(StructureDefinition)
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            18. Practitioner.meta.security
                                                                            Definition

                                                                            Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

                                                                            ShortSecurity Labels applied to this resource
                                                                            Comments

                                                                            The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

                                                                            Control0..*
                                                                            BindingUnless not suitable, these codes SHALL be taken from All Security Labels
                                                                            (extensible to http://hl7.org/fhir/ValueSet/security-labels|4.0.1)

                                                                            Security Labels from the Healthcare Privacy and Security Classification System.

                                                                            TypeCoding
                                                                            Is Modifierfalse
                                                                            Summarytrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            20. Practitioner.meta.tag
                                                                            Definition

                                                                            Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

                                                                            ShortTags applied to this resource
                                                                            Comments

                                                                            The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

                                                                            Control0..*
                                                                            BindingFor example codes, see CommonTags
                                                                            (example to http://hl7.org/fhir/ValueSet/common-tags|4.0.1)

                                                                            Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

                                                                            TypeCoding
                                                                            Is Modifierfalse
                                                                            Summarytrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            22. Practitioner.implicitRules
                                                                            Definition

                                                                            A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                                                            ShortA set of rules under which this content was created
                                                                            Comments

                                                                            Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                                                            Control0..0
                                                                            Typeuri
                                                                            Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            24. Practitioner.language
                                                                            Definition

                                                                            The base language in which the resource is written.

                                                                            ShortLanguage of the resource content
                                                                            Comments

                                                                            Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                                                            Control0..0
                                                                            BindingThe codes SHOULD be taken from CommonLanguages
                                                                            (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

                                                                            A human language.

                                                                            Additional BindingsPurpose
                                                                            AllLanguagesMax Binding
                                                                            Typecode
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            26. Practitioner.text
                                                                            Definition

                                                                            A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                                                            ShortText summary of the resource, for human interpretation
                                                                            Comments

                                                                            Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                                                            Control0..1
                                                                            TypeNarrative
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Alternate Namesnarrative, html, xhtml, display
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            28. Practitioner.text.id
                                                                            Definition

                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            30. Practitioner.text.extension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                            ShortAdditional content defined by implementations
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Alternate Namesextensions, user content
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            SlicingThis element introduces a set of slices on Practitioner.text.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 32. Practitioner.text.status
                                                                              Definition

                                                                              The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data.

                                                                              Shortgenerated | extensions | additional | empty
                                                                              Control1..1
                                                                              BindingThe codes SHALL be taken from NarrativeStatus
                                                                              (required to http://hl7.org/fhir/ValueSet/narrative-status|4.0.1)

                                                                              The status of a resource narrative.

                                                                              Typecode
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summaryfalse
                                                                              Pattern Valueextensions
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              34. Practitioner.text.div
                                                                              Definition

                                                                              The actual narrative content, a stripped down version of XHTML.

                                                                              ShortLimited xhtml content
                                                                              Comments

                                                                              The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.

                                                                              Control1..1
                                                                              Typexhtml
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summaryfalse
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes (htmlChecks())
                                                                              txt-2: The narrative SHALL have some non-whitespace content (htmlChecks())
                                                                              36. Practitioner.contained
                                                                              Definition

                                                                              These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                                                                              ShortContained, inline Resources
                                                                              Comments

                                                                              This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                                                              Control0..0
                                                                              TypeResource
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Alternate Namesinline resources, anonymous resources, contained resources
                                                                              38. Practitioner.extension
                                                                              Definition

                                                                              An Extension

                                                                              ShortExtension
                                                                              Control0..*
                                                                              TypeExtension
                                                                              Is Modifierfalse
                                                                              Must Supporttrue
                                                                              Summaryfalse
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              SlicingThis element introduces a set of slices on Practitioner.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                              • value @ url
                                                                              • 40. Practitioner.extension:additionalComment
                                                                                Slice NameadditionalComment
                                                                                Definition

                                                                                In diesem Element werden als Freitext ergänzende Angaben zur Person gemacht, wie beispielsweise Zusatzqualifikationen.

                                                                                ShortErgänzende Angaben
                                                                                Control0..1
                                                                                This element is affected by the following invariants: ele-1
                                                                                TypeExtension(KBV_EX_Base_Additional_Comment) (Extension Type: string)
                                                                                Is Modifierfalse
                                                                                Must Supporttrue
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                42. Practitioner.extension:additionalComment.id
                                                                                Definition

                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                ShortUnique id for inter-element referencing
                                                                                Control0..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                Summaryfalse
                                                                                44. Practitioner.extension:additionalComment.extension
                                                                                Definition

                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                ShortAdditional content defined by implementations
                                                                                Comments

                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                Control0..0
                                                                                TypeExtension
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Alternate Namesextensions, user content
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                SlicingThis element introduces a set of slices on Practitioner.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                • value @ url
                                                                                • 46. Practitioner.extension:additionalComment.url
                                                                                  Definition

                                                                                  Source of the definition for the extension code - a logical name or a URL.

                                                                                  Shortidentifies the meaning of the extension
                                                                                  Comments

                                                                                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                                  Control1..1
                                                                                  Typeuri
                                                                                  Is Modifierfalse
                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                  Summaryfalse
                                                                                  Fixed Valuehttps://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Additional_Comment
                                                                                  48. Practitioner.extension:additionalComment.value[x]
                                                                                  Definition

                                                                                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                  ShortValue of extension
                                                                                  Control1..1
                                                                                  Typestring
                                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Must Supporttrue
                                                                                  Summaryfalse
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  SlicingThis element introduces a set of slices on Practitioner.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                  • type @ $this
                                                                                  • 50. Practitioner.extension:additionalComment.value[x]:valueString
                                                                                    Slice NamevalueString
                                                                                    Definition

                                                                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                    ShortValue of extension
                                                                                    Control1..1
                                                                                    Typestring
                                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Must Supporttrue
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    52. Practitioner.modifierExtension
                                                                                    Definition

                                                                                    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                    ShortExtensions that cannot be ignored
                                                                                    Comments

                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                    Control0..*
                                                                                    TypeExtension
                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                                                    Summaryfalse
                                                                                    Requirements

                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                    Alternate Namesextensions, user content
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                    54. Practitioner.identifier
                                                                                    Definition

                                                                                    In diesem Element wird der Identifier (Identifikator) für diese behandelnde Person definiert. Der Identifikator kann aus diversen Quellen stammen.

                                                                                    ShortAn identifier for the person as this agent
                                                                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                    Control0..*
                                                                                    TypeIdentifier
                                                                                    Is Modifierfalse
                                                                                    Must Supporttrue
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    Often, specific identities are assigned for the agent.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    SlicingThis element introduces a set of slices on Practitioner.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                    • value @ type
                                                                                    • value @ system
                                                                                    • 56. Practitioner.identifier:ANR
                                                                                      Slice NameANR
                                                                                      Definition

                                                                                      In diesem Element wird die Arztnummer (umgangssprachlich auch Lebenslange Arztnummer „LANR“ genannt) nach § 108 SGB V abgebildet.

                                                                                      ShortAn identifier for the person as this agent
                                                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                      Control0..*
                                                                                      TypeIdentifier(Identifier-Profil für die Abbildung einer lebenslangen Arztnummer)
                                                                                      Is Modifierfalse
                                                                                      Must Supporttrue
                                                                                      Summarytrue
                                                                                      Requirements

                                                                                      Often, specific identities are assigned for the agent.

                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      58. Practitioner.identifier:ANR.id
                                                                                      Definition

                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control0..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Summaryfalse
                                                                                      60. Practitioner.identifier:ANR.extension
                                                                                      Definition

                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                      ShortAdditional content defined by implementations
                                                                                      Comments

                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Alternate Namesextensions, user content
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      SlicingThis element introduces a set of slices on Practitioner.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                      • value @ url
                                                                                      • 62. Practitioner.identifier:ANR.use
                                                                                        Definition

                                                                                        The purpose of this identifier.

                                                                                        Shortusual | official | temp | secondary | old (If known)
                                                                                        Comments

                                                                                        Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                        Control0..0
                                                                                        BindingThe codes SHALL be taken from IdentifierUse
                                                                                        (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                        Identifies the purpose for this identifier, if known .

                                                                                        Typecode
                                                                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                        Fixed Valueofficial
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        64. Practitioner.identifier:ANR.type
                                                                                        Definition

                                                                                        A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                        ShortDescription of identifier
                                                                                        Comments

                                                                                        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                        Control1..1
                                                                                        BindingUnless not suitable, these codes SHALL be taken from Identifier Type DeBasis ValueSet
                                                                                        (extensible to http://fhir.de/ValueSet/identifier-type-de-basis)

                                                                                        A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                        TypeCodeableConcept
                                                                                        Is Modifierfalse
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Allows users to make use of identifiers when the identifier system is not known.

                                                                                        Pattern Value{
                                                                                          "coding" : [{
                                                                                            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                                                                                            "code" : "LANR"
                                                                                          }]
                                                                                        }
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        66. Practitioner.identifier:ANR.type.id
                                                                                        Definition

                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                        ShortUnique id for inter-element referencing
                                                                                        Control0..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                        Summaryfalse
                                                                                        68. Practitioner.identifier:ANR.type.extension
                                                                                        Definition

                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                        ShortAdditional content defined by implementations
                                                                                        Comments

                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                        Control0..*
                                                                                        TypeExtension
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Alternate Namesextensions, user content
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                        SlicingThis element introduces a set of slices on Practitioner.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                        • value @ url
                                                                                        • 70. Practitioner.identifier:ANR.type.coding
                                                                                          Definition

                                                                                          A reference to a code defined by a terminology system.

                                                                                          ShortCode defined by a terminology system
                                                                                          Comments

                                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                          Control1..1
                                                                                          TypeCoding
                                                                                          Is Modifierfalse
                                                                                          Must Supporttrue
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          72. Practitioner.identifier:ANR.type.coding.id
                                                                                          Definition

                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                          ShortUnique id for inter-element referencing
                                                                                          Control0..1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                          Summaryfalse
                                                                                          74. Practitioner.identifier:ANR.type.coding.extension
                                                                                          Definition

                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                          ShortAdditional content defined by implementations
                                                                                          Comments

                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                          Control0..*
                                                                                          TypeExtension
                                                                                          Is Modifierfalse
                                                                                          Summaryfalse
                                                                                          Alternate Namesextensions, user content
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                          SlicingThis element introduces a set of slices on Practitioner.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                          • value @ url
                                                                                          • 76. Practitioner.identifier:ANR.type.coding.system
                                                                                            Definition

                                                                                            The identification of the code system that defines the meaning of the symbol in the code.

                                                                                            ShortIdentity of the terminology system
                                                                                            Comments

                                                                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                            Control1..1
                                                                                            Typeuri
                                                                                            Is Modifierfalse
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Must Supporttrue
                                                                                            Summarytrue
                                                                                            Requirements

                                                                                            Need to be unambiguous about the source of the definition of the symbol.

                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            78. Practitioner.identifier:ANR.type.coding.version
                                                                                            Definition

                                                                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                            ShortVersion of the system - if relevant
                                                                                            Comments

                                                                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                            Control0..1
                                                                                            Typestring
                                                                                            Is Modifierfalse
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Must Supporttrue
                                                                                            Summarytrue
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            80. Practitioner.identifier:ANR.type.coding.code
                                                                                            Definition

                                                                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                            ShortSymbol in syntax defined by the system
                                                                                            Control1..1
                                                                                            Typecode
                                                                                            Is Modifierfalse
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Must Supporttrue
                                                                                            Summarytrue
                                                                                            Requirements

                                                                                            Need to refer to a particular code in the system.

                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            82. Practitioner.identifier:ANR.type.coding.display
                                                                                            Definition

                                                                                            A representation of the meaning of the code in the system, following the rules of the system.

                                                                                            ShortRepresentation defined by the system
                                                                                            Control1..1
                                                                                            Typestring
                                                                                            Is Modifierfalse
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Must Supporttrue
                                                                                            Summarytrue
                                                                                            Requirements

                                                                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                            Pattern ValueLifelong physician number
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            84. Practitioner.identifier:ANR.type.coding.userSelected
                                                                                            Definition

                                                                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                            ShortIf this coding was chosen directly by the user
                                                                                            Comments

                                                                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                            Control0..0
                                                                                            Typeboolean
                                                                                            Is Modifierfalse
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Summarytrue
                                                                                            Requirements

                                                                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            86. Practitioner.identifier:ANR.type.text
                                                                                            Definition

                                                                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                            ShortPlain text representation of the concept
                                                                                            Comments

                                                                                            Very often the text is the same as a displayName of one of the codings.

                                                                                            Control0..0
                                                                                            Typestring
                                                                                            Is Modifierfalse
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Summarytrue
                                                                                            Requirements

                                                                                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            88. Practitioner.identifier:ANR.system
                                                                                            Definition

                                                                                            Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                                                            ShortThe namespace for the identifier value
                                                                                            Comments

                                                                                            Identifier.system is always case sensitive.

                                                                                            Control1..1
                                                                                            Typeuri
                                                                                            Is Modifierfalse
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Must Supporttrue
                                                                                            Summarytrue
                                                                                            Requirements

                                                                                            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                            Fixed Valuehttps://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR
                                                                                            ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            90. Practitioner.identifier:ANR.value
                                                                                            Definition

                                                                                            The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                                                                                            ShortThe value that is unique
                                                                                            Comments

                                                                                            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                            Control1..1
                                                                                            Typestring
                                                                                            Is Modifierfalse
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Must Supporttrue
                                                                                            Summarytrue
                                                                                            ExampleGeneral: 123456
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            lanr-1: Eine LANR muss neunstellig numerisch sein (matches('^[0-9]{9}$'))
                                                                                            92. Practitioner.identifier:ANR.period
                                                                                            Definition

                                                                                            Time period during which identifier is/was valid for use.

                                                                                            ShortTime period when id is/was valid for use
                                                                                            Control0..0
                                                                                            TypePeriod
                                                                                            Is Modifierfalse
                                                                                            Summarytrue
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            94. Practitioner.identifier:ANR.assigner
                                                                                            Definition

                                                                                            Organization that issued/manages the identifier.

                                                                                            ShortOrganization that issued id (may be just text)
                                                                                            Comments

                                                                                            The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                            Control0..0
                                                                                            TypeReference(Organization)
                                                                                            Is Modifierfalse
                                                                                            Summarytrue
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            110. Practitioner.identifier:EFN
                                                                                            Slice NameEFN
                                                                                            Definition

                                                                                            In diesem Element wird die einheitliche Fortbildungsnummer (EFN) abgebildet.

                                                                                            ShortAn identifier for the person as this agent
                                                                                            NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                            Control0..1
                                                                                            TypeIdentifier(Identifier-Profil für die Abbildung der Einheitlichen Fortbildungsnummer (EFN))
                                                                                            Is Modifierfalse
                                                                                            Must Supporttrue
                                                                                            Summarytrue
                                                                                            Requirements

                                                                                            Often, specific identities are assigned for the agent.

                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            112. Practitioner.identifier:EFN.id
                                                                                            Definition

                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                            ShortUnique id for inter-element referencing
                                                                                            Control0..1
                                                                                            Typestring
                                                                                            Is Modifierfalse
                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                            Summaryfalse
                                                                                            114. Practitioner.identifier:EFN.extension
                                                                                            Definition

                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                            ShortAdditional content defined by implementations
                                                                                            Comments

                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                            Control0..*
                                                                                            TypeExtension
                                                                                            Is Modifierfalse
                                                                                            Summaryfalse
                                                                                            Alternate Namesextensions, user content
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                            SlicingThis element introduces a set of slices on Practitioner.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                            • value @ url
                                                                                            • 116. Practitioner.identifier:EFN.use
                                                                                              Definition

                                                                                              The purpose of this identifier.

                                                                                              Shortusual | official | temp | secondary | old (If known)
                                                                                              Comments

                                                                                              Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                              Control0..0
                                                                                              BindingThe codes SHALL be taken from IdentifierUse
                                                                                              (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                              Identifies the purpose for this identifier, if known .

                                                                                              Typecode
                                                                                              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Requirements

                                                                                              Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                              Fixed Valueofficial
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              118. Practitioner.identifier:EFN.type
                                                                                              Definition

                                                                                              A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                              ShortDescription of identifier
                                                                                              Comments

                                                                                              This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                              Control1..1
                                                                                              BindingUnless not suitable, these codes SHALL be taken from Identifier Type DeBasis ValueSet
                                                                                              (extensible to http://fhir.de/ValueSet/identifier-type-de-basis)

                                                                                              A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                              TypeCodeableConcept
                                                                                              Is Modifierfalse
                                                                                              Summarytrue
                                                                                              Requirements

                                                                                              Allows users to make use of identifiers when the identifier system is not known.

                                                                                              Pattern Value{
                                                                                                "coding" : [{
                                                                                                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                                                                                                  "code" : "DN"
                                                                                                }]
                                                                                              }
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              120. Practitioner.identifier:EFN.type.id
                                                                                              Definition

                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                              ShortUnique id for inter-element referencing
                                                                                              Control0..1
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                              Summaryfalse
                                                                                              122. Practitioner.identifier:EFN.type.extension
                                                                                              Definition

                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                              ShortAdditional content defined by implementations
                                                                                              Comments

                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                              Control0..*
                                                                                              TypeExtension
                                                                                              Is Modifierfalse
                                                                                              Summaryfalse
                                                                                              Alternate Namesextensions, user content
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                              SlicingThis element introduces a set of slices on Practitioner.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                              • value @ url
                                                                                              • 124. Practitioner.identifier:EFN.type.coding
                                                                                                Definition

                                                                                                A reference to a code defined by a terminology system.

                                                                                                ShortCode defined by a terminology system
                                                                                                Comments

                                                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                Control1..1
                                                                                                TypeCoding
                                                                                                Is Modifierfalse
                                                                                                Must Supporttrue
                                                                                                Summarytrue
                                                                                                Requirements

                                                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                126. Practitioner.identifier:EFN.type.coding.id
                                                                                                Definition

                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                ShortUnique id for inter-element referencing
                                                                                                Control0..1
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                Summaryfalse
                                                                                                128. Practitioner.identifier:EFN.type.coding.extension
                                                                                                Definition

                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                ShortAdditional content defined by implementations
                                                                                                Comments

                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                Control0..*
                                                                                                TypeExtension
                                                                                                Is Modifierfalse
                                                                                                Summaryfalse
                                                                                                Alternate Namesextensions, user content
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                SlicingThis element introduces a set of slices on Practitioner.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                • value @ url
                                                                                                • 130. Practitioner.identifier:EFN.type.coding.system
                                                                                                  Definition

                                                                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                  ShortIdentity of the terminology system
                                                                                                  Comments

                                                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                                  Control1..1
                                                                                                  Typeuri
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Must Supporttrue
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  132. Practitioner.identifier:EFN.type.coding.version
                                                                                                  Definition

                                                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                  ShortVersion of the system - if relevant
                                                                                                  Comments

                                                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                  Control0..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Must Supporttrue
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  134. Practitioner.identifier:EFN.type.coding.code
                                                                                                  Definition

                                                                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                  ShortSymbol in syntax defined by the system
                                                                                                  Control1..1
                                                                                                  Typecode
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Must Supporttrue
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  Need to refer to a particular code in the system.

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  136. Practitioner.identifier:EFN.type.coding.display
                                                                                                  Definition

                                                                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                  ShortRepresentation defined by the system
                                                                                                  Control1..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Must Supporttrue
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                  Pattern ValueDoctor number
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  138. Practitioner.identifier:EFN.type.coding.userSelected
                                                                                                  Definition

                                                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                  ShortIf this coding was chosen directly by the user
                                                                                                  Comments

                                                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                  Control0..0
                                                                                                  Typeboolean
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  140. Practitioner.identifier:EFN.type.text
                                                                                                  Definition

                                                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                  ShortPlain text representation of the concept
                                                                                                  Comments

                                                                                                  Very often the text is the same as a displayName of one of the codings.

                                                                                                  Control0..0
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  142. Practitioner.identifier:EFN.system
                                                                                                  Definition

                                                                                                  Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                                                                  ShortThe namespace for the identifier value
                                                                                                  Comments

                                                                                                  Identifier.system is always case sensitive.

                                                                                                  Control1..1
                                                                                                  Typeuri
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Must Supporttrue
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                                  Fixed Valuehttp://fhir.de/sid/bundesaerztekammer/efn
                                                                                                  ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  144. Practitioner.identifier:EFN.value
                                                                                                  Definition

                                                                                                  The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                                                                                                  ShortThe value that is unique
                                                                                                  Comments

                                                                                                  If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                                  Control1..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Must Supporttrue
                                                                                                  Summarytrue
                                                                                                  ExampleGeneral: 123456
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  146. Practitioner.identifier:EFN.period
                                                                                                  Definition

                                                                                                  Time period during which identifier is/was valid for use.

                                                                                                  ShortTime period when id is/was valid for use
                                                                                                  Control0..0
                                                                                                  TypePeriod
                                                                                                  Is Modifierfalse
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  148. Practitioner.identifier:EFN.assigner
                                                                                                  Definition

                                                                                                  Organization that issued/manages the identifier.

                                                                                                  ShortOrganization that issued id (may be just text)
                                                                                                  Comments

                                                                                                  The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                                  Control0..0
                                                                                                  TypeReference(Organization)
                                                                                                  Is Modifierfalse
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  164. Practitioner.identifier:ZANR
                                                                                                  Slice NameZANR
                                                                                                  Definition

                                                                                                  In diesem Element wird die Zahnarztnummer analog zur ANR abgebildet.

                                                                                                  ShortAn identifier for the person as this agent
                                                                                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                  Control0..*
                                                                                                  TypeIdentifier(Identifier-Profil für die Abbildung einer lebenslangen Zahnarztnummer)
                                                                                                  Is Modifierfalse
                                                                                                  Must Supporttrue
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  Often, specific identities are assigned for the agent.

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  166. Practitioner.identifier:ZANR.id
                                                                                                  Definition

                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                  ShortUnique id for inter-element referencing
                                                                                                  Control0..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                  Summaryfalse
                                                                                                  168. Practitioner.identifier:ZANR.extension
                                                                                                  Definition

                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                  ShortAdditional content defined by implementations
                                                                                                  Comments

                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                  Control0..*
                                                                                                  TypeExtension
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Alternate Namesextensions, user content
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                  SlicingThis element introduces a set of slices on Practitioner.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                  • value @ url
                                                                                                  • 170. Practitioner.identifier:ZANR.use
                                                                                                    Definition

                                                                                                    The purpose of this identifier.

                                                                                                    Shortusual | official | temp | secondary | old (If known)
                                                                                                    Comments

                                                                                                    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                                    Control0..0
                                                                                                    BindingThe codes SHALL be taken from IdentifierUse
                                                                                                    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                                    Identifies the purpose for this identifier, if known .

                                                                                                    Typecode
                                                                                                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Summarytrue
                                                                                                    Requirements

                                                                                                    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                                    Fixed Valueofficial
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    172. Practitioner.identifier:ZANR.type
                                                                                                    Definition

                                                                                                    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                    ShortDescription of identifier
                                                                                                    Comments

                                                                                                    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                                    Control1..1
                                                                                                    BindingUnless not suitable, these codes SHALL be taken from Identifier Type DeBasis ValueSet
                                                                                                    (extensible to http://fhir.de/ValueSet/identifier-type-de-basis)

                                                                                                    A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                    TypeCodeableConcept
                                                                                                    Is Modifierfalse
                                                                                                    Summarytrue
                                                                                                    Requirements

                                                                                                    Allows users to make use of identifiers when the identifier system is not known.

                                                                                                    Pattern Value{
                                                                                                      "coding" : [{
                                                                                                        "system" : "http://fhir.de/CodeSystem/identifier-type-de-basis",
                                                                                                        "code" : "ZANR"
                                                                                                      }]
                                                                                                    }
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    174. Practitioner.identifier:ZANR.type.id
                                                                                                    Definition

                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                    ShortUnique id for inter-element referencing
                                                                                                    Control0..1
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                    Summaryfalse
                                                                                                    176. Practitioner.identifier:ZANR.type.extension
                                                                                                    Definition

                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                    ShortAdditional content defined by implementations
                                                                                                    Comments

                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                    Control0..*
                                                                                                    TypeExtension
                                                                                                    Is Modifierfalse
                                                                                                    Summaryfalse
                                                                                                    Alternate Namesextensions, user content
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                    SlicingThis element introduces a set of slices on Practitioner.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                    • value @ url
                                                                                                    • 178. Practitioner.identifier:ZANR.type.coding
                                                                                                      Definition

                                                                                                      A reference to a code defined by a terminology system.

                                                                                                      ShortCode defined by a terminology system
                                                                                                      Comments

                                                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                      Control1..1
                                                                                                      TypeCoding
                                                                                                      Is Modifierfalse
                                                                                                      Must Supporttrue
                                                                                                      Summarytrue
                                                                                                      Requirements

                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      180. Practitioner.identifier:ZANR.type.coding.id
                                                                                                      Definition

                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                      ShortUnique id for inter-element referencing
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                      Summaryfalse
                                                                                                      182. Practitioner.identifier:ZANR.type.coding.extension
                                                                                                      Definition

                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                      ShortAdditional content defined by implementations
                                                                                                      Comments

                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                      Control0..*
                                                                                                      TypeExtension
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Alternate Namesextensions, user content
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                      SlicingThis element introduces a set of slices on Practitioner.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                      • value @ url
                                                                                                      • 184. Practitioner.identifier:ZANR.type.coding.system
                                                                                                        Definition

                                                                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                        ShortIdentity of the terminology system
                                                                                                        Comments

                                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                                        Control1..1
                                                                                                        Typeuri
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Must Supporttrue
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        186. Practitioner.identifier:ZANR.type.coding.version
                                                                                                        Definition

                                                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                        ShortVersion of the system - if relevant
                                                                                                        Comments

                                                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                        Control0..1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Must Supporttrue
                                                                                                        Summarytrue
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        188. Practitioner.identifier:ZANR.type.coding.code
                                                                                                        Definition

                                                                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                        ShortSymbol in syntax defined by the system
                                                                                                        Control1..1
                                                                                                        Typecode
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Must Supporttrue
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        Need to refer to a particular code in the system.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        190. Practitioner.identifier:ZANR.type.coding.display
                                                                                                        Definition

                                                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                        ShortRepresentation defined by the system
                                                                                                        Control1..1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Must Supporttrue
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                        Pattern ValueZahnarztnummer
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        192. Practitioner.identifier:ZANR.type.coding.userSelected
                                                                                                        Definition

                                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                        ShortIf this coding was chosen directly by the user
                                                                                                        Comments

                                                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                        Control0..0
                                                                                                        Typeboolean
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        194. Practitioner.identifier:ZANR.type.text
                                                                                                        Definition

                                                                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                        ShortPlain text representation of the concept
                                                                                                        Comments

                                                                                                        Very often the text is the same as a displayName of one of the codings.

                                                                                                        Control0..0
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        196. Practitioner.identifier:ZANR.system
                                                                                                        Definition

                                                                                                        Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                                                                        ShortThe namespace for the identifier value
                                                                                                        Comments

                                                                                                        Identifier.system is always case sensitive.

                                                                                                        Control1..1
                                                                                                        Typeuri
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Must Supporttrue
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                                        Fixed Valuehttp://fhir.de/sid/kzbv/zahnarztnummer
                                                                                                        ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        198. Practitioner.identifier:ZANR.value
                                                                                                        Definition

                                                                                                        The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                                                                                                        ShortThe value that is unique
                                                                                                        Comments

                                                                                                        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                                        Control1..1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Must Supporttrue
                                                                                                        Summarytrue
                                                                                                        ExampleGeneral: 123456
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        zanr-1: Die ZANR bestehend aus 7-stelliger Zahnarztnummer + 2-stelliger Fachbezeichnung muss 9-stellig numerisch sein (matches('^[0-9]{9}$'))
                                                                                                        200. Practitioner.identifier:ZANR.period
                                                                                                        Definition

                                                                                                        Time period during which identifier is/was valid for use.

                                                                                                        ShortTime period when id is/was valid for use
                                                                                                        Control0..0
                                                                                                        TypePeriod
                                                                                                        Is Modifierfalse
                                                                                                        Summarytrue
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        202. Practitioner.identifier:ZANR.assigner
                                                                                                        Definition

                                                                                                        Organization that issued/manages the identifier.

                                                                                                        ShortOrganization that issued id (may be just text)
                                                                                                        Comments

                                                                                                        The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                                        Control0..0
                                                                                                        TypeReference(Organization)
                                                                                                        Is Modifierfalse
                                                                                                        Summarytrue
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        218. Practitioner.identifier:Telematik-ID
                                                                                                        Slice NameTelematik-ID
                                                                                                        Definition

                                                                                                        Bei der Telematik-ID handelt es sich um eine eindeutige elektronische Identität von Leistungserbringenden und medizinischen Institutionen in der Telematik-Infrastruktur.

                                                                                                        ShortAn identifier for the person as this agent
                                                                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                        Control0..*
                                                                                                        TypeIdentifier(Identifier-Profil für die Telematik-ID)
                                                                                                        Is Modifierfalse
                                                                                                        Must Supporttrue
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        Often, specific identities are assigned for the agent.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        220. Practitioner.identifier:Telematik-ID.id
                                                                                                        Definition

                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                        ShortUnique id for inter-element referencing
                                                                                                        Control0..1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                        Summaryfalse
                                                                                                        222. Practitioner.identifier:Telematik-ID.extension
                                                                                                        Definition

                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                        ShortAdditional content defined by implementations
                                                                                                        Comments

                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                        Control0..*
                                                                                                        TypeExtension
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Alternate Namesextensions, user content
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                        SlicingThis element introduces a set of slices on Practitioner.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                        • value @ url
                                                                                                        • 224. Practitioner.identifier:Telematik-ID.use
                                                                                                          Definition

                                                                                                          The purpose of this identifier.

                                                                                                          Shortusual | official | temp | secondary | old (If known)
                                                                                                          Comments

                                                                                                          Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                                          Control0..0
                                                                                                          BindingThe codes SHALL be taken from IdentifierUse
                                                                                                          (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                                          Identifies the purpose for this identifier, if known .

                                                                                                          Typecode
                                                                                                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          226. Practitioner.identifier:Telematik-ID.type
                                                                                                          Definition

                                                                                                          A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                          ShortDescription of identifier
                                                                                                          Comments

                                                                                                          This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                                          Control1..1
                                                                                                          BindingUnless not suitable, these codes SHALL be taken from Identifier Type DeBasis ValueSet
                                                                                                          (extensible to http://fhir.de/ValueSet/identifier-type-de-basis)

                                                                                                          A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                          TypeCodeableConcept
                                                                                                          Is Modifierfalse
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          Allows users to make use of identifiers when the identifier system is not known.

                                                                                                          Pattern Value{
                                                                                                            "coding" : [{
                                                                                                              "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                                                                                                              "code" : "PRN"
                                                                                                            }]
                                                                                                          }
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          228. Practitioner.identifier:Telematik-ID.type.id
                                                                                                          Definition

                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                          ShortUnique id for inter-element referencing
                                                                                                          Control0..1
                                                                                                          Typestring
                                                                                                          Is Modifierfalse
                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                          Summaryfalse
                                                                                                          230. Practitioner.identifier:Telematik-ID.type.extension
                                                                                                          Definition

                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                          ShortAdditional content defined by implementations
                                                                                                          Comments

                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                          Control0..*
                                                                                                          TypeExtension
                                                                                                          Is Modifierfalse
                                                                                                          Summaryfalse
                                                                                                          Alternate Namesextensions, user content
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                          SlicingThis element introduces a set of slices on Practitioner.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                          • value @ url
                                                                                                          • 232. Practitioner.identifier:Telematik-ID.type.coding
                                                                                                            Definition

                                                                                                            A reference to a code defined by a terminology system.

                                                                                                            ShortCode defined by a terminology system
                                                                                                            Comments

                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                            Control1..1
                                                                                                            TypeCoding
                                                                                                            Is Modifierfalse
                                                                                                            Must Supporttrue
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            234. Practitioner.identifier:Telematik-ID.type.coding.id
                                                                                                            Definition

                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                            ShortUnique id for inter-element referencing
                                                                                                            Control0..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                            Summaryfalse
                                                                                                            236. Practitioner.identifier:Telematik-ID.type.coding.extension
                                                                                                            Definition

                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                            ShortAdditional content defined by implementations
                                                                                                            Comments

                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                            Control0..*
                                                                                                            TypeExtension
                                                                                                            Is Modifierfalse
                                                                                                            Summaryfalse
                                                                                                            Alternate Namesextensions, user content
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                            SlicingThis element introduces a set of slices on Practitioner.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                            • value @ url
                                                                                                            • 238. Practitioner.identifier:Telematik-ID.type.coding.system
                                                                                                              Definition

                                                                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                              ShortIdentity of the terminology system
                                                                                                              Comments

                                                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                                              Control1..1
                                                                                                              Typeuri
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Must Supporttrue
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              240. Practitioner.identifier:Telematik-ID.type.coding.version
                                                                                                              Definition

                                                                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                              ShortVersion of the system - if relevant
                                                                                                              Comments

                                                                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                              Control0..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Must Supporttrue
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              242. Practitioner.identifier:Telematik-ID.type.coding.code
                                                                                                              Definition

                                                                                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                              ShortSymbol in syntax defined by the system
                                                                                                              Control1..1
                                                                                                              Typecode
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Must Supporttrue
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              Need to refer to a particular code in the system.

                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              244. Practitioner.identifier:Telematik-ID.type.coding.display
                                                                                                              Definition

                                                                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                              ShortRepresentation defined by the system
                                                                                                              Control1..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Must Supporttrue
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                              Pattern ValueProvider number
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              246. Practitioner.identifier:Telematik-ID.type.coding.userSelected
                                                                                                              Definition

                                                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                              ShortIf this coding was chosen directly by the user
                                                                                                              Comments

                                                                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                              Control0..0
                                                                                                              Typeboolean
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              248. Practitioner.identifier:Telematik-ID.type.text
                                                                                                              Definition

                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                              ShortPlain text representation of the concept
                                                                                                              Comments

                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                              Control0..0
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              250. Practitioner.identifier:Telematik-ID.system
                                                                                                              Definition

                                                                                                              Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                                                                              ShortThe namespace for the identifier value
                                                                                                              Comments

                                                                                                              Identifier.system is always case sensitive.

                                                                                                              Control1..1
                                                                                                              Typeuri
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Must Supporttrue
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                                              Fixed Valuehttps://gematik.de/fhir/sid/telematik-id
                                                                                                              ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              252. Practitioner.identifier:Telematik-ID.value
                                                                                                              Definition

                                                                                                              The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                                                                                                              ShortThe value that is unique
                                                                                                              Comments

                                                                                                              If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                                              Control1..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Must Supporttrue
                                                                                                              Summarytrue
                                                                                                              ExampleGeneral: 123456
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              254. Practitioner.identifier:Telematik-ID.period
                                                                                                              Definition

                                                                                                              Time period during which identifier is/was valid for use.

                                                                                                              ShortTime period when id is/was valid for use
                                                                                                              Control0..0
                                                                                                              TypePeriod
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              256. Practitioner.identifier:Telematik-ID.assigner
                                                                                                              Definition

                                                                                                              Organization that issued/manages the identifier.

                                                                                                              ShortOrganization that issued id (may be just text)
                                                                                                              Comments

                                                                                                              The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                                              Control0..0
                                                                                                              TypeReference(Organization)
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              258. Practitioner.identifier:BNR
                                                                                                              Slice NameBNR
                                                                                                              Definition

                                                                                                              Die lebenslangen Beschäftigtennummer (LBNR) wird an Personen vergeben, die in der pflegerischen Versorgung tätig sind und unter die Regelungen des § 293 Absatz 8 SGB V fallen, und wird von dem Beschäftigtenverzeichnis der ambulanten Pflege (BeVaP) vergeben.

                                                                                                              ShortAn identifier for the person as this agent
                                                                                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                              Control0..*
                                                                                                              TypeIdentifier(Identifier-Profil für die Abbildung einer lebenslangen Beschäftigtennummer)
                                                                                                              Is Modifierfalse
                                                                                                              Must Supporttrue
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              Often, specific identities are assigned for the agent.

                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              260. Practitioner.identifier:BNR.id
                                                                                                              Definition

                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                              ShortUnique id for inter-element referencing
                                                                                                              Control0..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                              Summaryfalse
                                                                                                              262. Practitioner.identifier:BNR.extension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                              ShortAdditional content defined by implementations
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              Alternate Namesextensions, user content
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              SlicingThis element introduces a set of slices on Practitioner.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                              • value @ url
                                                                                                              • 264. Practitioner.identifier:BNR.use
                                                                                                                Definition

                                                                                                                The purpose of this identifier.

                                                                                                                Shortusual | official | temp | secondary | old (If known)
                                                                                                                Comments

                                                                                                                Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                                                Control0..0
                                                                                                                BindingThe codes SHALL be taken from IdentifierUse
                                                                                                                (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                                                Identifies the purpose for this identifier, if known .

                                                                                                                Typecode
                                                                                                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                                                Fixed Valueofficial
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                266. Practitioner.identifier:BNR.type
                                                                                                                Definition

                                                                                                                A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                                ShortDescription of identifier
                                                                                                                Comments

                                                                                                                This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                                                Control1..1
                                                                                                                BindingUnless not suitable, these codes SHALL be taken from Identifier Type DeBasis ValueSet
                                                                                                                (extensible to http://fhir.de/ValueSet/identifier-type-de-basis)

                                                                                                                A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                                TypeCodeableConcept
                                                                                                                Is Modifierfalse
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                Allows users to make use of identifiers when the identifier system is not known.

                                                                                                                Pattern Value{
                                                                                                                  "coding" : [{
                                                                                                                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                                                                                                                    "code" : "PRN"
                                                                                                                  }]
                                                                                                                }
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                268. Practitioner.identifier:BNR.type.id
                                                                                                                Definition

                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                Control0..1
                                                                                                                Typestring
                                                                                                                Is Modifierfalse
                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                Summaryfalse
                                                                                                                270. Practitioner.identifier:BNR.type.extension
                                                                                                                Definition

                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                ShortAdditional content defined by implementations
                                                                                                                Comments

                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                Control0..*
                                                                                                                TypeExtension
                                                                                                                Is Modifierfalse
                                                                                                                Summaryfalse
                                                                                                                Alternate Namesextensions, user content
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                SlicingThis element introduces a set of slices on Practitioner.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                • value @ url
                                                                                                                • 272. Practitioner.identifier:BNR.type.coding
                                                                                                                  Definition

                                                                                                                  A reference to a code defined by a terminology system.

                                                                                                                  ShortCode defined by a terminology system
                                                                                                                  Comments

                                                                                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                  Control1..1
                                                                                                                  TypeCoding
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supporttrue
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  274. Practitioner.identifier:BNR.type.coding.id
                                                                                                                  Definition

                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                  Control0..1
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                  Summaryfalse
                                                                                                                  276. Practitioner.identifier:BNR.type.coding.extension
                                                                                                                  Definition

                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                  Comments

                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifierfalse
                                                                                                                  Summaryfalse
                                                                                                                  Alternate Namesextensions, user content
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  SlicingThis element introduces a set of slices on Practitioner.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                  • value @ url
                                                                                                                  • 278. Practitioner.identifier:BNR.type.coding.system
                                                                                                                    Definition

                                                                                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                    ShortIdentity of the terminology system
                                                                                                                    Comments

                                                                                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                    Control1..1
                                                                                                                    Typeuri
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Must Supporttrue
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    280. Practitioner.identifier:BNR.type.coding.version
                                                                                                                    Definition

                                                                                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                    ShortVersion of the system - if relevant
                                                                                                                    Comments

                                                                                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                    Control0..1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Must Supporttrue
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    282. Practitioner.identifier:BNR.type.coding.code
                                                                                                                    Definition

                                                                                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                    ShortSymbol in syntax defined by the system
                                                                                                                    Control1..1
                                                                                                                    Typecode
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Must Supporttrue
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    Need to refer to a particular code in the system.

                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    284. Practitioner.identifier:BNR.type.coding.display
                                                                                                                    Definition

                                                                                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                    ShortRepresentation defined by the system
                                                                                                                    Control1..1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Must Supporttrue
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                    Pattern ValueProvider number
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    286. Practitioner.identifier:BNR.type.coding.userSelected
                                                                                                                    Definition

                                                                                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                    ShortIf this coding was chosen directly by the user
                                                                                                                    Comments

                                                                                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                    Control0..0
                                                                                                                    Typeboolean
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    288. Practitioner.identifier:BNR.type.text
                                                                                                                    Definition

                                                                                                                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                    ShortPlain text representation of the concept
                                                                                                                    Comments

                                                                                                                    Very often the text is the same as a displayName of one of the codings.

                                                                                                                    Control0..0
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    290. Practitioner.identifier:BNR.system
                                                                                                                    Definition

                                                                                                                    Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                                                                                    ShortThe namespace for the identifier value
                                                                                                                    Comments

                                                                                                                    Identifier.system is always case sensitive.

                                                                                                                    Control1..1
                                                                                                                    Typeuri
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Must Supporttrue
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                                                    Fixed Valuehttp://fhir.de/sid/bfarm/lbnr
                                                                                                                    ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    292. Practitioner.identifier:BNR.value
                                                                                                                    Definition

                                                                                                                    The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                                                                                                                    ShortThe value that is unique
                                                                                                                    Comments

                                                                                                                    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                                                    Control1..1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Must Supporttrue
                                                                                                                    Summarytrue
                                                                                                                    ExampleGeneral: 123456
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    294. Practitioner.identifier:BNR.period
                                                                                                                    Definition

                                                                                                                    Time period during which identifier is/was valid for use.

                                                                                                                    ShortTime period when id is/was valid for use
                                                                                                                    Control0..0
                                                                                                                    TypePeriod
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    296. Practitioner.identifier:BNR.assigner
                                                                                                                    Definition

                                                                                                                    Organization that issued/manages the identifier.

                                                                                                                    ShortOrganization that issued id (may be just text)
                                                                                                                    Comments

                                                                                                                    The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                                                    Control0..0
                                                                                                                    TypeReference(Organization)
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    298. Practitioner.active
                                                                                                                    Definition

                                                                                                                    Whether this practitioner's record is in active use.

                                                                                                                    ShortWhether this practitioner's record is in active use
                                                                                                                    Comments

                                                                                                                    If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.

                                                                                                                    Control0..0
                                                                                                                    Typeboolean
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    Need to be able to mark a practitioner record as not to be used because it was created in error.

                                                                                                                    Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    300. Practitioner.name
                                                                                                                    Definition

                                                                                                                    Dieses Element beschreibt den vollständigen Namen der behandelnden Person.

                                                                                                                    ShortThe name(s) associated with the practitioner
                                                                                                                    Comments

                                                                                                                    The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

                                                                                                                    In general, select the value to be used in the ResourceReference.display based on this:

                                                                                                                    1. There is more than 1 name
                                                                                                                    2. Use = usual
                                                                                                                    3. Period is current to the date of the usage
                                                                                                                    4. Use = official
                                                                                                                    5. Other order as decided by internal business rules.
                                                                                                                    Control1..1
                                                                                                                    TypeHumanName
                                                                                                                    Is Modifierfalse
                                                                                                                    Must Supporttrue
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    SlicingThis element introduces a set of slices on Practitioner.name. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                    • value @ use
                                                                                                                    • 302. Practitioner.name:name
                                                                                                                      Slice Namename
                                                                                                                      Definition

                                                                                                                      Dieses Element beschreibt diverse Namensbestandteile der behandelnden Person.

                                                                                                                      ShortThe name(s) associated with the practitioner
                                                                                                                      Comments

                                                                                                                      The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

                                                                                                                      In general, select the value to be used in the ResourceReference.display based on this:

                                                                                                                      1. There is more than 1 name
                                                                                                                      2. Use = usual
                                                                                                                      3. Period is current to the date of the usage
                                                                                                                      4. Use = official
                                                                                                                      5. Other order as decided by internal business rules.
                                                                                                                      Control1..1
                                                                                                                      TypeHumanName(KBV_PR_Base_Datatype_Name)
                                                                                                                      Is Modifierfalse
                                                                                                                      Must Supporttrue
                                                                                                                      Summarytrue
                                                                                                                      Requirements

                                                                                                                      The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      304. Practitioner.name:name.id
                                                                                                                      Definition

                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                      Control0..1
                                                                                                                      Typestring
                                                                                                                      Is Modifierfalse
                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                      Summaryfalse
                                                                                                                      306. Practitioner.name:name.extension
                                                                                                                      Definition

                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                      Comments

                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                      Control0..*
                                                                                                                      TypeExtension
                                                                                                                      Is Modifierfalse
                                                                                                                      Summaryfalse
                                                                                                                      Alternate Namesextensions, user content
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                      SlicingThis element introduces a set of slices on Practitioner.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                      • value @ url
                                                                                                                      • 308. Practitioner.name:name.use
                                                                                                                        Definition

                                                                                                                        Identifies the purpose for this name.

                                                                                                                        Shortusual | official | temp | nickname | anonymous | old | maiden
                                                                                                                        Comments

                                                                                                                        Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                                                                                                                        Control1..1
                                                                                                                        BindingThe codes SHALL be taken from NameUse
                                                                                                                        (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                                                                                                        The use of a human name.

                                                                                                                        Typecode
                                                                                                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        Allows the appropriate name for a particular context of use to be selected from among a set of names.

                                                                                                                        Pattern Valueofficial
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        310. Practitioner.name:name.text
                                                                                                                        Definition

                                                                                                                        Vollständiger Name mit Vornamen und allen Vorsatzwörtern und Namenszusätzen. Der vollständige Name soll alle Namensteile in ihrer korrekten Reihenfolge abbilden.

                                                                                                                        ShortVollständiger Name
                                                                                                                        Comments

                                                                                                                        Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                                                                                                        Control0..1
                                                                                                                        Typestring
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Must Supporttrue
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        A renderable, unencoded form.

                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        312. Practitioner.name:name.family
                                                                                                                        Definition

                                                                                                                        Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.

                                                                                                                        ShortFamilienname
                                                                                                                        Comments

                                                                                                                        Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                                                                                                        Control1..1
                                                                                                                        Typestring
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Must Supporttrue
                                                                                                                        Summarytrue
                                                                                                                        Alternate Namessurname
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        314. Practitioner.name:name.family.id
                                                                                                                        Definition

                                                                                                                        unique id for the element within a resource (for internal references)

                                                                                                                        Shortxml:id (or equivalent in JSON)
                                                                                                                        Control0..1
                                                                                                                        Typestring
                                                                                                                        Is Modifierfalse
                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                        Summaryfalse
                                                                                                                        316. Practitioner.name:name.family.extension
                                                                                                                        Definition

                                                                                                                        An Extension

                                                                                                                        ShortExtension
                                                                                                                        Control1..3
                                                                                                                        TypeExtension
                                                                                                                        Is Modifierfalse
                                                                                                                        Must Supporttrue
                                                                                                                        Summaryfalse
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                        SlicingThis element introduces a set of slices on Practitioner.name.family.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                        • value @ url
                                                                                                                        • 318. Practitioner.name:name.family.extension:namenszusatz
                                                                                                                          Slice Namenamenszusatz
                                                                                                                          Definition

                                                                                                                          Hier wird der Namenszusatz als Bestandteil des Nachnamens angegeben.

                                                                                                                          ShortNamenszusatz
                                                                                                                          Comments

                                                                                                                          Die Extension wurde erstellt aufgrund der Anforderung, die auf der eGK vorhandenen Patientenstammdaten in FHIR abbilden zu können. Auf der eGK werden die Namensbestandteile "Namenszusatz" und "Vorsatzwort" getrennt vom Nachnamen gespeichert. Anhand der Liste der zulässigen Namenszusätze ist deutlich erkennbar, dass es sich hierbei sinngemäß um Adelstitel handelt. Das Vorsatzwort kann durch die Core-Extension own-prefix (Canonical: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix) abgebildet werden, für den Namenszusatz ergibt sich jedoch die Notwendikeit einer nationalen Extension, da in andern Ländern Adelstitel entweder gar nicht oder als reguläres Namenspräfix erfasst werden.

                                                                                                                          Control0..1
                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                          TypeExtension(Extension zur Erfassung der VSDM Namensbestandteile) (Extension Type: string)
                                                                                                                          Is Modifierfalse
                                                                                                                          Must Supporttrue
                                                                                                                          Summaryfalse
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                          320. Practitioner.name:name.family.extension:namenszusatz.id
                                                                                                                          Definition

                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                          Control0..1
                                                                                                                          Typestring
                                                                                                                          Is Modifierfalse
                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                          Summaryfalse
                                                                                                                          322. Practitioner.name:name.family.extension:namenszusatz.extension
                                                                                                                          Definition

                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                          Comments

                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                          Control0..0
                                                                                                                          TypeExtension
                                                                                                                          Is Modifierfalse
                                                                                                                          Summaryfalse
                                                                                                                          Alternate Namesextensions, user content
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                          SlicingThis element introduces a set of slices on Practitioner.name.family.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                          • value @ url
                                                                                                                          • 324. Practitioner.name:name.family.extension:namenszusatz.url
                                                                                                                            Definition

                                                                                                                            Source of the definition for the extension code - a logical name or a URL.

                                                                                                                            Shortidentifies the meaning of the extension
                                                                                                                            Comments

                                                                                                                            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                                                                            Control1..1
                                                                                                                            Typeuri
                                                                                                                            Is Modifierfalse
                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                            Summaryfalse
                                                                                                                            Fixed Valuehttp://fhir.de/StructureDefinition/humanname-namenszusatz
                                                                                                                            326. Practitioner.name:name.family.extension:namenszusatz.value[x]
                                                                                                                            Definition

                                                                                                                            Namenszusatz zum Nachnamen z.B. Gräfin, Prinz oder Fürst

                                                                                                                            ShortNamenszusatz
                                                                                                                            Control1..1
                                                                                                                            Typestring
                                                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                            Is Modifierfalse
                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                            Must Supporttrue
                                                                                                                            Summaryfalse
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            328. Practitioner.name:name.family.extension:nachname
                                                                                                                            Slice Namenachname
                                                                                                                            Definition

                                                                                                                            The portion of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse.

                                                                                                                            ShortPortion derived from person's own surname
                                                                                                                            Comments

                                                                                                                            If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's "maiden name".

                                                                                                                            Control1..1
                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                            TypeExtension(Own Name) (Extension Type: string)
                                                                                                                            Is Modifierfalse
                                                                                                                            Must Supporttrue
                                                                                                                            Summaryfalse
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                            330. Practitioner.name:name.family.extension:nachname.id
                                                                                                                            Definition

                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                            Control0..1
                                                                                                                            Typestring
                                                                                                                            Is Modifierfalse
                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                            Summaryfalse
                                                                                                                            332. Practitioner.name:name.family.extension:nachname.extension
                                                                                                                            Definition

                                                                                                                            An Extension

                                                                                                                            ShortExtension
                                                                                                                            Control0..0
                                                                                                                            TypeExtension
                                                                                                                            Is Modifierfalse
                                                                                                                            Summaryfalse
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                            SlicingThis element introduces a set of slices on Practitioner.name.family.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                            • value @ url
                                                                                                                            • 334. Practitioner.name:name.family.extension:nachname.url
                                                                                                                              Definition

                                                                                                                              Source of the definition for the extension code - a logical name or a URL.

                                                                                                                              Shortidentifies the meaning of the extension
                                                                                                                              Comments

                                                                                                                              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                                                                              Control1..1
                                                                                                                              Typeuri
                                                                                                                              Is Modifierfalse
                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                              Summaryfalse
                                                                                                                              Fixed Valuehttp://hl7.org/fhir/StructureDefinition/humanname-own-name
                                                                                                                              336. Practitioner.name:name.family.extension:nachname.value[x]
                                                                                                                              Definition

                                                                                                                              Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                              ShortValue of extension
                                                                                                                              Control1..1
                                                                                                                              Typestring
                                                                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Must Supporttrue
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              338. Practitioner.name:name.family.extension:vorsatzwort
                                                                                                                              Slice Namevorsatzwort
                                                                                                                              Definition

                                                                                                                              Hier wird ein Vorsatzwort angegeben.

                                                                                                                              ShortVoorvoegsel derived from person's own surname
                                                                                                                              Comments

                                                                                                                              An example of a voorvoegsel is the "van" in "Ludwig van Beethoven". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component.

                                                                                                                              Control0..1
                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                              TypeExtension(Own Prefix) (Extension Type: string)
                                                                                                                              Is Modifierfalse
                                                                                                                              Must Supporttrue
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                              340. Practitioner.name:name.family.extension:vorsatzwort.id
                                                                                                                              Definition

                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                              Control0..1
                                                                                                                              Typestring
                                                                                                                              Is Modifierfalse
                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                              Summaryfalse
                                                                                                                              342. Practitioner.name:name.family.extension:vorsatzwort.extension
                                                                                                                              Definition

                                                                                                                              An Extension

                                                                                                                              ShortExtension
                                                                                                                              Control0..0
                                                                                                                              TypeExtension
                                                                                                                              Is Modifierfalse
                                                                                                                              Summaryfalse
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                              SlicingThis element introduces a set of slices on Practitioner.name.family.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                              • value @ url
                                                                                                                              • 344. Practitioner.name:name.family.extension:vorsatzwort.url
                                                                                                                                Definition

                                                                                                                                Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                Shortidentifies the meaning of the extension
                                                                                                                                Comments

                                                                                                                                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                                                                                Control1..1
                                                                                                                                Typeuri
                                                                                                                                Is Modifierfalse
                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                Summaryfalse
                                                                                                                                Fixed Valuehttp://hl7.org/fhir/StructureDefinition/humanname-own-prefix
                                                                                                                                346. Practitioner.name:name.family.extension:vorsatzwort.value[x]
                                                                                                                                Definition

                                                                                                                                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                                ShortValue of extension
                                                                                                                                Control1..1
                                                                                                                                Typestring
                                                                                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                Is Modifierfalse
                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                Must Supporttrue
                                                                                                                                Summaryfalse
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                348. Practitioner.name:name.family.value
                                                                                                                                Definition

                                                                                                                                The actual value

                                                                                                                                ShortPrimitive value for string
                                                                                                                                Control0..1
                                                                                                                                Typestring
                                                                                                                                Is Modifierfalse
                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                Summaryfalse
                                                                                                                                Max Length:1048576
                                                                                                                                350. Practitioner.name:name.given
                                                                                                                                Definition

                                                                                                                                Vorname der Person

                                                                                                                                ShortVorname
                                                                                                                                Comments

                                                                                                                                If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                                                                                                                                Control0..1
                                                                                                                                Typestring
                                                                                                                                Is Modifierfalse
                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                Must Supporttrue
                                                                                                                                Summarytrue
                                                                                                                                Alternate Namesfirst name, middle name
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                352. Practitioner.name:name.prefix
                                                                                                                                Definition

                                                                                                                                Namensteile vor dem Vornamen, z.B. akademischer Titel.

                                                                                                                                ShortNamensteile vor dem Vornamen
                                                                                                                                Control0..*
                                                                                                                                Typestring
                                                                                                                                Is Modifierfalse
                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                Must Supporttrue
                                                                                                                                Summarytrue
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                354. Practitioner.name:name.prefix.id
                                                                                                                                Definition

                                                                                                                                unique id for the element within a resource (for internal references)

                                                                                                                                Shortxml:id (or equivalent in JSON)
                                                                                                                                Control0..1
                                                                                                                                Typestring
                                                                                                                                Is Modifierfalse
                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                Summaryfalse
                                                                                                                                356. Practitioner.name:name.prefix.extension
                                                                                                                                Definition

                                                                                                                                An Extension

                                                                                                                                ShortExtension
                                                                                                                                Control1..*
                                                                                                                                TypeExtension
                                                                                                                                Is Modifierfalse
                                                                                                                                Summaryfalse
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                SlicingThis element introduces a set of slices on Practitioner.name.prefix.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                • value @ url
                                                                                                                                • 358. Practitioner.name:name.prefix.extension:prefix-qualifier
                                                                                                                                  Slice Nameprefix-qualifier
                                                                                                                                  Definition

                                                                                                                                  A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.

                                                                                                                                  ShortLS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
                                                                                                                                  Comments

                                                                                                                                  Used to indicate additional information about the name part and how it should be used.

                                                                                                                                  Control1..1
                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                  TypeExtension(EN Qualifier) (Extension Type: code)
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Must Supporttrue
                                                                                                                                  Summaryfalse
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  360. Practitioner.name:name.prefix.extension:prefix-qualifier.id
                                                                                                                                  Definition

                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                  Control0..1
                                                                                                                                  Typestring
                                                                                                                                  Is Modifierfalse
                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                  Summaryfalse
                                                                                                                                  362. Practitioner.name:name.prefix.extension:prefix-qualifier.extension
                                                                                                                                  Definition

                                                                                                                                  An Extension

                                                                                                                                  ShortExtension
                                                                                                                                  Control0..0
                                                                                                                                  TypeExtension
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  SlicingThis element introduces a set of slices on Practitioner.name.prefix.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                  • value @ url
                                                                                                                                  • 364. Practitioner.name:name.prefix.extension:prefix-qualifier.url
                                                                                                                                    Definition

                                                                                                                                    Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                    Shortidentifies the meaning of the extension
                                                                                                                                    Comments

                                                                                                                                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                                                                                    Control1..1
                                                                                                                                    Typeuri
                                                                                                                                    Is Modifierfalse
                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                    Summaryfalse
                                                                                                                                    Fixed Valuehttp://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
                                                                                                                                    366. Practitioner.name:name.prefix.extension:prefix-qualifier.value[x]
                                                                                                                                    Definition

                                                                                                                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                                    ShortValue of extension
                                                                                                                                    Control1..1
                                                                                                                                    BindingThe codes SHALL be taken from EntityNamePartQualifier
                                                                                                                                    (required to http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1)

                                                                                                                                    A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.

                                                                                                                                    Typecode
                                                                                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                    Must Supporttrue
                                                                                                                                    Summaryfalse
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    SlicingThis element introduces a set of slices on Practitioner.name.prefix.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                    • type @ $this
                                                                                                                                    • 368. Practitioner.name:name.prefix.extension:prefix-qualifier.value[x]:valueCode
                                                                                                                                      Slice NamevalueCode
                                                                                                                                      Definition

                                                                                                                                      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                                      ShortValue of extension
                                                                                                                                      Control1..1
                                                                                                                                      BindingThe codes SHALL be taken from EntityNamePartQualifier
                                                                                                                                      (required to http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1)

                                                                                                                                      A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.

                                                                                                                                      Typecode
                                                                                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Must Supporttrue
                                                                                                                                      Summaryfalse
                                                                                                                                      Fixed ValueAC
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      370. Practitioner.name:name.prefix.value
                                                                                                                                      Definition

                                                                                                                                      The actual value

                                                                                                                                      ShortPrimitive value for string
                                                                                                                                      Control0..1
                                                                                                                                      Typestring
                                                                                                                                      Is Modifierfalse
                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                      Summaryfalse
                                                                                                                                      Max Length:1048576
                                                                                                                                      372. Practitioner.name:name.suffix
                                                                                                                                      Definition

                                                                                                                                      Namensteile nach dem Nachnamen

                                                                                                                                      ShortNamensteile nach dem Nachnamen
                                                                                                                                      Control0..0
                                                                                                                                      Typestring
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summarytrue
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      374. Practitioner.name:name.period
                                                                                                                                      Definition

                                                                                                                                      Indicates the period of time when this name was valid for the named person.

                                                                                                                                      ShortTime period when name was/is in use
                                                                                                                                      Control0..0
                                                                                                                                      TypePeriod
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      Allows names to be placed in historical context.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      376. Practitioner.name:geburtsname
                                                                                                                                      Slice Namegeburtsname
                                                                                                                                      Definition

                                                                                                                                      Der Geburtsname ist der Nachname, den eine Person bei der Geburt erhalten hat. Dieser umfasst auch das Vorsatzwort und den Namenszusatz.

                                                                                                                                      ShortThe name(s) associated with the practitioner
                                                                                                                                      Comments

                                                                                                                                      The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

                                                                                                                                      In general, select the value to be used in the ResourceReference.display based on this:

                                                                                                                                      1. There is more than 1 name
                                                                                                                                      2. Use = usual
                                                                                                                                      3. Period is current to the date of the usage
                                                                                                                                      4. Use = official
                                                                                                                                      5. Other order as decided by internal business rules.
                                                                                                                                      Control0..0
                                                                                                                                      TypeHumanName(KBV_PR_Base_Datatype_Maiden_Name)
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Must Supporttrue
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      397. Practitioner.telecom
                                                                                                                                      Definition

                                                                                                                                      A contact detail for the practitioner, e.g. a telephone number or an email address.

                                                                                                                                      ShortA contact detail for the practitioner (that apply to all roles)
                                                                                                                                      Comments

                                                                                                                                      Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.

                                                                                                                                      Control0..*
                                                                                                                                      TypeContactPoint
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Must Supporttrue
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      Need to know how to reach a practitioner independent to any roles the practitioner may have.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      399. Practitioner.telecom.id
                                                                                                                                      Definition

                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                      Control0..1
                                                                                                                                      Typestring
                                                                                                                                      Is Modifierfalse
                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                      Summaryfalse
                                                                                                                                      401. Practitioner.telecom.extension
                                                                                                                                      Definition

                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                      Comments

                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                      Control0..*
                                                                                                                                      TypeExtension
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                      SlicingThis element introduces a set of slices on Practitioner.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                      • value @ url
                                                                                                                                      • 403. Practitioner.telecom.system
                                                                                                                                        Definition

                                                                                                                                        Definition der Art des Kontaktes, z. B. Telefon (phone), E-Mail, Fax.

                                                                                                                                        Shortphone | fax | email | pager | url | sms | other
                                                                                                                                        Control1..1
                                                                                                                                        This element is affected by the following invariants: cpt-2
                                                                                                                                        BindingThe codes SHALL be taken from ContactPointSystem
                                                                                                                                        (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                                                                                                                                        Telecommunications form for contact point.

                                                                                                                                        Typecode
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Must Supporttrue
                                                                                                                                        Summarytrue
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        405. Practitioner.telecom.value
                                                                                                                                        Definition

                                                                                                                                        In diesem Element können Kontaktinformationen passend zum Kontaktkanal angegeben werden. Beispiele für mögliche Werte sind: 'm.mustermann@mio42.de' (beim Kontaktkanal 'E-Mail', oder '030712345678' (beim Kontaktkanal 'Telefon').

                                                                                                                                        ShortThe actual contact point details
                                                                                                                                        Comments

                                                                                                                                        Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                                                                                                                        Control1..1
                                                                                                                                        Typestring
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Must Supporttrue
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        Need to support legacy numbers that are not in a tightly controlled format.

                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        407. Practitioner.telecom.use
                                                                                                                                        Definition

                                                                                                                                        Identifies the purpose for the contact point.

                                                                                                                                        Shorthome | work | temp | old | mobile - purpose of this contact point
                                                                                                                                        Comments

                                                                                                                                        Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                                                                                                                        Control0..0
                                                                                                                                        BindingThe codes SHALL be taken from ContactPointUse
                                                                                                                                        (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

                                                                                                                                        Use of contact point.

                                                                                                                                        Typecode
                                                                                                                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        409. Practitioner.telecom.rank
                                                                                                                                        Definition

                                                                                                                                        Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                                                                                                                                        ShortSpecify preferred order of use (1 = highest)
                                                                                                                                        Comments

                                                                                                                                        Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                                                                                                                                        Control0..0
                                                                                                                                        TypepositiveInt
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        411. Practitioner.telecom.period
                                                                                                                                        Definition

                                                                                                                                        Time period when the contact point was/is in use.

                                                                                                                                        ShortTime period when the contact point was/is in use
                                                                                                                                        Control0..0
                                                                                                                                        TypePeriod
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Summarytrue
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        413. Practitioner.address
                                                                                                                                        Definition

                                                                                                                                        Dieses Element beschreibt die Anschrift der behandelnden Person.

                                                                                                                                        ShortAddress(es) of the practitioner that are not role specific (typically home address)
                                                                                                                                        Comments

                                                                                                                                        The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).

                                                                                                                                        Control0..*
                                                                                                                                        TypeAddress
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Must Supporttrue
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        SlicingThis element introduces a set of slices on Practitioner.address. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                        • value @ type
                                                                                                                                        • 415. Practitioner.address.id
                                                                                                                                          Definition

                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                          Control0..1
                                                                                                                                          Typestring
                                                                                                                                          Is Modifierfalse
                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                          Summaryfalse
                                                                                                                                          417. Practitioner.address.extension
                                                                                                                                          Definition

                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                          Comments

                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                          Control0..*
                                                                                                                                          TypeExtension
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                          SlicingThis element introduces a set of slices on Practitioner.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                          • value @ url
                                                                                                                                          • 419. Practitioner.address.use
                                                                                                                                            Definition

                                                                                                                                            The purpose of this address.

                                                                                                                                            Shorthome | work | temp | old | billing - purpose of this address
                                                                                                                                            Comments

                                                                                                                                            Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                                                                                                                                            Control0..0
                                                                                                                                            BindingThe codes SHALL be taken from AddressUse
                                                                                                                                            (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                                                                                                                                            The use of an address.

                                                                                                                                            Typecode
                                                                                                                                            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summarytrue
                                                                                                                                            Requirements

                                                                                                                                            Allows an appropriate address to be chosen from a list of many.

                                                                                                                                            ExampleGeneral: home
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            421. Practitioner.address.type
                                                                                                                                            Definition

                                                                                                                                            Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

                                                                                                                                            Shortpostal | physical | both
                                                                                                                                            Comments

                                                                                                                                            The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                                                                                                                            Control0..1
                                                                                                                                            BindingThe codes SHALL be taken from AddressType
                                                                                                                                            (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

                                                                                                                                            The type of an address (physical / postal).

                                                                                                                                            Typecode
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summarytrue
                                                                                                                                            ExampleGeneral: both
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            423. Practitioner.address.text
                                                                                                                                            Definition

                                                                                                                                            Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

                                                                                                                                            ShortText representation of the address
                                                                                                                                            Comments

                                                                                                                                            Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                                                                                                                            Control0..1
                                                                                                                                            Typestring
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summarytrue
                                                                                                                                            Requirements

                                                                                                                                            A renderable, unencoded form.

                                                                                                                                            ExampleGeneral: 137 Nowhere Street, Erewhon 9132
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            425. Practitioner.address.line
                                                                                                                                            Definition

                                                                                                                                            This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

                                                                                                                                            ShortStreet name, number, direction & P.O. Box etc.
                                                                                                                                            Control0..*
                                                                                                                                            Typestring
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summarytrue
                                                                                                                                            ExampleGeneral: 137 Nowhere Street
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            427. Practitioner.address.city
                                                                                                                                            Definition

                                                                                                                                            The name of the city, town, suburb, village or other community or delivery center.

                                                                                                                                            ShortName of city, town etc.
                                                                                                                                            Control0..1
                                                                                                                                            Typestring
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summarytrue
                                                                                                                                            Alternate NamesMunicpality
                                                                                                                                            ExampleGeneral: Erewhon
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            429. Practitioner.address.district
                                                                                                                                            Definition

                                                                                                                                            The name of the administrative area (county).

                                                                                                                                            ShortDistrict name (aka county)
                                                                                                                                            Comments

                                                                                                                                            District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

                                                                                                                                            Control0..1
                                                                                                                                            Typestring
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summarytrue
                                                                                                                                            Alternate NamesCounty
                                                                                                                                            ExampleGeneral: Madison
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            431. Practitioner.address.state
                                                                                                                                            Definition

                                                                                                                                            Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).

                                                                                                                                            ShortSub-unit of country (abbreviations ok)
                                                                                                                                            Control0..0
                                                                                                                                            Typestring
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summarytrue
                                                                                                                                            Alternate NamesProvince, Territory
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            433. Practitioner.address.postalCode
                                                                                                                                            Definition

                                                                                                                                            A postal code designating a region defined by the postal service.

                                                                                                                                            ShortPostal code for area
                                                                                                                                            Control0..1
                                                                                                                                            Typestring
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summarytrue
                                                                                                                                            Alternate NamesZip
                                                                                                                                            ExampleGeneral: 9132
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            435. Practitioner.address.country
                                                                                                                                            Definition

                                                                                                                                            Country - a nation as commonly understood or generally accepted.

                                                                                                                                            ShortCountry (e.g. can be ISO 3166 2 or 3 letter code)
                                                                                                                                            Comments

                                                                                                                                            ISO 3166 3 letter codes can be used in place of a human readable country name.

                                                                                                                                            Control0..1
                                                                                                                                            Typestring
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summarytrue
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            437. Practitioner.address.period
                                                                                                                                            Definition

                                                                                                                                            Time period when address was/is in use.

                                                                                                                                            ShortTime period when address was/is in use
                                                                                                                                            Control0..1
                                                                                                                                            TypePeriod
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Summarytrue
                                                                                                                                            Requirements

                                                                                                                                            Allows addresses to be placed in historical context.

                                                                                                                                            ExampleGeneral: { "start" : "2010-03-23", "end" : "2010-07-01" }
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            439. Practitioner.address:Strassenanschrift
                                                                                                                                            Slice NameStrassenanschrift
                                                                                                                                            Definition

                                                                                                                                            Hier werden Angaben zur Straßenanschrift gemacht.

                                                                                                                                            ShortAddress(es) of the practitioner that are not role specific (typically home address)
                                                                                                                                            Comments

                                                                                                                                            The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).

                                                                                                                                            Control0..*
                                                                                                                                            TypeAddress(KBV_PR_Base_Datatype_Street_Address)
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Must Supporttrue
                                                                                                                                            Summarytrue
                                                                                                                                            Requirements

                                                                                                                                            The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            441. Practitioner.address:Strassenanschrift.id
                                                                                                                                            Definition

                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                            Control0..1
                                                                                                                                            Typestring
                                                                                                                                            Is Modifierfalse
                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                            Summaryfalse
                                                                                                                                            443. Practitioner.address:Strassenanschrift.extension
                                                                                                                                            Definition

                                                                                                                                            An Extension

                                                                                                                                            ShortExtension
                                                                                                                                            Control0..1
                                                                                                                                            TypeExtension
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Must Supporttrue
                                                                                                                                            Summaryfalse
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                            SlicingThis element introduces a set of slices on Practitioner.address.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                            • value @ url
                                                                                                                                            • 445. Practitioner.address:Strassenanschrift.extension:Stadtteil
                                                                                                                                              Slice NameStadtteil
                                                                                                                                              Definition

                                                                                                                                              In diesem Element kann der Stadt- oder Ortsteil angegeben werden, z. B. wenn der Ort ein Stadtstaat ist.

                                                                                                                                              Shortprecinct
                                                                                                                                              Control0..1
                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                              TypeExtension(ADXP Precinct) (Extension Type: string)
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supporttrue
                                                                                                                                              Summaryfalse
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                              447. Practitioner.address:Strassenanschrift.extension:Stadtteil.id
                                                                                                                                              Definition

                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                              Control0..1
                                                                                                                                              Typestring
                                                                                                                                              Is Modifierfalse
                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                              Summaryfalse
                                                                                                                                              449. Practitioner.address:Strassenanschrift.extension:Stadtteil.extension
                                                                                                                                              Definition

                                                                                                                                              An Extension

                                                                                                                                              ShortExtension
                                                                                                                                              Control0..0
                                                                                                                                              TypeExtension
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                              SlicingThis element introduces a set of slices on Practitioner.address.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                              • value @ url
                                                                                                                                              • 451. Practitioner.address:Strassenanschrift.extension:Stadtteil.url
                                                                                                                                                Definition

                                                                                                                                                Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                                Shortidentifies the meaning of the extension
                                                                                                                                                Comments

                                                                                                                                                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                                                                                                Control1..1
                                                                                                                                                Typeuri
                                                                                                                                                Is Modifierfalse
                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                Summaryfalse
                                                                                                                                                Fixed Valuehttp://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct
                                                                                                                                                453. Practitioner.address:Strassenanschrift.extension:Stadtteil.value[x]
                                                                                                                                                Definition

                                                                                                                                                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                                                ShortValue of extension
                                                                                                                                                Control1..1
                                                                                                                                                Typestring
                                                                                                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                Must Supporttrue
                                                                                                                                                Summaryfalse
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                455. Practitioner.address:Strassenanschrift.use
                                                                                                                                                Definition

                                                                                                                                                The purpose of this address.

                                                                                                                                                Shorthome | work | temp | old | billing - purpose of this address
                                                                                                                                                Comments

                                                                                                                                                Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                                                                                                                                                Control0..0
                                                                                                                                                BindingThe codes SHALL be taken from AddressUse
                                                                                                                                                (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                                                                                                                                                The use of an address.

                                                                                                                                                Typecode
                                                                                                                                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                Summarytrue
                                                                                                                                                Requirements

                                                                                                                                                Allows an appropriate address to be chosen from a list of many.

                                                                                                                                                ExampleGeneral: home
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                457. Practitioner.address:Strassenanschrift.type
                                                                                                                                                Definition

                                                                                                                                                Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

                                                                                                                                                Shortpostal | physical | both
                                                                                                                                                Comments

                                                                                                                                                The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                                                                                                                                Control1..1
                                                                                                                                                BindingThe codes SHALL be taken from AddressType
                                                                                                                                                (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

                                                                                                                                                The type of an address (physical / postal).

                                                                                                                                                Typecode
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                Must Supporttrue
                                                                                                                                                Summarytrue
                                                                                                                                                Pattern Valueboth
                                                                                                                                                ExampleGeneral: both
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                459. Practitioner.address:Strassenanschrift.text
                                                                                                                                                Definition

                                                                                                                                                Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

                                                                                                                                                ShortText representation of the address
                                                                                                                                                Comments

                                                                                                                                                Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                                                                                                                                Control0..0
                                                                                                                                                Typestring
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                Summarytrue
                                                                                                                                                Requirements

                                                                                                                                                A renderable, unencoded form.

                                                                                                                                                ExampleGeneral: 137 Nowhere Street, Erewhon 9132
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                461. Practitioner.address:Strassenanschrift.line
                                                                                                                                                Definition

                                                                                                                                                Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können. Es wird empfohlen, dass die erste Zeile für Straße und Hausnummer, die zweite Zeile für den Zusatz und die dritte Zeile für den Stadtteil verwendet wird.

                                                                                                                                                ShortStraßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung
                                                                                                                                                Control0..3
                                                                                                                                                Typestring
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                Must Supporttrue
                                                                                                                                                Summarytrue
                                                                                                                                                ExampleGeneral: 137 Nowhere Street
                                                                                                                                                Beipiel für Adresszeile mit Extensions für Straße und Hausnummer: Musterweg 42
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                463. Practitioner.address:Strassenanschrift.line.id
                                                                                                                                                Definition

                                                                                                                                                unique id for the element within a resource (for internal references)

                                                                                                                                                Shortxml:id (or equivalent in JSON)
                                                                                                                                                Control0..1
                                                                                                                                                Typestring
                                                                                                                                                Is Modifierfalse
                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                Summaryfalse
                                                                                                                                                465. Practitioner.address:Strassenanschrift.line.extension
                                                                                                                                                Definition

                                                                                                                                                An Extension

                                                                                                                                                ShortExtension
                                                                                                                                                Control0..3
                                                                                                                                                TypeExtension
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Must Supporttrue
                                                                                                                                                Summaryfalse
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                SlicingThis element introduces a set of slices on Practitioner.address.line.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                • value @ url
                                                                                                                                                • 467. Practitioner.address:Strassenanschrift.line.extension:Strasse
                                                                                                                                                  Slice NameStrasse
                                                                                                                                                  Definition

                                                                                                                                                  streetName.

                                                                                                                                                  ShortstreetName
                                                                                                                                                  Control0..1
                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                  TypeExtension(ADXP Street Name) (Extension Type: string)
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Must Supporttrue
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                  469. Practitioner.address:Strassenanschrift.line.extension:Strasse.id
                                                                                                                                                  Definition

                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                  Control0..1
                                                                                                                                                  Typestring
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                  Summaryfalse
                                                                                                                                                  471. Practitioner.address:Strassenanschrift.line.extension:Strasse.extension
                                                                                                                                                  Definition

                                                                                                                                                  An Extension

                                                                                                                                                  ShortExtension
                                                                                                                                                  Control0..0
                                                                                                                                                  TypeExtension
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                  SlicingThis element introduces a set of slices on Practitioner.address.line.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                  • value @ url
                                                                                                                                                  • 473. Practitioner.address:Strassenanschrift.line.extension:Strasse.url
                                                                                                                                                    Definition

                                                                                                                                                    Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                                    Shortidentifies the meaning of the extension
                                                                                                                                                    Comments

                                                                                                                                                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                                                                                                    Control1..1
                                                                                                                                                    Typeuri
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                    Summaryfalse
                                                                                                                                                    Fixed Valuehttp://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
                                                                                                                                                    475. Practitioner.address:Strassenanschrift.line.extension:Strasse.value[x]
                                                                                                                                                    Definition

                                                                                                                                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                                                    ShortValue of extension
                                                                                                                                                    Control1..1
                                                                                                                                                    Typestring
                                                                                                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                    Must Supporttrue
                                                                                                                                                    Summaryfalse
                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    477. Practitioner.address:Strassenanschrift.line.extension:Hausnummer
                                                                                                                                                    Slice NameHausnummer
                                                                                                                                                    Definition

                                                                                                                                                    The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building.

                                                                                                                                                    ShorthouseNumber
                                                                                                                                                    Control0..1
                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                    TypeExtension(ADXP House Number) (Extension Type: string)
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Must Supporttrue
                                                                                                                                                    Summaryfalse
                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                    479. Practitioner.address:Strassenanschrift.line.extension:Hausnummer.id
                                                                                                                                                    Definition

                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                    Control0..1
                                                                                                                                                    Typestring
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                    Summaryfalse
                                                                                                                                                    481. Practitioner.address:Strassenanschrift.line.extension:Hausnummer.extension
                                                                                                                                                    Definition

                                                                                                                                                    An Extension

                                                                                                                                                    ShortExtension
                                                                                                                                                    Control0..0
                                                                                                                                                    TypeExtension
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Summaryfalse
                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                    SlicingThis element introduces a set of slices on Practitioner.address.line.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                    • value @ url
                                                                                                                                                    • 483. Practitioner.address:Strassenanschrift.line.extension:Hausnummer.url
                                                                                                                                                      Definition

                                                                                                                                                      Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                                      Shortidentifies the meaning of the extension
                                                                                                                                                      Comments

                                                                                                                                                      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                                                                                                      Control1..1
                                                                                                                                                      Typeuri
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Fixed Valuehttp://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
                                                                                                                                                      485. Practitioner.address:Strassenanschrift.line.extension:Hausnummer.value[x]
                                                                                                                                                      Definition

                                                                                                                                                      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                                                      ShortValue of extension
                                                                                                                                                      Control1..1
                                                                                                                                                      Typestring
                                                                                                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                      Must Supporttrue
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      487. Practitioner.address:Strassenanschrift.line.extension:Adresszusatz
                                                                                                                                                      Slice NameAdresszusatz
                                                                                                                                                      Definition

                                                                                                                                                      This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342"). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch "t.o." means "opposite to" for house boats located across the street facing houses).

                                                                                                                                                      ShortadditionalLocator
                                                                                                                                                      Control0..1
                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                      TypeExtension(ADXP Additional Locator) (Extension Type: string)
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Must Supporttrue
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                      489. Practitioner.address:Strassenanschrift.line.extension:Adresszusatz.id
                                                                                                                                                      Definition

                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                      Control0..1
                                                                                                                                                      Typestring
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                      Summaryfalse
                                                                                                                                                      491. Practitioner.address:Strassenanschrift.line.extension:Adresszusatz.extension
                                                                                                                                                      Definition

                                                                                                                                                      An Extension

                                                                                                                                                      ShortExtension
                                                                                                                                                      Control0..0
                                                                                                                                                      TypeExtension
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                      SlicingThis element introduces a set of slices on Practitioner.address.line.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                      • value @ url
                                                                                                                                                      • 493. Practitioner.address:Strassenanschrift.line.extension:Adresszusatz.url
                                                                                                                                                        Definition

                                                                                                                                                        Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                                        Shortidentifies the meaning of the extension
                                                                                                                                                        Comments

                                                                                                                                                        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                                                                                                        Control1..1
                                                                                                                                                        Typeuri
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                        Summaryfalse
                                                                                                                                                        Fixed Valuehttp://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator
                                                                                                                                                        495. Practitioner.address:Strassenanschrift.line.extension:Adresszusatz.value[x]
                                                                                                                                                        Definition

                                                                                                                                                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                                                        ShortValue of extension
                                                                                                                                                        Control1..1
                                                                                                                                                        Typestring
                                                                                                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                        Must Supporttrue
                                                                                                                                                        Summaryfalse
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        497. Practitioner.address:Strassenanschrift.line.extension:Postfach
                                                                                                                                                        Slice NamePostfach
                                                                                                                                                        Definition

                                                                                                                                                        Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type "physical" oder "both" verwendet werden.

                                                                                                                                                        ShortPostfach
                                                                                                                                                        Comments

                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                        Control0..0
                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                        TypeExtension(ADXP Post Box) (Extension Type: string)
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Summaryfalse
                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                        499. Practitioner.address:Strassenanschrift.line.value
                                                                                                                                                        Definition

                                                                                                                                                        The actual value

                                                                                                                                                        ShortPrimitive value for string
                                                                                                                                                        Control0..1
                                                                                                                                                        Typestring
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                        Summaryfalse
                                                                                                                                                        Max Length:1048576
                                                                                                                                                        501. Practitioner.address:Strassenanschrift.city
                                                                                                                                                        Definition

                                                                                                                                                        In dieses Feld kann der Ort eingetragen werden.

                                                                                                                                                        ShortName of city, town etc.
                                                                                                                                                        Control0..1
                                                                                                                                                        Typestring
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                        Must Supporttrue
                                                                                                                                                        Summarytrue
                                                                                                                                                        Alternate NamesMunicpality
                                                                                                                                                        ExampleGeneral: Erewhon
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        503. Practitioner.address:Strassenanschrift.district
                                                                                                                                                        Definition

                                                                                                                                                        The name of the administrative area (county).

                                                                                                                                                        ShortDistrict name (aka county)
                                                                                                                                                        Comments

                                                                                                                                                        District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

                                                                                                                                                        Control0..0
                                                                                                                                                        Typestring
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                        Summarytrue
                                                                                                                                                        Alternate NamesCounty
                                                                                                                                                        ExampleGeneral: Madison
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        505. Practitioner.address:Strassenanschrift.state
                                                                                                                                                        Definition

                                                                                                                                                        Name (oder Kürzel) des Bundeslandes.

                                                                                                                                                        ShortBundesland
                                                                                                                                                        Control0..0
                                                                                                                                                        BindingThe codes SHOULD be taken from ISO-3166-2:de-Laendercodes
                                                                                                                                                        (preferred to http://fhir.de/ValueSet/iso/bundeslaender)
                                                                                                                                                        Typestring
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                        Summarytrue
                                                                                                                                                        Alternate NamesProvince, Territory
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        507. Practitioner.address:Strassenanschrift.postalCode
                                                                                                                                                        Definition

                                                                                                                                                        Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen

                                                                                                                                                        ShortPostleitzahl
                                                                                                                                                        Control0..1
                                                                                                                                                        Typestring
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                        Must Supporttrue
                                                                                                                                                        Summarytrue
                                                                                                                                                        Alternate NamesZip
                                                                                                                                                        ExampleGeneral: 9132
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        509. Practitioner.address:Strassenanschrift.country
                                                                                                                                                        Definition

                                                                                                                                                        Angabe des Staates als Länderkennzeichen nach DEUEV Anlage 8.

                                                                                                                                                        ShortStaat
                                                                                                                                                        Comments

                                                                                                                                                        ISO 3166 3 letter codes can be used in place of a human readable country name.

                                                                                                                                                        Control0..1
                                                                                                                                                        BindingUnless not suitable, these codes SHALL be taken from Land/Wohnsitzländercode
                                                                                                                                                        (extensible to https://fhir.kbv.de/ValueSet/KBV_VS_Base_Deuev_Anlage_8)
                                                                                                                                                        Typestring
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                        Must Supporttrue
                                                                                                                                                        Summarytrue
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        511. Practitioner.address:Strassenanschrift.period
                                                                                                                                                        Definition

                                                                                                                                                        Time period when address was/is in use.

                                                                                                                                                        ShortTime period when address was/is in use
                                                                                                                                                        Control0..0
                                                                                                                                                        TypePeriod
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Summarytrue
                                                                                                                                                        Requirements

                                                                                                                                                        Allows addresses to be placed in historical context.

                                                                                                                                                        ExampleGeneral: { "start" : "2010-03-23", "end" : "2010-07-01" }
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        513. Practitioner.address:Postfach
                                                                                                                                                        Slice NamePostfach
                                                                                                                                                        Definition

                                                                                                                                                        Hier werden Angaben zu einem Postfach gemacht.

                                                                                                                                                        ShortAddress(es) of the practitioner that are not role specific (typically home address)
                                                                                                                                                        Comments

                                                                                                                                                        The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).

                                                                                                                                                        Control0..*
                                                                                                                                                        TypeAddress(KBV_PR_Base_Datatype_Post_Office_Box)
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Must Supporttrue
                                                                                                                                                        Summarytrue
                                                                                                                                                        Requirements

                                                                                                                                                        The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        515. Practitioner.address:Postfach.id
                                                                                                                                                        Definition

                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                        Control0..1
                                                                                                                                                        Typestring
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                        Summaryfalse
                                                                                                                                                        517. Practitioner.address:Postfach.extension
                                                                                                                                                        Definition

                                                                                                                                                        An Extension

                                                                                                                                                        ShortExtension
                                                                                                                                                        Control0..1
                                                                                                                                                        TypeExtension
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Must Supporttrue
                                                                                                                                                        Summaryfalse
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                        SlicingThis element introduces a set of slices on Practitioner.address.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                        • value @ url
                                                                                                                                                        • 519. Practitioner.address:Postfach.extension:Stadtteil
                                                                                                                                                          Slice NameStadtteil
                                                                                                                                                          Definition

                                                                                                                                                          A subsection of a municipality.

                                                                                                                                                          Shortprecinct
                                                                                                                                                          Control0..1
                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                          TypeExtension(ADXP Precinct) (Extension Type: string)
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Must Supporttrue
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                          521. Practitioner.address:Postfach.extension:Stadtteil.id
                                                                                                                                                          Definition

                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                          Control0..1
                                                                                                                                                          Typestring
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                          Summaryfalse
                                                                                                                                                          523. Practitioner.address:Postfach.extension:Stadtteil.extension
                                                                                                                                                          Definition

                                                                                                                                                          An Extension

                                                                                                                                                          ShortExtension
                                                                                                                                                          Control0..0
                                                                                                                                                          TypeExtension
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                          SlicingThis element introduces a set of slices on Practitioner.address.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                          • value @ url
                                                                                                                                                          • 525. Practitioner.address:Postfach.extension:Stadtteil.url
                                                                                                                                                            Definition

                                                                                                                                                            Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                                            Shortidentifies the meaning of the extension
                                                                                                                                                            Comments

                                                                                                                                                            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                                                                                                            Control1..1
                                                                                                                                                            Typeuri
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                            Summaryfalse
                                                                                                                                                            Fixed Valuehttp://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct
                                                                                                                                                            527. Practitioner.address:Postfach.extension:Stadtteil.value[x]
                                                                                                                                                            Definition

                                                                                                                                                            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                                                            ShortValue of extension
                                                                                                                                                            Control1..1
                                                                                                                                                            Typestring
                                                                                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                            Must Supporttrue
                                                                                                                                                            Summaryfalse
                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            529. Practitioner.address:Postfach.use
                                                                                                                                                            Definition

                                                                                                                                                            The purpose of this address.

                                                                                                                                                            Shorthome | work | temp | old | billing - purpose of this address
                                                                                                                                                            Comments

                                                                                                                                                            Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                                                                                                                                                            Control0..0
                                                                                                                                                            BindingThe codes SHALL be taken from AddressUse
                                                                                                                                                            (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                                                                                                                                                            The use of an address.

                                                                                                                                                            Typecode
                                                                                                                                                            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                            Summarytrue
                                                                                                                                                            Requirements

                                                                                                                                                            Allows an appropriate address to be chosen from a list of many.

                                                                                                                                                            ExampleGeneral: home
                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            531. Practitioner.address:Postfach.type
                                                                                                                                                            Definition

                                                                                                                                                            Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

                                                                                                                                                            Shortpostal | physical | both
                                                                                                                                                            Comments

                                                                                                                                                            The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                                                                                                                                            Control1..1
                                                                                                                                                            BindingThe codes SHALL be taken from AddressType
                                                                                                                                                            (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

                                                                                                                                                            The type of an address (physical / postal).

                                                                                                                                                            Typecode
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                            Must Supporttrue
                                                                                                                                                            Summarytrue
                                                                                                                                                            Pattern Valuepostal
                                                                                                                                                            ExampleGeneral: both
                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            533. Practitioner.address:Postfach.text
                                                                                                                                                            Definition

                                                                                                                                                            Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

                                                                                                                                                            ShortText representation of the address
                                                                                                                                                            Comments

                                                                                                                                                            Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                                                                                                                                            Control0..0
                                                                                                                                                            Typestring
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                            Summarytrue
                                                                                                                                                            Requirements

                                                                                                                                                            A renderable, unencoded form.

                                                                                                                                                            ExampleGeneral: 137 Nowhere Street, Erewhon 9132
                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            535. Practitioner.address:Postfach.line
                                                                                                                                                            Definition

                                                                                                                                                            Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können.

                                                                                                                                                            ShortStraßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung
                                                                                                                                                            Control0..1
                                                                                                                                                            Typestring
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                            Must Supporttrue
                                                                                                                                                            Summarytrue
                                                                                                                                                            ExampleGeneral: 137 Nowhere Street
                                                                                                                                                            Beipiel für Adresszeile mit Extensions für Straße und Hausnummer: Musterweg 42
                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            537. Practitioner.address:Postfach.line.id
                                                                                                                                                            Definition

                                                                                                                                                            unique id for the element within a resource (for internal references)

                                                                                                                                                            Shortxml:id (or equivalent in JSON)
                                                                                                                                                            Control0..1
                                                                                                                                                            Typestring
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                            Summaryfalse
                                                                                                                                                            539. Practitioner.address:Postfach.line.extension
                                                                                                                                                            Definition

                                                                                                                                                            An Extension

                                                                                                                                                            ShortExtension
                                                                                                                                                            Control0..1
                                                                                                                                                            TypeExtension
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            Must Supporttrue
                                                                                                                                                            Summaryfalse
                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                            SlicingThis element introduces a set of slices on Practitioner.address.line.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                            • value @ url
                                                                                                                                                            • 541. Practitioner.address:Postfach.line.extension:Strasse
                                                                                                                                                              Slice NameStrasse
                                                                                                                                                              Definition

                                                                                                                                                              Strassenname (ohne Hausnummer) Bei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.

                                                                                                                                                              ShortStrassenname (ohne Hausnummer)
                                                                                                                                                              Comments

                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                              Control0..0
                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                              TypeExtension(ADXP Street Name) (Extension Type: string)
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                              543. Practitioner.address:Postfach.line.extension:Hausnummer
                                                                                                                                                              Slice NameHausnummer
                                                                                                                                                              Definition

                                                                                                                                                              Hausnummer, sowie Zusätze (Appartmentnummer, Etage...) Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.

                                                                                                                                                              ShortHausnummer
                                                                                                                                                              Comments

                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                              Control0..0
                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                              TypeExtension(ADXP House Number) (Extension Type: string)
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                              545. Practitioner.address:Postfach.line.extension:Adresszusatz
                                                                                                                                                              Slice NameAdresszusatz
                                                                                                                                                              Definition

                                                                                                                                                              Zusätzliche Informationen, wie z.B. "3. Etage", "Appartment C" Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.

                                                                                                                                                              ShortAdresszusatz
                                                                                                                                                              Comments

                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                              Control0..0
                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                              TypeExtension(ADXP Additional Locator) (Extension Type: string)
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                              547. Practitioner.address:Postfach.line.extension:Postfach
                                                                                                                                                              Slice NamePostfach
                                                                                                                                                              Definition

                                                                                                                                                              A numbered box located in a post station.

                                                                                                                                                              ShortpostBox
                                                                                                                                                              Control0..1
                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                              TypeExtension(ADXP Post Box) (Extension Type: string)
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Must Supporttrue
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                              549. Practitioner.address:Postfach.line.extension:Postfach.id
                                                                                                                                                              Definition

                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                              Control0..1
                                                                                                                                                              Typestring
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                              Summaryfalse
                                                                                                                                                              551. Practitioner.address:Postfach.line.extension:Postfach.extension
                                                                                                                                                              Definition

                                                                                                                                                              An Extension

                                                                                                                                                              ShortExtension
                                                                                                                                                              Control0..0
                                                                                                                                                              TypeExtension
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                              SlicingThis element introduces a set of slices on Practitioner.address.line.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                              • value @ url
                                                                                                                                                              • 553. Practitioner.address:Postfach.line.extension:Postfach.url
                                                                                                                                                                Definition

                                                                                                                                                                Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                                                Shortidentifies the meaning of the extension
                                                                                                                                                                Comments

                                                                                                                                                                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                                                                                                                Control1..1
                                                                                                                                                                Typeuri
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Fixed Valuehttp://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox
                                                                                                                                                                555. Practitioner.address:Postfach.line.extension:Postfach.value[x]
                                                                                                                                                                Definition

                                                                                                                                                                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                                                                ShortValue of extension
                                                                                                                                                                Control1..1
                                                                                                                                                                Typestring
                                                                                                                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                Must Supporttrue
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                557. Practitioner.address:Postfach.line.value
                                                                                                                                                                Definition

                                                                                                                                                                The actual value

                                                                                                                                                                ShortPrimitive value for string
                                                                                                                                                                Control0..1
                                                                                                                                                                Typestring
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Max Length:1048576
                                                                                                                                                                559. Practitioner.address:Postfach.city
                                                                                                                                                                Definition

                                                                                                                                                                In dieses Feld kann der Ort eingetragen werden.

                                                                                                                                                                ShortName of city, town etc.
                                                                                                                                                                Control0..1
                                                                                                                                                                Typestring
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                Must Supporttrue
                                                                                                                                                                Summarytrue
                                                                                                                                                                Alternate NamesMunicpality
                                                                                                                                                                ExampleGeneral: Erewhon
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                561. Practitioner.address:Postfach.district
                                                                                                                                                                Definition

                                                                                                                                                                The name of the administrative area (county).

                                                                                                                                                                ShortDistrict name (aka county)
                                                                                                                                                                Comments

                                                                                                                                                                District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

                                                                                                                                                                Control0..0
                                                                                                                                                                Typestring
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                Summarytrue
                                                                                                                                                                Alternate NamesCounty
                                                                                                                                                                ExampleGeneral: Madison
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                563. Practitioner.address:Postfach.state
                                                                                                                                                                Definition

                                                                                                                                                                Name (oder Kürzel) des Bundeslandes.

                                                                                                                                                                ShortBundesland
                                                                                                                                                                Control0..0
                                                                                                                                                                BindingThe codes SHOULD be taken from ISO-3166-2:de-Laendercodes
                                                                                                                                                                (preferred to http://fhir.de/ValueSet/iso/bundeslaender)
                                                                                                                                                                Typestring
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                Summarytrue
                                                                                                                                                                Alternate NamesProvince, Territory
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                565. Practitioner.address:Postfach.postalCode
                                                                                                                                                                Definition

                                                                                                                                                                Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen

                                                                                                                                                                ShortPostleitzahl
                                                                                                                                                                Control0..1
                                                                                                                                                                Typestring
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                Must Supporttrue
                                                                                                                                                                Summarytrue
                                                                                                                                                                Alternate NamesZip
                                                                                                                                                                ExampleGeneral: 9132
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                567. Practitioner.address:Postfach.country
                                                                                                                                                                Definition

                                                                                                                                                                Angabe des Staates als Länderkennzeichen nach DEUEV Anlage 8.

                                                                                                                                                                ShortStaat
                                                                                                                                                                Comments

                                                                                                                                                                ISO 3166 3 letter codes can be used in place of a human readable country name.

                                                                                                                                                                Control0..1
                                                                                                                                                                BindingUnless not suitable, these codes SHALL be taken from Land/Wohnsitzländercode
                                                                                                                                                                (extensible to https://fhir.kbv.de/ValueSet/KBV_VS_Base_Deuev_Anlage_8)
                                                                                                                                                                Typestring
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                Must Supporttrue
                                                                                                                                                                Summarytrue
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                569. Practitioner.address:Postfach.period
                                                                                                                                                                Definition

                                                                                                                                                                Time period when address was/is in use.

                                                                                                                                                                ShortTime period when address was/is in use
                                                                                                                                                                Control0..0
                                                                                                                                                                TypePeriod
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Summarytrue
                                                                                                                                                                Requirements

                                                                                                                                                                Allows addresses to be placed in historical context.

                                                                                                                                                                ExampleGeneral: { "start" : "2010-03-23", "end" : "2010-07-01" }
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                571. Practitioner.gender
                                                                                                                                                                Definition

                                                                                                                                                                Hier wird die Geschlechtsdefinition der behandelnden Person angegeben

                                                                                                                                                                Shortmale | female | other | unknown
                                                                                                                                                                Control0..1
                                                                                                                                                                BindingThe codes SHALL be taken from AdministrativeGender
                                                                                                                                                                (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

                                                                                                                                                                The gender of a person used for administrative purposes.

                                                                                                                                                                Typecode
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                Must Supporttrue
                                                                                                                                                                Summarytrue
                                                                                                                                                                Requirements

                                                                                                                                                                Needed to address the person correctly.

                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                573. Practitioner.gender.id
                                                                                                                                                                Definition

                                                                                                                                                                unique id for the element within a resource (for internal references)

                                                                                                                                                                Shortxml:id (or equivalent in JSON)
                                                                                                                                                                Control0..1
                                                                                                                                                                Typestring
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                Summaryfalse
                                                                                                                                                                575. Practitioner.gender.extension
                                                                                                                                                                Definition

                                                                                                                                                                An Extension

                                                                                                                                                                ShortExtension
                                                                                                                                                                Control0..*
                                                                                                                                                                TypeExtension
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Must Supporttrue
                                                                                                                                                                Summaryfalse
                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                SlicingThis element introduces a set of slices on Practitioner.gender.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                • value @ url
                                                                                                                                                                • 577. Practitioner.gender.extension:other-amtlich
                                                                                                                                                                  Slice Nameother-amtlich
                                                                                                                                                                  Definition

                                                                                                                                                                  Optional Extension Element - found in all resources.

                                                                                                                                                                  ShortOptional Extensions Element
                                                                                                                                                                  Control0..1
                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                  TypeExtension(Differenzierung des administrativen Geschlechts 'other') (Extension Type: Coding)
                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                  Must Supporttrue
                                                                                                                                                                  Summaryfalse
                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                  579. Practitioner.gender.extension:other-amtlich.id
                                                                                                                                                                  Definition

                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                  Control0..1
                                                                                                                                                                  Typestring
                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                  Summaryfalse
                                                                                                                                                                  581. Practitioner.gender.extension:other-amtlich.extension
                                                                                                                                                                  Definition

                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                  Comments

                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                  Control0..0
                                                                                                                                                                  TypeExtension
                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                  Summaryfalse
                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                  SlicingThis element introduces a set of slices on Practitioner.gender.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                  • value @ url
                                                                                                                                                                  • 583. Practitioner.gender.extension:other-amtlich.url
                                                                                                                                                                    Definition

                                                                                                                                                                    Source of the definition for the extension code - a logical name or a URL.

                                                                                                                                                                    Shortidentifies the meaning of the extension
                                                                                                                                                                    Comments

                                                                                                                                                                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                                                                                                                    Control1..1
                                                                                                                                                                    Typeuri
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Fixed Valuehttp://fhir.de/StructureDefinition/gender-amtlich-de
                                                                                                                                                                    585. Practitioner.gender.extension:other-amtlich.value[x]
                                                                                                                                                                    Definition

                                                                                                                                                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                                                                                    ShortValue of extension
                                                                                                                                                                    Control1..1
                                                                                                                                                                    BindingThe codes SHALL be taken from GenderOtherDE ValueSet
                                                                                                                                                                    (required to http://fhir.de/ValueSet/gender-other-de)
                                                                                                                                                                    TypeCoding
                                                                                                                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supporttrue
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    gender-amtlich-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist (%resource.where(gender='other').exists())
                                                                                                                                                                    587. Practitioner.gender.extension:other-amtlich.value[x].id
                                                                                                                                                                    Definition

                                                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                                                    Control0..1
                                                                                                                                                                    Typestring
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    589. Practitioner.gender.extension:other-amtlich.value[x].extension
                                                                                                                                                                    Definition

                                                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                                                    Comments

                                                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                    Control0..*
                                                                                                                                                                    TypeExtension
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Summaryfalse
                                                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                    SlicingThis element introduces a set of slices on Practitioner.gender.extension.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                    • value @ url
                                                                                                                                                                    • 591. Practitioner.gender.extension:other-amtlich.value[x].system
                                                                                                                                                                      Definition

                                                                                                                                                                      The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                      ShortIdentity of the terminology system
                                                                                                                                                                      Comments

                                                                                                                                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                      Control1..1
                                                                                                                                                                      Typeuri
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                      Must Supporttrue
                                                                                                                                                                      Summarytrue
                                                                                                                                                                      Requirements

                                                                                                                                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      593. Practitioner.gender.extension:other-amtlich.value[x].version
                                                                                                                                                                      Definition

                                                                                                                                                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                      ShortVersion of the system - if relevant
                                                                                                                                                                      Comments

                                                                                                                                                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                      Control0..1
                                                                                                                                                                      Typestring
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                      Must Supporttrue
                                                                                                                                                                      Summarytrue
                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      595. Practitioner.gender.extension:other-amtlich.value[x].code
                                                                                                                                                                      Definition

                                                                                                                                                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                      ShortSymbol in syntax defined by the system
                                                                                                                                                                      Control1..1
                                                                                                                                                                      Typecode
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                      Must Supporttrue
                                                                                                                                                                      Summarytrue
                                                                                                                                                                      Requirements

                                                                                                                                                                      Need to refer to a particular code in the system.

                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      597. Practitioner.gender.extension:other-amtlich.value[x].display
                                                                                                                                                                      Definition

                                                                                                                                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                      ShortRepresentation defined by the system
                                                                                                                                                                      Control1..1
                                                                                                                                                                      Typestring
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                      Must Supporttrue
                                                                                                                                                                      Summarytrue
                                                                                                                                                                      Requirements

                                                                                                                                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      599. Practitioner.gender.extension:other-amtlich.value[x].userSelected
                                                                                                                                                                      Definition

                                                                                                                                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                      ShortIf this coding was chosen directly by the user
                                                                                                                                                                      Comments

                                                                                                                                                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                      Control0..0
                                                                                                                                                                      Typeboolean
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                      Summarytrue
                                                                                                                                                                      Requirements

                                                                                                                                                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      601. Practitioner.gender.value
                                                                                                                                                                      Definition

                                                                                                                                                                      Primitive value for code

                                                                                                                                                                      ShortPrimitive value for code
                                                                                                                                                                      Control0..1
                                                                                                                                                                      Typestring
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      603. Practitioner.birthDate
                                                                                                                                                                      Definition

                                                                                                                                                                      The date of birth for the practitioner.

                                                                                                                                                                      ShortThe date on which the practitioner was born
                                                                                                                                                                      Control0..0
                                                                                                                                                                      Typedate
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                      Summarytrue
                                                                                                                                                                      Requirements

                                                                                                                                                                      Needed for identification.

                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      605. Practitioner.photo
                                                                                                                                                                      Definition

                                                                                                                                                                      Image of the person.

                                                                                                                                                                      ShortImage of the person
                                                                                                                                                                      Control0..0
                                                                                                                                                                      TypeAttachment
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      Requirements

                                                                                                                                                                      Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.

                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      607. Practitioner.qualification
                                                                                                                                                                      Definition

                                                                                                                                                                      Das Element beschreibt die Qualifikation der Person (z. B. Hebamme).

                                                                                                                                                                      ShortCertification, licenses, or training pertaining to the provision of care
                                                                                                                                                                      Control0..*
                                                                                                                                                                      TypeBackboneElement
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Must Supporttrue
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      609. Practitioner.qualification.id
                                                                                                                                                                      Definition

                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                      Control0..1
                                                                                                                                                                      Typestring
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      611. Practitioner.qualification.extension
                                                                                                                                                                      Definition

                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                      Comments

                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                      Control0..*
                                                                                                                                                                      TypeExtension
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                      613. Practitioner.qualification.modifierExtension
                                                                                                                                                                      Definition

                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                      Comments

                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                      Control0..*
                                                                                                                                                                      TypeExtension
                                                                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                                      Summarytrue
                                                                                                                                                                      Requirements

                                                                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                      615. Practitioner.qualification.identifier
                                                                                                                                                                      Definition

                                                                                                                                                                      An identifier that applies to this person's qualification in this role.

                                                                                                                                                                      ShortAn identifier for this qualification for the practitioner
                                                                                                                                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                                                                                      Control0..0
                                                                                                                                                                      TypeIdentifier
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      Requirements

                                                                                                                                                                      Often, specific identities are assigned for the qualification.

                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      617. Practitioner.qualification.code
                                                                                                                                                                      Definition

                                                                                                                                                                      Coded representation of the qualification.

                                                                                                                                                                      ShortCoded representation of the qualification
                                                                                                                                                                      Control1..1
                                                                                                                                                                      BindingThe codes SHOULD be taken from Practitioner Speciality
                                                                                                                                                                      (preferred to https://fhir.kbv.de/ValueSet/KBV_VS_Base_Practitioner_Speciality)
                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Must Supporttrue
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      619. Practitioner.qualification.code.id
                                                                                                                                                                      Definition

                                                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                                                      Control0..1
                                                                                                                                                                      Typestring
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      621. Practitioner.qualification.code.extension
                                                                                                                                                                      Definition

                                                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                                                      Comments

                                                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                      Control0..*
                                                                                                                                                                      TypeExtension
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Summaryfalse
                                                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                      SlicingThis element introduces a set of slices on Practitioner.qualification.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                      • value @ url
                                                                                                                                                                      • 623. Practitioner.qualification.code.coding
                                                                                                                                                                        Definition

                                                                                                                                                                        A reference to a code defined by a terminology system.

                                                                                                                                                                        ShortCode defined by a terminology system
                                                                                                                                                                        Comments

                                                                                                                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                        Control0..*
                                                                                                                                                                        TypeCoding
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Must Supporttrue
                                                                                                                                                                        Summarytrue
                                                                                                                                                                        Requirements

                                                                                                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        625. Practitioner.qualification.code.coding.id
                                                                                                                                                                        Definition

                                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                                        Control0..1
                                                                                                                                                                        Typestring
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        627. Practitioner.qualification.code.coding.extension
                                                                                                                                                                        Definition

                                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                                        Comments

                                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                        Control0..*
                                                                                                                                                                        TypeExtension
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                        SlicingThis element introduces a set of slices on Practitioner.qualification.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                        • value @ url
                                                                                                                                                                        • 629. Practitioner.qualification.code.coding.system
                                                                                                                                                                          Definition

                                                                                                                                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                                          ShortIdentity of the terminology system
                                                                                                                                                                          Comments

                                                                                                                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                                          Control1..1
                                                                                                                                                                          Typeuri
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                          Must Supporttrue
                                                                                                                                                                          Summarytrue
                                                                                                                                                                          Requirements

                                                                                                                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          631. Practitioner.qualification.code.coding.version
                                                                                                                                                                          Definition

                                                                                                                                                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                                          ShortVersion of the system - if relevant
                                                                                                                                                                          Comments

                                                                                                                                                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                          Control0..1
                                                                                                                                                                          Typestring
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                          Must Supporttrue
                                                                                                                                                                          Summarytrue
                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          633. Practitioner.qualification.code.coding.code
                                                                                                                                                                          Definition

                                                                                                                                                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                                                                          ShortSymbol in syntax defined by the system
                                                                                                                                                                          Control1..1
                                                                                                                                                                          Typecode
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                          Must Supporttrue
                                                                                                                                                                          Summarytrue
                                                                                                                                                                          Requirements

                                                                                                                                                                          Need to refer to a particular code in the system.

                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          635. Practitioner.qualification.code.coding.display
                                                                                                                                                                          Definition

                                                                                                                                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                                                                          ShortRepresentation defined by the system
                                                                                                                                                                          Control1..1
                                                                                                                                                                          Typestring
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                          Must Supporttrue
                                                                                                                                                                          Summarytrue
                                                                                                                                                                          Requirements

                                                                                                                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          637. Practitioner.qualification.code.coding.userSelected
                                                                                                                                                                          Definition

                                                                                                                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                                          ShortIf this coding was chosen directly by the user
                                                                                                                                                                          Comments

                                                                                                                                                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                                          Control0..0
                                                                                                                                                                          Typeboolean
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                          Summarytrue
                                                                                                                                                                          Requirements

                                                                                                                                                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          639. Practitioner.qualification.code.text
                                                                                                                                                                          Definition

                                                                                                                                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                          ShortPlain text representation of the concept
                                                                                                                                                                          Comments

                                                                                                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                          Control0..0
                                                                                                                                                                          Typestring
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                          Summarytrue
                                                                                                                                                                          Requirements

                                                                                                                                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          641. Practitioner.qualification.period
                                                                                                                                                                          Definition

                                                                                                                                                                          Period during which the qualification is valid.

                                                                                                                                                                          ShortPeriod during which the qualification is valid
                                                                                                                                                                          Control0..0
                                                                                                                                                                          TypePeriod
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Summaryfalse
                                                                                                                                                                          Requirements

                                                                                                                                                                          Qualifications are often for a limited period of time, and can be revoked.

                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          643. Practitioner.qualification.issuer
                                                                                                                                                                          Definition

                                                                                                                                                                          Organization that regulates and issues the qualification.

                                                                                                                                                                          ShortOrganization that regulates and issues the qualification
                                                                                                                                                                          Control0..0
                                                                                                                                                                          TypeReference(Organization)
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Summaryfalse
                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          645. Practitioner.communication
                                                                                                                                                                          Definition

                                                                                                                                                                          A language the practitioner can use in patient communication.

                                                                                                                                                                          ShortA language the practitioner can use in patient communication
                                                                                                                                                                          Comments

                                                                                                                                                                          The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

                                                                                                                                                                          Control0..0
                                                                                                                                                                          BindingThe codes SHOULD be taken from CommonLanguages
                                                                                                                                                                          (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

                                                                                                                                                                          A human language.

                                                                                                                                                                          Additional BindingsPurpose
                                                                                                                                                                          AllLanguagesMax Binding
                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                          Summaryfalse
                                                                                                                                                                          Requirements

                                                                                                                                                                          Knowing which language a practitioner speaks can help in facilitating communication with patients.

                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))