Arbeitsgruppe WeST
Version 1.0.0-kommentierung - ci-build

Resource Profile: KBV_PR_WEST_Betriebsstaette - Detailed Descriptions

Draft as of 2026-06-01

Definitions for the KBV-PR-WEST-Betriebsstaette resource profile.

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

0. Organization
Definition

In dieser Ressource werden Informationen zu einer Betriebsstätte transportiert


A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.

ShortBetriebsstätteA grouping of people or organizations with a common purpose
Control0..*
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.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-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-6: A resource should have narrative for robust management (text.`div`.exists())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
org-1: The organization SHALL at least have a name or an identifier, and possibly more than one ((identifier.count() + name.count()) > 0)
2. Organization.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.

Control10..1
Typeidstring
Summarytrue
4. Organization.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
Control10..1
This element is affected by the following invariants: ele-1
TypeMeta
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Organization.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.

Control10..1
This element is affected by the following invariants: ele-1
Typeid
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. Organization.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.

Control10..1
This element is affected by the following invariants: ele-1
Typeinstant
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. Organization.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.


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.

Control10..1*
This element is affected by the following invariants: ele-1
Typecanonical(StructureDefinition)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Fixed Valuehttps://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Betriebsstaette|1.0.0-kommentierung
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Organization.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..1
This element is affected by the following invariants: ele-1
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. Organization.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..01
This element is affected by the following invariants: ele-1
TypeNarrative
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Organization.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.

Control10..*
This element is affected by the following invariants: ele-1
TypeExtension
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 Organization.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
  • value @ url
  • 18. Organization.extension:ergaenzende_Angaben
    Slice Nameergaenzende_Angaben
    Definition

    Diese Extension ermöglicht die Angabe zusätzlicher Kommentare/Informationen. Der Informationsgehalt der beinhaltenden Ressource darf nicht grundlegend verändert oder negiert werden.

    ShortErgänzende Angaben
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(KBV_EX_Base_Additional_Comment) (Extension Type: string)
    Must Supporttrue
    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())
    20. Organization.extension:betriebsstaetten-hierarchie
    Slice Namebetriebsstaetten-hierarchie
    Definition

    Für Betriebsstätten gemäß KBV ist die Angabe erforderlich, ob es sich um eine Haupt- oder Nebenbetriebsstätte handelt. Bei der Modellierung von Betriebsstätten als Organization-Resource ist daher eine Extension erforderlich um diese Eigenschaft abzubilden.

    ShortBetriebsstätten-Hierarchie (Haupt/Nebenbetriebsstätte)
    Control1..1
    This element is affected by the following invariants: ele-1
    TypeExtension(KBV_EX_WEST_Betriebsstaette_Hierarchie) (Extension Type: code)
    Must Supporttrue
    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())
    22. Organization.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..*
    This element is affected by the following invariants: ele-1
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Standard StatusNormative (from Trial Use)
    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())
    SlicingThis element introduces a set of slices on Organization.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 24. Organization.identifier
      Definition

      Hier wird der Identifikator für die Einrichtung angegeben.


      Identifier for the organization that is used to identify the organization across multiple disparate systems.

      ShortIdentifies this organization across multiple systems
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control10..*
      This element is affected by the following invariants: ele-1, org-1
      TypeIdentifier
      Must Supporttrue
      Summarytrue
      Requirements

      Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

      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 Organization.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ type
      • 26. Organization.identifier:Institutionskennzeichen
        Slice NameInstitutionskennzeichen
        Definition

        Die ARGE·IK vergibt und pflegt so genannte Institutionskennzeichen (IK). Das sind neunstellige Ziffernfolgen, hinter denen sich ein Datensatz verbirgt, auf dessen Grundlage der Zahlungsverkehr mit den leistungserbringenden Personen abgewickelt wird. Das Institutionskennzeichen (IK) ist ein eindeutiges Merkmal zur Abrechnung mit den Trägern der Sozialversicherung.


        Identifier for the organization that is used to identify the organization across multiple disparate systems.

        ShortAn identifier intended for computationIdentifies this organization across multiple systems
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..*
        This element is affected by the following invariants: ele-1, org-1
        TypeIdentifier(Identifier-Profil für die Abbildung eines Institutionskennzeichens (IKNR))
        Must Supporttrue
        Summarytrue
        Requirements

        Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        28. Organization.identifier:Institutionskennzeichen.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..1
        This element is affected by the following invariants: ele-1
        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()))
        30. Organization.identifier:Institutionskennzeichen.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
        This element is affected by the following invariants: ele-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
        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" : "XX"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        32. Organization.identifier:Institutionskennzeichen.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..*
        This element is affected by the following invariants: ele-1
        TypeCoding
        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()))
        34. Organization.identifier:Institutionskennzeichen.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
        This element is affected by the following invariants: ele-1
        Typeuri
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        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()))
        36. Organization.identifier:Institutionskennzeichen.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..01
        This element is affected by the following invariants: ele-1
        Typestring
        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()))
        38. Organization.identifier:Institutionskennzeichen.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
        Comments

        Note that FHIR strings SHALL NOT exceed 1MB in size

        Control10..1
        This element is affected by the following invariants: ele-1
        Typecode
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        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()))
        40. Organization.identifier:Institutionskennzeichen.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
        Comments

        Note that FHIR strings SHALL NOT exceed 1MB in size

        Control0..01
        This element is affected by the following invariants: ele-1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        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()))
        42. Organization.identifier:Institutionskennzeichen.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
        This element is affected by the following invariants: ele-1
        Typeboolean
        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()))
        44. Organization.identifier:Institutionskennzeichen.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
        This element is affected by the following invariants: ele-1
        Typestring
        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()))
        46. Organization.identifier:Institutionskennzeichen.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
        This element is affected by the following invariants: ele-1
        Typeuri
        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/arge-ik/iknr
        ExampleGeneral: http://www.acme.com/identifiers/patient
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        48. Organization.identifier:Institutionskennzeichen.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
        This element is affected by the following invariants: ele-1
        Typestring
        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()))
        ik-1: Eine IK muss eine numerische 9-stellige Zeichenkette (mit Prüfziffer) sein (matches('^[0-9]{9}$'))
        50. Organization.identifier:Institutionskennzeichen.period
        Definition

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

        ShortTime period when id is/was valid for use
        Comments

        A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

        Period is not used for a duration (a measure of elapsed time). See Duration.

        Control0..01
        This element is affected by the following invariants: ele-1
        TypePeriod
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
        per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
        52. Organization.identifier:Institutionskennzeichen.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
        This element is affected by the following invariants: ele-1
        TypeReference(Organization, Organization)
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
        ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
        54. Organization.identifier:Betriebsstaettennummer
        Slice NameBetriebsstaettennummer
        Definition

        Jede Betriebsstätte und jede Nebenbetriebsstätte nach den Definitionen des Bundesmantelvertrages-Ärzte erhalten jeweils eine Betriebsstättennummer. Die Betriebsstättennummer ermöglicht die Zuordnung ärztlicher Leistungen zum Ort der Leistungserbringung. Die Betriebsstättennummer ist neunstellig. Die ersten beiden Ziffern stellen den KV-Landes- oder Bezirksstellenschlüssel gemäß Anlage 1 (Richtlinie der Kassenärztlichen Bundesvereinigung nach § 75 Absatz 7SGB V zur Vergabe der Arzt-, Betriebsstätten- sowie der Praxisnetznummern) dar (Ziffern 1-2). Die Ziffern drei bis neun werden von der KV vergeben (Ziffern 3-9). Dabei sind die Ziffern drei bis sieben so zu wählen, dass anhand der ersten sieben Stellen die Betriebsstätte eindeutig zu identifizieren ist.


        Identifier for the organization that is used to identify the organization across multiple disparate systems.

        ShortAn identifier intended for computationIdentifies this organization across multiple systems
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control10..1*
        This element is affected by the following invariants: ele-1, org-1
        TypeIdentifier(Identifier-Profil für die Abbildung einer Betriebsstättennummer)
        Must Supporttrue
        Summarytrue
        Requirements

        Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        56. Organization.identifier:Betriebsstaettennummer.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..1
        This element is affected by the following invariants: ele-1
        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()))
        58. Organization.identifier:Betriebsstaettennummer.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
        This element is affected by the following invariants: ele-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
        Must Supporttrue
        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" : "BSNR"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        60. Organization.identifier:Betriebsstaettennummer.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..*
        This element is affected by the following invariants: ele-1
        TypeCoding
        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()))
        62. Organization.identifier:Betriebsstaettennummer.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
        This element is affected by the following invariants: ele-1
        Typeuri
        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()))
        64. Organization.identifier:Betriebsstaettennummer.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..01
        This element is affected by the following invariants: ele-1
        Typestring
        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()))
        66. Organization.identifier:Betriebsstaettennummer.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
        Comments

        Note that FHIR strings SHALL NOT exceed 1MB in size

        Control10..1
        This element is affected by the following invariants: ele-1
        Typecode
        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()))
        68. Organization.identifier:Betriebsstaettennummer.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
        Comments

        Note that FHIR strings SHALL NOT exceed 1MB in size

        Control0..01
        This element is affected by the following invariants: ele-1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        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()))
        70. Organization.identifier:Betriebsstaettennummer.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
        This element is affected by the following invariants: ele-1
        Typeboolean
        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()))
        72. Organization.identifier:Betriebsstaettennummer.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
        This element is affected by the following invariants: ele-1
        Typeuri
        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_BSNR
        ExampleGeneral: http://www.acme.com/identifiers/patient
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        74. Organization.identifier:Betriebsstaettennummer.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
        This element is affected by the following invariants: ele-1
        Typestring
        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()))
        bsnr-1: Eine BSNR muss 9-stellig numerisch sein (matches('^[0-9]{9}$'))
        76. Organization.identifier:Betriebsstaettennummer.period
        Definition

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

        ShortTime period when id is/was valid for use
        Comments

        A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

        Period is not used for a duration (a measure of elapsed time). See Duration.

        Control0..01
        This element is affected by the following invariants: ele-1
        TypePeriod
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
        per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
        78. Organization.identifier:Betriebsstaettennummer.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
        This element is affected by the following invariants: ele-1
        TypeReference(Organization, Organization)
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
        ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
        82. Organization.identifier:VKNR
        Slice NameVKNR
        Definition

        Die Vertragskassennummer der Kassenärztlichen Vereinigungen (VKNR) identifiziert Krankenkassen für Abrechnungszwecke. Rechtliche Grundlage hierfür ist § 15 der 1. Änderung des Vertrages über den Datenaustausch auf Datenträgern (Anlage 6 des Bundesmantelvertrages Ärzte vom 1. Juli 2018). Die VKNR ist wie folgt aufgebaut: 1. und 2. Stelle: Nummer der KV-Abrechnungsstelle; 3. bis 5. Stelle: Seriennummer der Krankenkasse innerhalb der Kassenart.


        Identifier for the organization that is used to identify the organization across multiple disparate systems.

        ShortAn identifier intended for computationIdentifies this organization across multiple systems
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..0*
        This element is affected by the following invariants: ele-1, org-1
        TypeIdentifier(Identifier-Profil für die Abbildung einer Vertragskassennummer (VKNR))
        Summarytrue
        Requirements

        Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        92. Organization.identifier:KZV-Abrechnungsnummer
        Slice NameKZV-Abrechnungsnummer
        Definition

        Zahnärztliche Primärsysteme verwenden zur Identifikation des zahnärztlichen Akteurs die folgende Bildungsregel: „0“ + KZV-Nr + Abrechnungsnummer der Zahnarztpraxis (ggf. ergänzt um eine oder mehrere führende Nullen). Bei der Konkatenation der Nummern muss nach der „0“ die KZV-Nummer des Akteurs an die Stellen 2-3 gesetzt werden (ggf. mit ihrer führenden Null), und an die Stellen 4-9 die 1-6-stellige Abrechnungsnummer der Zahnarztpraxis, wobei sie ggf. mit einer oder mehreren führenden Nullen aufgefüllt werden muss. Beispielresultat: „004006789“


        Identifier for the organization that is used to identify the organization across multiple disparate systems.

        ShortAn identifier intended for computationIdentifies this organization across multiple systems
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..1*
        This element is affected by the following invariants: ele-1, org-1
        TypeIdentifier(Identifier-Profil für die Abbildung einer KZVAbrechnungsnummer)
        Must Supporttrue
        Summarytrue
        Requirements

        Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        94. Organization.identifier:KZV-Abrechnungsnummer.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..1
        This element is affected by the following invariants: ele-1
        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. Organization.identifier:KZV-Abrechnungsnummer.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
        This element is affected by the following invariants: ele-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
        Must Supporttrue
        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" : "KZVA"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        98. Organization.identifier:KZV-Abrechnungsnummer.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..*
        This element is affected by the following invariants: ele-1
        TypeCoding
        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. Organization.identifier:KZV-Abrechnungsnummer.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
        This element is affected by the following invariants: ele-1
        Typeuri
        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. Organization.identifier:KZV-Abrechnungsnummer.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..01
        This element is affected by the following invariants: ele-1
        Typestring
        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()))
        104. Organization.identifier:KZV-Abrechnungsnummer.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
        Comments

        Note that FHIR strings SHALL NOT exceed 1MB in size

        Control10..1
        This element is affected by the following invariants: ele-1
        Typecode
        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. Organization.identifier:KZV-Abrechnungsnummer.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
        Comments

        Note that FHIR strings SHALL NOT exceed 1MB in size

        Control0..01
        This element is affected by the following invariants: ele-1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        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()))
        108. Organization.identifier:KZV-Abrechnungsnummer.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
        This element is affected by the following invariants: ele-1
        Typeboolean
        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. Organization.identifier:KZV-Abrechnungsnummer.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
        This element is affected by the following invariants: ele-1
        Typeuri
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        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/kzvabrechnungsnummer
        ExampleGeneral: http://www.acme.com/identifiers/patient
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        112. Organization.identifier:KZV-Abrechnungsnummer.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
        This element is affected by the following invariants: ele-1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        ExampleGeneral: 123456
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        kzva-1: Die KZVAbrechnungsnummer muss 9-stellig numerisch sein (matches('^[0-9]{9}$'))
        114. Organization.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.


        Identifier for the organization that is used to identify the organization across multiple disparate systems.

        ShortAn identifier intended for computationIdentifies this organization across multiple systems
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..*
        This element is affected by the following invariants: ele-1, org-1
        TypeIdentifier(Identifier-Profil für die Telematik-ID)
        Must Supporttrue
        Summarytrue
        Requirements

        Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        116. Organization.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..1
        This element is affected by the following invariants: ele-1
        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()))
        118. Organization.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
        This element is affected by the following invariants: ele-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
        Must Supporttrue
        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()))
        120. Organization.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..*
        This element is affected by the following invariants: ele-1
        TypeCoding
        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()))
        122. Organization.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
        This element is affected by the following invariants: ele-1
        Typeuri
        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()))
        124. Organization.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..01
        This element is affected by the following invariants: ele-1
        Typestring
        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()))
        126. Organization.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
        Comments

        Note that FHIR strings SHALL NOT exceed 1MB in size

        Control10..1
        This element is affected by the following invariants: ele-1
        Typecode
        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()))
        128. Organization.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
        Comments

        Note that FHIR strings SHALL NOT exceed 1MB in size

        Control0..01
        This element is affected by the following invariants: ele-1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        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()))
        130. Organization.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
        This element is affected by the following invariants: ele-1
        Typeboolean
        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()))
        132. Organization.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
        This element is affected by the following invariants: ele-1
        Typestring
        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()))
        134. Organization.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
        This element is affected by the following invariants: ele-1
        Typeuri
        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()))
        136. Organization.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
        This element is affected by the following invariants: ele-1
        Typestring
        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()))
        138. Organization.identifier:Telematik-ID.period
        Definition

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

        ShortTime period when id is/was valid for use
        Comments

        A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

        Period is not used for a duration (a measure of elapsed time). See Duration.

        Control0..01
        This element is affected by the following invariants: ele-1
        TypePeriod
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
        per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
        140. Organization.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
        This element is affected by the following invariants: ele-1
        TypeReference(Organization, Organization)
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
        ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
        142. Organization.active
        Definition

        Whether the organization's record is still in active use.

        ShortWhether the organization's record is still in active use
        Comments

        This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used.

        This element is labeled as a modifier because it may be used to mark that the resource was created in error.

        Control0..01
        This element is affected by the following invariants: ele-1
        Typeboolean
        Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.

        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()))
        144. Organization.type
        Definition

        In diesem Element werden Angaben zum Typ der Einrichtung/Organisationseinheit gemacht. Diese werden als codierte Information und/oder als Freitext angegeben.


        The kind(s) of organization that this is.

        ShortKind of organization
        Comments

        Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes

        When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.

        We expect that some jurisdictions will profile this optionality to be a single cardinality.

        Control0..*
        This element is affected by the following invariants: ele-1
        BindingFor example codes, see OrganizationTypehttp://hl7.org/fhir/ValueSet/organization-type|4.0.1
        (example to http://hl7.org/fhir/ValueSet/organization-type)

        Used to categorize the organization.

        TypeCodeableConcept
        Summarytrue
        Requirements

        Need to be able to track the kind of organization that this is - different organization types have different uses.

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

        Hier wird der Status der Betriebsstätte angegeben.


        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..1*
        This element is affected by the following invariants: ele-1
        TypeCoding
        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()))
        SlicingThis element introduces a set of slices on Organization.type.coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
        • value @ $this
        • 148. Organization.type.coding:IHE-Code
          Slice NameIHE-Code
          Definition

          Hier wird der Typus der Einrichtung anhand eines Codes aus dem Codesystem IHE Deutschland e.V. angegeben.


          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..0*
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from For codes, see http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode
          (required to http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode)
          TypeCoding
          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()))
          154. Organization.type.coding:HL7-Fachschluesselgruppe
          Slice NameHL7-Fachschluesselgruppe
          Definition

          Hier wird die Fachrichtung/Fachabteilung anhand eines Codes aus dem Codesystem 'Fachabteilungsschlüssel' der HL7 Basis Deutschland angegeben.


          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..0*
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from For codes, see Fachabteilungsschlüssel ValueSet
          (required to http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel)
          TypeCoding
          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()))
          160. Organization.type.coding:HL7-Fachschluesselgruppe-erweitert
          Slice NameHL7-Fachschluesselgruppe-erweitert
          Definition

          Hier wird die Fachrichtung/Fachabteilung anhand eines Codes aus dem Codesystem "FachabteilungsschlüsselErweitert" der HL7 Basis Deutschland angegeben.


          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..0*
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from For codes, see FachabteilungsschluesselErweitert ValueSet
          (required to http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert)
          TypeCoding
          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()))
          166. Organization.type.coding:Betriebsstaettenstatus
          Slice NameBetriebsstaettenstatus
          Definition

          Hier wird ein Code aus einem geeigneten Code-System angegeben.


          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..1*
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from For codes, see KBV_VS_WEST_BDT_Betriebsstaettenstatus (1.0.0-kommentierung)
          (required to https://fhir.kbv.de/ValueSet/KBV_VS_WEST_BDT_Betriebsstaettenstatus|1.0.0-kommentierung)
          TypeCoding
          Must Supporttrue
          Summarytrue
          Requirements

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

          Pattern Value{
            "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_WEST_BDT_Betriebsstaettenstatus"
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          168. Organization.type.coding:Betriebsstaettenstatus.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
          This element is affected by the following invariants: ele-1
          Typeuri
          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.

          Fixed Valuehttps://fhir.kbv.de/CodeSystem/KBV_CS_WEST_BDT_Betriebsstaettenstatus
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          170. Organization.type.coding:Betriebsstaettenstatus.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)
          Control10..1
          This element is affected by the following invariants: ele-1
          Typestring
          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()))
          172. Organization.type.coding:Betriebsstaettenstatus.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
          Comments

          Note that FHIR strings SHALL NOT exceed 1MB in size

          Control10..1
          This element is affected by the following invariants: ele-1
          Typecode
          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()))
          174. Organization.type.coding:Betriebsstaettenstatus.display
          Definition

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

          ShortRepresentation defined by the system
          Comments

          Note that FHIR strings SHALL NOT exceed 1MB in size

          Control10..1
          This element is affected by the following invariants: ele-1
          Typestring
          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()))
          176. Organization.type.text
          Definition

          Hier wird ein Freitext eingetragen.


          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..1
          This element is affected by the following invariants: ele-1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          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()))
          178. Organization.name
          Definition

          Menschenlesbarer Name der Betriebsstätte, z.B.: "Gemeinschaftspraxis Dr. Soundso"


          A name associated with the organization.

          ShortName der BetriebsstätteName used for the organization
          Comments

          If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.

          Control10..1
          This element is affected by the following invariants: ele-1, org-1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to use the name as the label of the organization.

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

          A list of alternate names that the organization is known as, or was known as in the past.

          ShortA list of alternate names that the organization is known as, or was known as in the past
          Comments

          There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization.

          Control0..0*
          This element is affected by the following invariants: ele-1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Requirements

          Over time locations and organizations go through many changes and can be known by different names.

          For searching knowing previous names that the organization was known by can be very useful.

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

          Dieses Element beschreibt die vorhandenen Kontaktmöglichkeiten.


          A contact detail for the organization.

          ShortDetails of a Technology mediated contact point (phone, fax, email, etc.)A contact detail for the organization
          Comments

          The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself.

          Control0..*
          This element is affected by the following invariants: ele-1, org-3
          TypeContactPoint(KBV_PR_Base_Datatype_Contactpoint)
          Must Supporttrue
          Requirements

          Human contact for the organization.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
          org-3: The telecom of an organization can never be of use 'home' (where(use = 'home').empty())
          184. Organization.telecom.system
          Definition

          Telekommunikationsform für die Kontaktstelle - Kommunikationssystem, welches erforderlich ist, um den Kontakt zu nutzen.


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

          Shortphone | fax | email | pager | url | sms | other
          Comments

          Note that FHIR strings SHALL NOT exceed 1MB in size

          Control10..1
          This element is affected by the following invariants: ele-1, 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
          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()))
          186. Organization.telecom.value
          Definition

          In diesem Element werden Kontaktinformationen passend zum Kontaktkanal angegeben. 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
          This element is affected by the following invariants: ele-1
          Typestring
          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()))
          188. Organization.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..1
          This element is affected by the following invariants: ele-1
          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()))
          190. Organization.telecom.period
          Definition

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

          ShortTime period when the contact point was/is in use
          Comments

          A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

          Period is not used for a duration (a measure of elapsed time). See Duration.

          Control0..01
          This element is affected by the following invariants: ele-1
          TypePeriod
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
          per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
          192. Organization.address
          Definition

          In dieses Feld wird die Anschrift eingetragen.


          An address for the organization.

          ShortEine Adresse gemäß postalischer KonventionenAn address for the organization
          Comments

          Organization may have multiple addresses with different uses or applicable periods. The use code 'home' is not to be used.

          Control10..*
          This element is affected by the following invariants: ele-1, org-2
          TypeAddress
          Must Supporttrue
          Requirements

          May need to keep track of the organization's addresses for contacting, billing or reporting requirements.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          org-2: An address of an organization can never be of use 'home' (where(use = 'home').empty())
          SlicingThis element introduces a set of slices on Organization.address. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ type
          • 194. Organization.address:Strassenanschrift
            Slice NameStrassenanschrift
            Definition

            In dieses Element wird die Anschrift eingetragen.


            An address for the organization.

            ShortEine Straßenadresse gemäß postalischer KonventionenAn address for the organization
            Comments

            Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).


            Organization may have multiple addresses with different uses or applicable periods. The use code 'home' is not to be used.

            Control0..1*
            This element is affected by the following invariants: ele-1, org-2
            TypeAddress(KBV_PR_Base_Datatype_Street_Address)
            Must Supporttrue
            Requirements

            May need to keep track of the organization's addresses for contacting, billing or reporting requirements.

            ExampleBeispiel für einfache Adresse: { "use" : "home", "type" : "postal", "line" : ["Musterweg 42"], "city" : "Musterhausen", "postalCode" : "99999" }
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            org-2: An address of an organization can never be of use 'home' (where(use = 'home').empty())
            add-1: Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue()))
            add-2: Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue()))
            add-3: Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()))
            add-4: Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein. (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty())
            add-5: Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue()))
            add-6: Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty())))
            add-7: Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein. (extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or all(line contains extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').value.ofType(string)))
            196. Organization.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..*
            This element is affected by the following invariants: ele-1
            TypeExtension
            Must Supporttrue
            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 Organization.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 198. Organization.address:Strassenanschrift.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)
              Must Supporttrue
              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())
              200. Organization.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..1
              This element is affected by the following invariants: ele-1
              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()))
              202. Organization.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
              This element is affected by the following invariants: ele-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
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Pattern Valueboth
              ExampleGeneral: both
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              204. Organization.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.
              Comments

              Note that FHIR strings SHALL NOT exceed 1MB in size

              Control0..3*
              This element is affected by the following invariants: ele-1
              Typestring
              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()))
              206. Organization.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..*
              This element is affected by the following invariants: ele-1
              TypeExtension
              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 Organization.address.line.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
              • value @ url
              • 208. Organization.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)
                Must Supporttrue
                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())
                210. Organization.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)
                Must Supporttrue
                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())
                212. Organization.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)
                Must Supporttrue
                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())
                214. Organization.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)
                Standard StatusNormative (from Trial Use)
                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())
                216. Organization.address:Strassenanschrift.city
                Definition

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

                ShortName of city, town etc.
                Comments

                Note that FHIR strings SHALL NOT exceed 1MB in size

                Control0..1
                This element is affected by the following invariants: ele-1
                Typestring
                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()))
                218. Organization.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
                This element is affected by the following invariants: ele-1
                Typestring
                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()))
                220. Organization.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
                Comments

                Note that FHIR strings SHALL NOT exceed 1MB in size

                Control0..1
                This element is affected by the following invariants: ele-1
                Typestring
                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()))
                222. Organization.address:Strassenanschrift.country
                Definition

                Nach DEÜV Anlage8


                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
                This element is affected by the following invariants: ele-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
                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()))
                224. Organization.address:Postfach
                Slice NamePostfach
                Definition

                Hier werden Angaben zu einem Postfach gemacht.


                An address for the organization.

                ShortHier können Angaben zu einem Postfach gemacht werden.An address for the organization
                Comments

                Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).


                Organization may have multiple addresses with different uses or applicable periods. The use code 'home' is not to be used.

                Control0..1*
                This element is affected by the following invariants: ele-1, org-2
                TypeAddress(KBV_PR_Base_Datatype_Post_Office_Box)
                Must Supporttrue
                Requirements

                May need to keep track of the organization's addresses for contacting, billing or reporting requirements.

                ExampleBeispiel für einfache Adresse: { "use" : "home", "type" : "postal", "line" : ["Musterweg 42"], "city" : "Musterhausen", "postalCode" : "99999" }
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                org-2: An address of an organization can never be of use 'home' (where(use = 'home').empty())
                add-1: Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue()))
                add-2: Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue()))
                add-3: Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()))
                add-4: Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein. (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty())
                add-5: Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue()))
                add-6: Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty())))
                add-7: Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein. (extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or all(line contains extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').value.ofType(string)))
                postBox-de-1: Die Extension 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox' darf nur einmal vorkommen. (line.where($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').exists()).count()=1)
                226. Organization.address:Postfach.extension:Stadtteil
                Slice NameStadtteil
                Definition

                A subsection of a municipality.

                ShortStadt- oder Ortsteil
                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
                This element is affected by the following invariants: ele-1
                TypeExtension(ADXP Precinct) (Extension Type: string)
                Standard StatusNormative (from Trial Use)
                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())
                228. Organization.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..1
                This element is affected by the following invariants: ele-1
                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()))
                230. Organization.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
                This element is affected by the following invariants: ele-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
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Pattern Valuepostal
                ExampleGeneral: both
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                232. Organization.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.
                Comments

                Note that FHIR strings SHALL NOT exceed 1MB in size

                Control0..3*
                This element is affected by the following invariants: ele-1
                Typestring
                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()))
                234. Organization.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..*
                This element is affected by the following invariants: ele-1
                TypeExtension
                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 Organization.address.line.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                • value @ url
                • 236. Organization.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)
                  Standard StatusNormative (from Trial Use)
                  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())
                  238. Organization.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)
                  Standard StatusNormative (from Trial Use)
                  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())
                  240. Organization.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)
                  Standard StatusNormative (from Trial Use)
                  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())
                  242. Organization.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)
                  Must Supporttrue
                  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())
                  244. Organization.address:Postfach.city
                  Definition

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

                  ShortName of city, town etc.
                  Comments

                  Note that FHIR strings SHALL NOT exceed 1MB in size

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  Typestring
                  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()))
                  246. Organization.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
                  This element is affected by the following invariants: ele-1
                  Typestring
                  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()))
                  248. Organization.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
                  Comments

                  Note that FHIR strings SHALL NOT exceed 1MB in size

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  Typestring
                  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()))
                  250. Organization.address:Postfach.country
                  Definition

                  Nach DEÜV Anlage8


                  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
                  This element is affected by the following invariants: ele-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
                  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()))
                  252. Organization.partOf
                  Definition

                  Hier wird die übergeordnete Einrichtung/Organisationseinheit referenziert, z.B. wenn es sich bei der hier betrachteten Einrichtung/Organisationseinheit um die Fachabteilung oder die Station eines Krankenhauses handelt.


                  The organization of which this organization forms a part.

                  ShortThe organization of which this organization forms a part
                  Comments

                  References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

                  Control0..01
                  This element is affected by the following invariants: ele-1
                  TypeReference(Organization, Organization)
                  Summarytrue
                  Requirements

                  Need to be able to track the hierarchy of organizations within an organization.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                  ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                  254. Organization.contact
                  Definition

                  Dieses Element beschreibt die vorhandenen Kontaktmöglichkeiten für einen spezifischen Kontakt innerhalb der Organisation.


                  Contact for the organization for a certain purpose.

                  ShortContact for the organization for a certain purpose
                  Comments

                  Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use.

                  Control0..0*
                  This element is affected by the following invariants: ele-1
                  TypeBackboneElement
                  Requirements

                  Need to keep track of assigned contact points within bigger organization.

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

                  Technical endpoints providing access to services operated for the organization.

                  ShortTechnical endpoints providing access to services operated for the organization
                  Comments

                  References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

                  Control0..0*
                  This element is affected by the following invariants: ele-1
                  TypeReference(Endpoint, Endpoint)
                  Requirements

                  Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                  ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))

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

                  0. Organization
                  Definition

                  In dieser Ressource werden Informationen zu einer Betriebsstätte transportiert

                  ShortBetriebsstätte
                  2. Organization.id
                  Control1..?
                  4. Organization.meta
                  Control1..?
                  Must Supporttrue
                  6. Organization.meta.versionId
                  Control1..?
                  Must Supporttrue
                  8. Organization.meta.lastUpdated
                  Control1..?
                  Must Supporttrue
                  10. Organization.meta.profile
                  Control1..1
                  Must Supporttrue
                  Fixed Valuehttps://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Betriebsstaette|1.0.0-kommentierung
                  12. Organization.text
                  Control0..0
                  14. Organization.extension
                  Control1..?
                  SlicingThis element introduces a set of slices on Organization.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                  • value @ url
                  • 16. Organization.extension:ergaenzende_Angaben
                    Slice Nameergaenzende_Angaben
                    Must Supporttrue
                    18. Organization.extension:betriebsstaetten-hierarchie
                    Slice Namebetriebsstaetten-hierarchie
                    Control1..1
                    TypeExtension(KBV_EX_WEST_Betriebsstaette_Hierarchie) (Extension Type: code)
                    Must Supporttrue
                    20. Organization.identifier
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control1..?
                    Must Supporttrue
                    22. Organization.identifier:Institutionskennzeichen
                    Slice NameInstitutionskennzeichen
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Must Supporttrue
                    24. Organization.identifier:Institutionskennzeichen.type
                    26. Organization.identifier:Institutionskennzeichen.type.coding
                    28. Organization.identifier:Institutionskennzeichen.type.coding.version
                    NoteThis is a business version Id, not a resource version Id (see discussion)
                    Control0..0
                    30. Organization.identifier:Institutionskennzeichen.type.coding.display
                    Control0..0
                    32. Organization.identifier:Institutionskennzeichen.type.coding.userSelected
                    Control0..0
                    34. Organization.identifier:Institutionskennzeichen.type.text
                    Control0..0
                    36. Organization.identifier:Institutionskennzeichen.system
                    Must Supporttrue
                    38. Organization.identifier:Institutionskennzeichen.value
                    Must Supporttrue
                    40. Organization.identifier:Institutionskennzeichen.period
                    Control0..0
                    42. Organization.identifier:Institutionskennzeichen.assigner
                    Control0..0
                    44. Organization.identifier:Betriebsstaettennummer
                    Slice NameBetriebsstaettennummer
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control1..1
                    Must Supporttrue
                    46. Organization.identifier:Betriebsstaettennummer.type
                    Must Supporttrue
                    48. Organization.identifier:Betriebsstaettennummer.type.coding
                    Must Supporttrue
                    50. Organization.identifier:Betriebsstaettennummer.type.coding.system
                    Must Supporttrue
                    52. Organization.identifier:Betriebsstaettennummer.type.coding.version
                    NoteThis is a business version Id, not a resource version Id (see discussion)
                    Control0..0
                    54. Organization.identifier:Betriebsstaettennummer.type.coding.code
                    Must Supporttrue
                    56. Organization.identifier:Betriebsstaettennummer.type.coding.display
                    Control0..0
                    58. Organization.identifier:Betriebsstaettennummer.type.coding.userSelected
                    Control0..0
                    60. Organization.identifier:Betriebsstaettennummer.system
                    Must Supporttrue
                    62. Organization.identifier:Betriebsstaettennummer.value
                    Must Supporttrue
                    64. Organization.identifier:Betriebsstaettennummer.period
                    Control0..0
                    66. Organization.identifier:Betriebsstaettennummer.assigner
                    Control0..0
                    68. Organization.identifier:VKNR
                    Slice NameVKNR
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control0..0
                    70. Organization.identifier:KZV-Abrechnungsnummer
                    Slice NameKZV-Abrechnungsnummer
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Must Supporttrue
                    72. Organization.identifier:KZV-Abrechnungsnummer.type
                    Must Supporttrue
                    74. Organization.identifier:KZV-Abrechnungsnummer.type.coding
                    Must Supporttrue
                    76. Organization.identifier:KZV-Abrechnungsnummer.type.coding.system
                    Must Supporttrue
                    78. Organization.identifier:KZV-Abrechnungsnummer.type.coding.version
                    NoteThis is a business version Id, not a resource version Id (see discussion)
                    Control0..0
                    80. Organization.identifier:KZV-Abrechnungsnummer.type.coding.code
                    Must Supporttrue
                    82. Organization.identifier:KZV-Abrechnungsnummer.type.coding.display
                    Control0..0
                    84. Organization.identifier:KZV-Abrechnungsnummer.type.coding.userSelected
                    Control0..0
                    86. Organization.identifier:Telematik-ID
                    Slice NameTelematik-ID
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Must Supporttrue
                    88. Organization.identifier:Telematik-ID.type
                    Must Supporttrue
                    90. Organization.identifier:Telematik-ID.type.coding
                    Must Supporttrue
                    92. Organization.identifier:Telematik-ID.type.coding.system
                    Must Supporttrue
                    94. Organization.identifier:Telematik-ID.type.coding.version
                    NoteThis is a business version Id, not a resource version Id (see discussion)
                    Control0..0
                    96. Organization.identifier:Telematik-ID.type.coding.code
                    Must Supporttrue
                    98. Organization.identifier:Telematik-ID.type.coding.display
                    Control0..0
                    100. Organization.identifier:Telematik-ID.type.coding.userSelected
                    Control0..0
                    102. Organization.identifier:Telematik-ID.type.text
                    Control0..0
                    104. Organization.identifier:Telematik-ID.system
                    Must Supporttrue
                    106. Organization.identifier:Telematik-ID.value
                    Must Supporttrue
                    108. Organization.identifier:Telematik-ID.period
                    Control0..0
                    110. Organization.identifier:Telematik-ID.assigner
                    Control0..0
                    112. Organization.active
                    Control0..0
                    114. Organization.type
                    116. Organization.type.coding
                    Definition

                    Hier wird der Status der Betriebsstätte angegeben.

                    Control0..1
                    SlicingThis element introduces a set of slices on Organization.type.coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                    • value @ $this
                    • 118. Organization.type.coding:IHE-Code
                      Slice NameIHE-Code
                      Control0..0
                      120. Organization.type.coding:HL7-Fachschluesselgruppe
                      Slice NameHL7-Fachschluesselgruppe
                      Control0..0
                      122. Organization.type.coding:HL7-Fachschluesselgruppe-erweitert
                      Slice NameHL7-Fachschluesselgruppe-erweitert
                      Control0..0
                      124. Organization.type.coding:Betriebsstaettenstatus
                      Slice NameBetriebsstaettenstatus
                      Control0..1
                      BindingThe codes SHALL be taken from KBV_VS_WEST_BDT_Betriebsstaettenstatus (1.0.0-kommentierung)
                      (required to https://fhir.kbv.de/ValueSet/KBV_VS_WEST_BDT_Betriebsstaettenstatus|1.0.0-kommentierung)
                      Must Supporttrue
                      Pattern Value{
                        "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_WEST_BDT_Betriebsstaettenstatus"
                      }
                      126. Organization.type.coding:Betriebsstaettenstatus.system
                      Control1..?
                      Must Supporttrue
                      Fixed Valuehttps://fhir.kbv.de/CodeSystem/KBV_CS_WEST_BDT_Betriebsstaettenstatus
                      128. Organization.type.coding:Betriebsstaettenstatus.version
                      NoteThis is a business version Id, not a resource version Id (see discussion)
                      Control1..?
                      Must Supporttrue
                      130. Organization.type.coding:Betriebsstaettenstatus.code
                      Control1..?
                      Must Supporttrue
                      132. Organization.type.coding:Betriebsstaettenstatus.display
                      Control1..?
                      Must Supporttrue
                      134. Organization.type.text
                      Must Supporttrue
                      136. Organization.name
                      Definition

                      Menschenlesbarer Name der Betriebsstätte, z.B.: "Gemeinschaftspraxis Dr. Soundso"

                      ShortName der Betriebsstätte
                      Control1..?
                      Must Supporttrue
                      138. Organization.alias
                      Control0..0
                      140. Organization.telecom
                      Must Supporttrue
                      142. Organization.telecom.system
                      Must Supporttrue
                      144. Organization.telecom.value
                      Must Supporttrue
                      146. Organization.telecom.period
                      Control0..0
                      148. Organization.address
                      ShortEine Adresse gemäß postalischer Konventionen
                      Control1..?
                      Must Supporttrue
                      150. Organization.address:Strassenanschrift
                      Slice NameStrassenanschrift
                      Control0..1
                      Must Supporttrue
                      152. Organization.address:Strassenanschrift.extension
                      Must Supporttrue
                      154. Organization.address:Strassenanschrift.extension:Stadtteil
                      Slice NameStadtteil
                      Must Supporttrue
                      156. Organization.address:Strassenanschrift.line
                      Must Supporttrue
                      158. Organization.address:Strassenanschrift.line.extension
                      SlicingThis element introduces a set of slices on Organization.address.line.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                      • value @ url
                      • 160. Organization.address:Strassenanschrift.line.extension:Strasse
                        Slice NameStrasse
                        Must Supporttrue
                        162. Organization.address:Strassenanschrift.line.extension:Hausnummer
                        Slice NameHausnummer
                        Must Supporttrue
                        164. Organization.address:Strassenanschrift.line.extension:Adresszusatz
                        Slice NameAdresszusatz
                        Must Supporttrue
                        166. Organization.address:Strassenanschrift.city
                        Must Supporttrue
                        168. Organization.address:Strassenanschrift.postalCode
                        Must Supporttrue
                        170. Organization.address:Strassenanschrift.country
                        Definition

                        Nach DEÜV Anlage8

                        Must Supporttrue
                        172. Organization.address:Postfach
                        Slice NamePostfach
                        Control0..1
                        Must Supporttrue
                        174. Organization.address:Postfach.line
                        Must Supporttrue
                        176. Organization.address:Postfach.line.extension
                        SlicingThis element introduces a set of slices on Organization.address.line.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                        • value @ url
                        • 178. Organization.address:Postfach.line.extension:Postfach
                          Slice NamePostfach
                          Must Supporttrue
                          180. Organization.address:Postfach.city
                          Must Supporttrue
                          182. Organization.address:Postfach.postalCode
                          Must Supporttrue
                          184. Organization.address:Postfach.country
                          Definition

                          Nach DEÜV Anlage8

                          Must Supporttrue
                          186. Organization.partOf
                          Control0..0
                          188. Organization.contact
                          Control0..0
                          190. Organization.endpoint
                          Control0..0

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

                          0. Organization
                          Definition

                          In dieser Ressource werden Informationen zu einer Betriebsstätte transportiert

                          ShortBetriebsstätte
                          Control0..*
                          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.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-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-6: A resource should have narrative for robust management (text.`div`.exists())
                          dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                          org-1: The organization SHALL at least have a name or an identifier, and possibly more than one ((identifier.count() + name.count()) > 0)
                          2. Organization.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.

                          Control1..1
                          Typeid
                          Summarytrue
                          4. Organization.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
                          Control1..1
                          This element is affected by the following invariants: ele-1
                          TypeMeta
                          Must Supporttrue
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          6. Organization.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..1
                          Typestring
                          XML FormatIn the XML format, this property is represented as an attribute.
                          8. Organization.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..*
                          This element is affected by the following invariants: ele-1
                          TypeExtension
                          Standard StatusNormative (from Trial Use)
                          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 Organization.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 10. Organization.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.

                            Control1..1
                            This element is affected by the following invariants: ele-1
                            Typeid
                            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. Organization.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.

                            Control1..1
                            This element is affected by the following invariants: ele-1
                            Typeinstant
                            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. Organization.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..1
                            This element is affected by the following invariants: ele-1
                            Typeuri
                            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. Organization.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.

                            Control1..1
                            This element is affected by the following invariants: ele-1
                            Typecanonical(StructureDefinition)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summarytrue
                            Fixed Valuehttps://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Betriebsstaette|1.0.0-kommentierung
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            18. Organization.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..*
                            This element is affected by the following invariants: ele-1
                            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
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            20. Organization.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..*
                            This element is affected by the following invariants: ele-1
                            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
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            22. Organization.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..1
                            This element is affected by the following invariants: ele-1
                            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. Organization.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..1
                            This element is affected by the following invariants: ele-1
                            BindingThe codes SHOULD be taken from CommonLanguages
                            (preferred to http://hl7.org/fhir/ValueSet/languages)

                            A human language.

                            Additional BindingsPurpose
                            AllLanguagesMax Binding
                            Typecode
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            26. Organization.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..0
                            This element is affected by the following invariants: ele-1
                            TypeNarrative
                            Alternate Namesnarrative, html, xhtml, display
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            28. Organization.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..*
                            TypeResource
                            Alternate Namesinline resources, anonymous resources, contained resources
                            30. Organization.extension
                            Definition

                            An Extension

                            ShortExtension
                            Control1..*
                            This element is affected by the following invariants: ele-1
                            TypeExtension
                            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 Organization.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                            • value @ url
                            • 32. Organization.extension:ergaenzende_Angaben
                              Slice Nameergaenzende_Angaben
                              Definition

                              Diese Extension ermöglicht die Angabe zusätzlicher Kommentare/Informationen. Der Informationsgehalt der beinhaltenden Ressource darf nicht grundlegend verändert oder negiert werden.

                              ShortErgänzende Angaben
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              TypeExtension(KBV_EX_Base_Additional_Comment) (Extension Type: string)
                              Must Supporttrue
                              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())
                              34. Organization.extension:betriebsstaetten-hierarchie
                              Slice Namebetriebsstaetten-hierarchie
                              Definition

                              Für Betriebsstätten gemäß KBV ist die Angabe erforderlich, ob es sich um eine Haupt- oder Nebenbetriebsstätte handelt. Bei der Modellierung von Betriebsstätten als Organization-Resource ist daher eine Extension erforderlich um diese Eigenschaft abzubilden.

                              ShortBetriebsstätten-Hierarchie (Haupt/Nebenbetriebsstätte)
                              Control1..1
                              This element is affected by the following invariants: ele-1
                              TypeExtension(KBV_EX_WEST_Betriebsstaette_Hierarchie) (Extension Type: code)
                              Must Supporttrue
                              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())
                              36. Organization.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..*
                              This element is affected by the following invariants: ele-1
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                              Standard StatusNormative (from Trial Use)
                              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())
                              SlicingThis element introduces a set of slices on Organization.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 38. Organization.identifier
                                Definition

                                Hier wird der Identifikator für die Einrichtung angegeben.

                                ShortIdentifies this organization across multiple systems
                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                Control1..*
                                This element is affected by the following invariants: ele-1, org-1
                                TypeIdentifier
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

                                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 Organization.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ type
                                • 40. Organization.identifier:Institutionskennzeichen
                                  Slice NameInstitutionskennzeichen
                                  Definition

                                  Die ARGE·IK vergibt und pflegt so genannte Institutionskennzeichen (IK). Das sind neunstellige Ziffernfolgen, hinter denen sich ein Datensatz verbirgt, auf dessen Grundlage der Zahlungsverkehr mit den leistungserbringenden Personen abgewickelt wird. Das Institutionskennzeichen (IK) ist ein eindeutiges Merkmal zur Abrechnung mit den Trägern der Sozialversicherung.

                                  ShortAn identifier intended for computation
                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                  Control0..*
                                  This element is affected by the following invariants: ele-1, org-1
                                  TypeIdentifier(Identifier-Profil für die Abbildung eines Institutionskennzeichens (IKNR))
                                  Must Supporttrue
                                  Summarytrue
                                  Requirements

                                  Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  42. Organization.identifier:Institutionskennzeichen.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
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  44. Organization.identifier:Institutionskennzeichen.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..*
                                  This element is affected by the following invariants: ele-1
                                  TypeExtension
                                  Standard StatusNormative (from Trial Use)
                                  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 Organization.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 46. Organization.identifier:Institutionskennzeichen.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..1
                                    This element is affected by the following invariants: ele-1
                                    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()))
                                    48. Organization.identifier:Institutionskennzeichen.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
                                    This element is affected by the following invariants: ele-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
                                    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" : "XX"
                                      }]
                                    }
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    50. Organization.identifier:Institutionskennzeichen.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
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    52. Organization.identifier:Institutionskennzeichen.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..*
                                    This element is affected by the following invariants: ele-1
                                    TypeExtension
                                    Standard StatusNormative (from Trial Use)
                                    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 Organization.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 54. Organization.identifier:Institutionskennzeichen.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..*
                                      This element is affected by the following invariants: ele-1
                                      TypeCoding
                                      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()))
                                      56. Organization.identifier:Institutionskennzeichen.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
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      58. Organization.identifier:Institutionskennzeichen.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..*
                                      This element is affected by the following invariants: ele-1
                                      TypeExtension
                                      Standard StatusNormative (from Trial Use)
                                      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 Organization.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 60. Organization.identifier:Institutionskennzeichen.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
                                        This element is affected by the following invariants: ele-1
                                        Typeuri
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        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()))
                                        62. Organization.identifier:Institutionskennzeichen.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..0
                                        This element is affected by the following invariants: ele-1
                                        Typestring
                                        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()))
                                        64. Organization.identifier:Institutionskennzeichen.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
                                        Comments

                                        Note that FHIR strings SHALL NOT exceed 1MB in size

                                        Control1..1
                                        This element is affected by the following invariants: ele-1
                                        Typecode
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        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()))
                                        66. Organization.identifier:Institutionskennzeichen.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
                                        Comments

                                        Note that FHIR strings SHALL NOT exceed 1MB in size

                                        Control0..0
                                        This element is affected by the following invariants: ele-1
                                        Typestring
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        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()))
                                        68. Organization.identifier:Institutionskennzeichen.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
                                        This element is affected by the following invariants: ele-1
                                        Typeboolean
                                        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()))
                                        70. Organization.identifier:Institutionskennzeichen.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
                                        This element is affected by the following invariants: ele-1
                                        Typestring
                                        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()))
                                        72. Organization.identifier:Institutionskennzeichen.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
                                        This element is affected by the following invariants: ele-1
                                        Typeuri
                                        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/arge-ik/iknr
                                        ExampleGeneral: http://www.acme.com/identifiers/patient
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        74. Organization.identifier:Institutionskennzeichen.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
                                        This element is affected by the following invariants: ele-1
                                        Typestring
                                        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()))
                                        ik-1: Eine IK muss eine numerische 9-stellige Zeichenkette (mit Prüfziffer) sein (matches('^[0-9]{9}$'))
                                        76. Organization.identifier:Institutionskennzeichen.period
                                        Definition

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

                                        ShortTime period when id is/was valid for use
                                        Comments

                                        A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

                                        Period is not used for a duration (a measure of elapsed time). See Duration.

                                        Control0..0
                                        This element is affected by the following invariants: ele-1
                                        TypePeriod
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                        78. Organization.identifier:Institutionskennzeichen.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
                                        This element is affected by the following invariants: ele-1
                                        TypeReference(Organization)
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                                        80. Organization.identifier:Betriebsstaettennummer
                                        Slice NameBetriebsstaettennummer
                                        Definition

                                        Jede Betriebsstätte und jede Nebenbetriebsstätte nach den Definitionen des Bundesmantelvertrages-Ärzte erhalten jeweils eine Betriebsstättennummer. Die Betriebsstättennummer ermöglicht die Zuordnung ärztlicher Leistungen zum Ort der Leistungserbringung. Die Betriebsstättennummer ist neunstellig. Die ersten beiden Ziffern stellen den KV-Landes- oder Bezirksstellenschlüssel gemäß Anlage 1 (Richtlinie der Kassenärztlichen Bundesvereinigung nach § 75 Absatz 7SGB V zur Vergabe der Arzt-, Betriebsstätten- sowie der Praxisnetznummern) dar (Ziffern 1-2). Die Ziffern drei bis neun werden von der KV vergeben (Ziffern 3-9). Dabei sind die Ziffern drei bis sieben so zu wählen, dass anhand der ersten sieben Stellen die Betriebsstätte eindeutig zu identifizieren ist.

                                        ShortAn identifier intended for computation
                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                        Control1..1
                                        This element is affected by the following invariants: ele-1, org-1
                                        TypeIdentifier(Identifier-Profil für die Abbildung einer Betriebsstättennummer)
                                        Must Supporttrue
                                        Summarytrue
                                        Requirements

                                        Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        82. Organization.identifier:Betriebsstaettennummer.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
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        84. Organization.identifier:Betriebsstaettennummer.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..*
                                        This element is affected by the following invariants: ele-1
                                        TypeExtension
                                        Standard StatusNormative (from Trial Use)
                                        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 Organization.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 86. Organization.identifier:Betriebsstaettennummer.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..1
                                          This element is affected by the following invariants: ele-1
                                          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()))
                                          88. Organization.identifier:Betriebsstaettennummer.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
                                          This element is affected by the following invariants: ele-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
                                          Must Supporttrue
                                          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" : "BSNR"
                                            }]
                                          }
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          90. Organization.identifier:Betriebsstaettennummer.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
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          92. Organization.identifier:Betriebsstaettennummer.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..*
                                          This element is affected by the following invariants: ele-1
                                          TypeExtension
                                          Standard StatusNormative (from Trial Use)
                                          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 Organization.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 94. Organization.identifier:Betriebsstaettennummer.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..*
                                            This element is affected by the following invariants: ele-1
                                            TypeCoding
                                            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()))
                                            96. Organization.identifier:Betriebsstaettennummer.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
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            98. Organization.identifier:Betriebsstaettennummer.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..*
                                            This element is affected by the following invariants: ele-1
                                            TypeExtension
                                            Standard StatusNormative (from Trial Use)
                                            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 Organization.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 100. Organization.identifier:Betriebsstaettennummer.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
                                              This element is affected by the following invariants: ele-1
                                              Typeuri
                                              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. Organization.identifier:Betriebsstaettennummer.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..0
                                              This element is affected by the following invariants: ele-1
                                              Typestring
                                              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()))
                                              104. Organization.identifier:Betriebsstaettennummer.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
                                              Comments

                                              Note that FHIR strings SHALL NOT exceed 1MB in size

                                              Control1..1
                                              This element is affected by the following invariants: ele-1
                                              Typecode
                                              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. Organization.identifier:Betriebsstaettennummer.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
                                              Comments

                                              Note that FHIR strings SHALL NOT exceed 1MB in size

                                              Control0..0
                                              This element is affected by the following invariants: ele-1
                                              Typestring
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              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()))
                                              108. Organization.identifier:Betriebsstaettennummer.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
                                              This element is affected by the following invariants: ele-1
                                              Typeboolean
                                              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. Organization.identifier:Betriebsstaettennummer.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..1
                                              This element is affected by the following invariants: ele-1
                                              Typestring
                                              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. Organization.identifier:Betriebsstaettennummer.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
                                              This element is affected by the following invariants: ele-1
                                              Typeuri
                                              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_BSNR
                                              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. Organization.identifier:Betriebsstaettennummer.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
                                              This element is affected by the following invariants: ele-1
                                              Typestring
                                              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()))
                                              bsnr-1: Eine BSNR muss 9-stellig numerisch sein (matches('^[0-9]{9}$'))
                                              116. Organization.identifier:Betriebsstaettennummer.period
                                              Definition

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

                                              ShortTime period when id is/was valid for use
                                              Comments

                                              A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

                                              Period is not used for a duration (a measure of elapsed time). See Duration.

                                              Control0..0
                                              This element is affected by the following invariants: ele-1
                                              TypePeriod
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                              118. Organization.identifier:Betriebsstaettennummer.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
                                              This element is affected by the following invariants: ele-1
                                              TypeReference(Organization)
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                                              134. Organization.identifier:VKNR
                                              Slice NameVKNR
                                              Definition

                                              Die Vertragskassennummer der Kassenärztlichen Vereinigungen (VKNR) identifiziert Krankenkassen für Abrechnungszwecke. Rechtliche Grundlage hierfür ist § 15 der 1. Änderung des Vertrages über den Datenaustausch auf Datenträgern (Anlage 6 des Bundesmantelvertrages Ärzte vom 1. Juli 2018). Die VKNR ist wie folgt aufgebaut: 1. und 2. Stelle: Nummer der KV-Abrechnungsstelle; 3. bis 5. Stelle: Seriennummer der Krankenkasse innerhalb der Kassenart.

                                              ShortAn identifier intended for computation
                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                              Control0..0
                                              This element is affected by the following invariants: ele-1, org-1
                                              TypeIdentifier(Identifier-Profil für die Abbildung einer Vertragskassennummer (VKNR))
                                              Summarytrue
                                              Requirements

                                              Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              169. Organization.identifier:KZV-Abrechnungsnummer
                                              Slice NameKZV-Abrechnungsnummer
                                              Definition

                                              Zahnärztliche Primärsysteme verwenden zur Identifikation des zahnärztlichen Akteurs die folgende Bildungsregel: „0“ + KZV-Nr + Abrechnungsnummer der Zahnarztpraxis (ggf. ergänzt um eine oder mehrere führende Nullen). Bei der Konkatenation der Nummern muss nach der „0“ die KZV-Nummer des Akteurs an die Stellen 2-3 gesetzt werden (ggf. mit ihrer führenden Null), und an die Stellen 4-9 die 1-6-stellige Abrechnungsnummer der Zahnarztpraxis, wobei sie ggf. mit einer oder mehreren führenden Nullen aufgefüllt werden muss. Beispielresultat: „004006789“

                                              ShortAn identifier intended for computation
                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                              Control0..1
                                              This element is affected by the following invariants: ele-1, org-1
                                              TypeIdentifier(Identifier-Profil für die Abbildung einer KZVAbrechnungsnummer)
                                              Must Supporttrue
                                              Summarytrue
                                              Requirements

                                              Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              171. Organization.identifier:KZV-Abrechnungsnummer.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
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              173. Organization.identifier:KZV-Abrechnungsnummer.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..*
                                              This element is affected by the following invariants: ele-1
                                              TypeExtension
                                              Standard StatusNormative (from Trial Use)
                                              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 Organization.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 175. Organization.identifier:KZV-Abrechnungsnummer.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..1
                                                This element is affected by the following invariants: ele-1
                                                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()))
                                                177. Organization.identifier:KZV-Abrechnungsnummer.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
                                                This element is affected by the following invariants: ele-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
                                                Must Supporttrue
                                                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" : "KZVA"
                                                  }]
                                                }
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                179. Organization.identifier:KZV-Abrechnungsnummer.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
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                181. Organization.identifier:KZV-Abrechnungsnummer.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..*
                                                This element is affected by the following invariants: ele-1
                                                TypeExtension
                                                Standard StatusNormative (from Trial Use)
                                                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 Organization.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 183. Organization.identifier:KZV-Abrechnungsnummer.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..*
                                                  This element is affected by the following invariants: ele-1
                                                  TypeCoding
                                                  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()))
                                                  185. Organization.identifier:KZV-Abrechnungsnummer.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
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  187. Organization.identifier:KZV-Abrechnungsnummer.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..*
                                                  This element is affected by the following invariants: ele-1
                                                  TypeExtension
                                                  Standard StatusNormative (from Trial Use)
                                                  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 Organization.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 189. Organization.identifier:KZV-Abrechnungsnummer.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
                                                    This element is affected by the following invariants: ele-1
                                                    Typeuri
                                                    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()))
                                                    191. Organization.identifier:KZV-Abrechnungsnummer.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..0
                                                    This element is affected by the following invariants: ele-1
                                                    Typestring
                                                    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()))
                                                    193. Organization.identifier:KZV-Abrechnungsnummer.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
                                                    Comments

                                                    Note that FHIR strings SHALL NOT exceed 1MB in size

                                                    Control1..1
                                                    This element is affected by the following invariants: ele-1
                                                    Typecode
                                                    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()))
                                                    195. Organization.identifier:KZV-Abrechnungsnummer.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
                                                    Comments

                                                    Note that FHIR strings SHALL NOT exceed 1MB in size

                                                    Control0..0
                                                    This element is affected by the following invariants: ele-1
                                                    Typestring
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    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()))
                                                    197. Organization.identifier:KZV-Abrechnungsnummer.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
                                                    This element is affected by the following invariants: ele-1
                                                    Typeboolean
                                                    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()))
                                                    199. Organization.identifier:KZV-Abrechnungsnummer.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..1
                                                    This element is affected by the following invariants: ele-1
                                                    Typestring
                                                    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()))
                                                    201. Organization.identifier:KZV-Abrechnungsnummer.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
                                                    This element is affected by the following invariants: ele-1
                                                    Typeuri
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    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/kzvabrechnungsnummer
                                                    ExampleGeneral: http://www.acme.com/identifiers/patient
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    203. Organization.identifier:KZV-Abrechnungsnummer.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
                                                    This element is affected by the following invariants: ele-1
                                                    Typestring
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    ExampleGeneral: 123456
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    kzva-1: Die KZVAbrechnungsnummer muss 9-stellig numerisch sein (matches('^[0-9]{9}$'))
                                                    205. Organization.identifier:KZV-Abrechnungsnummer.period
                                                    Definition

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

                                                    ShortTime period when id is/was valid for use
                                                    Comments

                                                    A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

                                                    Period is not used for a duration (a measure of elapsed time). See Duration.

                                                    Control0..1
                                                    This element is affected by the following invariants: ele-1
                                                    TypePeriod
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                                    207. Organization.identifier:KZV-Abrechnungsnummer.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..1
                                                    This element is affected by the following invariants: ele-1
                                                    TypeReference(Organization)
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                                                    209. Organization.identifier:KZV-Abrechnungsnummer.assigner.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
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    211. Organization.identifier:KZV-Abrechnungsnummer.assigner.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..*
                                                    This element is affected by the following invariants: ele-1
                                                    TypeExtension
                                                    Standard StatusNormative (from Trial Use)
                                                    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 Organization.identifier.assigner.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                    • value @ url
                                                    • 213. Organization.identifier:KZV-Abrechnungsnummer.assigner.reference
                                                      Definition

                                                      A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                                      ShortLiteral reference, Relative, internal or absolute URL
                                                      Comments

                                                      Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                                      Control0..1
                                                      This element is affected by the following invariants: ele-1, ref-1
                                                      Typestring
                                                      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()))
                                                      215. Organization.identifier:KZV-Abrechnungsnummer.assigner.type
                                                      Definition

                                                      The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                      The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                      ShortType the reference refers to (e.g. "Patient")
                                                      Comments

                                                      This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                      Control0..1
                                                      This element is affected by the following invariants: ele-1
                                                      BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                      (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                      Aa resource (or, for logical models, the URI of the logical model).

                                                      Typeuri
                                                      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()))
                                                      217. Organization.identifier:KZV-Abrechnungsnummer.assigner.identifier
                                                      Definition

                                                      An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                                      ShortLogical reference, when literal reference is not known
                                                      Comments

                                                      When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                      When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                      Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                      Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                      Control0..1
                                                      This element is affected by the following invariants: ele-1
                                                      TypeIdentifier
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      219. Organization.identifier:KZV-Abrechnungsnummer.assigner.identifier.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
                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                      221. Organization.identifier:KZV-Abrechnungsnummer.assigner.identifier.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..*
                                                      This element is affected by the following invariants: ele-1
                                                      TypeExtension
                                                      Standard StatusNormative (from Trial Use)
                                                      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 Organization.identifier.assigner.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ url
                                                      • 223. Organization.identifier:KZV-Abrechnungsnummer.assigner.identifier.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..1
                                                        This element is affected by the following invariants: ele-1
                                                        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()))
                                                        225. Organization.identifier:KZV-Abrechnungsnummer.assigner.identifier.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.

                                                        Control0..1
                                                        This element is affected by the following invariants: ele-1
                                                        BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                        (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

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

                                                        TypeCodeableConcept
                                                        Summarytrue
                                                        Requirements

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

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        227. Organization.identifier:KZV-Abrechnungsnummer.assigner.identifier.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
                                                        This element is affected by the following invariants: ele-1
                                                        Typeuri
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        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/arge-ik/iknr
                                                        ExampleGeneral: http://www.acme.com/identifiers/patient
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        229. Organization.identifier:KZV-Abrechnungsnummer.assigner.identifier.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
                                                        This element is affected by the following invariants: ele-1
                                                        Typestring
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        ExampleGeneral: 123456
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        231. Organization.identifier:KZV-Abrechnungsnummer.assigner.identifier.period
                                                        Definition

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

                                                        ShortTime period when id is/was valid for use
                                                        Comments

                                                        A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

                                                        Period is not used for a duration (a measure of elapsed time). See Duration.

                                                        Control0..1
                                                        This element is affected by the following invariants: ele-1
                                                        TypePeriod
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                                        233. Organization.identifier:KZV-Abrechnungsnummer.assigner.identifier.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..1
                                                        This element is affected by the following invariants: ele-1
                                                        TypeReference(Organization)
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                                                        235. Organization.identifier:KZV-Abrechnungsnummer.assigner.display
                                                        Definition

                                                        Plain text narrative that identifies the resource in addition to the resource reference.

                                                        ShortText alternative for the resource
                                                        Comments

                                                        This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                                        Control1..1
                                                        This element is affected by the following invariants: ele-1
                                                        Typestring
                                                        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()))
                                                        237. Organization.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 intended for computation
                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                        Control0..*
                                                        This element is affected by the following invariants: ele-1, org-1
                                                        TypeIdentifier(Identifier-Profil für die Telematik-ID)
                                                        Must Supporttrue
                                                        Summarytrue
                                                        Requirements

                                                        Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        239. Organization.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
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        241. Organization.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..*
                                                        This element is affected by the following invariants: ele-1
                                                        TypeExtension
                                                        Standard StatusNormative (from Trial Use)
                                                        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 Organization.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 243. Organization.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..1
                                                          This element is affected by the following invariants: ele-1
                                                          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()))
                                                          245. Organization.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
                                                          This element is affected by the following invariants: ele-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
                                                          Must Supporttrue
                                                          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()))
                                                          247. Organization.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
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          249. Organization.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..*
                                                          This element is affected by the following invariants: ele-1
                                                          TypeExtension
                                                          Standard StatusNormative (from Trial Use)
                                                          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 Organization.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 251. Organization.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..*
                                                            This element is affected by the following invariants: ele-1
                                                            TypeCoding
                                                            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()))
                                                            253. Organization.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
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            255. Organization.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..*
                                                            This element is affected by the following invariants: ele-1
                                                            TypeExtension
                                                            Standard StatusNormative (from Trial Use)
                                                            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 Organization.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                            • value @ url
                                                            • 257. Organization.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
                                                              This element is affected by the following invariants: ele-1
                                                              Typeuri
                                                              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()))
                                                              259. Organization.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..0
                                                              This element is affected by the following invariants: ele-1
                                                              Typestring
                                                              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()))
                                                              261. Organization.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
                                                              Comments

                                                              Note that FHIR strings SHALL NOT exceed 1MB in size

                                                              Control1..1
                                                              This element is affected by the following invariants: ele-1
                                                              Typecode
                                                              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()))
                                                              263. Organization.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
                                                              Comments

                                                              Note that FHIR strings SHALL NOT exceed 1MB in size

                                                              Control0..0
                                                              This element is affected by the following invariants: ele-1
                                                              Typestring
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              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()))
                                                              265. Organization.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
                                                              This element is affected by the following invariants: ele-1
                                                              Typeboolean
                                                              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()))
                                                              267. Organization.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
                                                              This element is affected by the following invariants: ele-1
                                                              Typestring
                                                              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()))
                                                              269. Organization.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
                                                              This element is affected by the following invariants: ele-1
                                                              Typeuri
                                                              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()))
                                                              271. Organization.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
                                                              This element is affected by the following invariants: ele-1
                                                              Typestring
                                                              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()))
                                                              273. Organization.identifier:Telematik-ID.period
                                                              Definition

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

                                                              ShortTime period when id is/was valid for use
                                                              Comments

                                                              A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

                                                              Period is not used for a duration (a measure of elapsed time). See Duration.

                                                              Control0..0
                                                              This element is affected by the following invariants: ele-1
                                                              TypePeriod
                                                              Summarytrue
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                                              275. Organization.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
                                                              This element is affected by the following invariants: ele-1
                                                              TypeReference(Organization)
                                                              Summarytrue
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                                                              277. Organization.active
                                                              Definition

                                                              Whether the organization's record is still in active use.

                                                              ShortWhether the organization's record is still in active use
                                                              Comments

                                                              This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used.

                                                              This element is labeled as a modifier because it may be used to mark that the resource was created in error.

                                                              Control0..0
                                                              This element is affected by the following invariants: ele-1
                                                              Typeboolean
                                                              Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Requirements

                                                              Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.

                                                              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()))
                                                              279. Organization.type
                                                              Definition

                                                              In diesem Element werden Angaben zum Typ der Einrichtung/Organisationseinheit gemacht. Diese werden als codierte Information und/oder als Freitext angegeben.

                                                              ShortKind of organization
                                                              Comments

                                                              Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes

                                                              When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.

                                                              We expect that some jurisdictions will profile this optionality to be a single cardinality.

                                                              Control0..*
                                                              This element is affected by the following invariants: ele-1
                                                              BindingFor example codes, see OrganizationType
                                                              (example to http://hl7.org/fhir/ValueSet/organization-type)

                                                              Used to categorize the organization.

                                                              TypeCodeableConcept
                                                              Summarytrue
                                                              Requirements

                                                              Need to be able to track the kind of organization that this is - different organization types have different uses.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              281. Organization.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
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              283. Organization.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..*
                                                              This element is affected by the following invariants: ele-1
                                                              TypeExtension
                                                              Standard StatusNormative (from Trial Use)
                                                              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 Organization.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • value @ url
                                                              • 285. Organization.type.coding
                                                                Definition

                                                                Hier wird der Status der Betriebsstätte angegeben.

                                                                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..1
                                                                This element is affected by the following invariants: ele-1
                                                                TypeCoding
                                                                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()))
                                                                SlicingThis element introduces a set of slices on Organization.type.coding. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                • value @ $this
                                                                • 287. Organization.type.coding:IHE-Code
                                                                  Slice NameIHE-Code
                                                                  Definition

                                                                  Hier wird der Typus der Einrichtung anhand eines Codes aus dem Codesystem IHE Deutschland e.V. angegeben.

                                                                  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..0
                                                                  This element is affected by the following invariants: ele-1
                                                                  BindingThe codes SHALL be taken from http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode
                                                                  (required to http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode)
                                                                  TypeCoding
                                                                  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()))
                                                                  296. Organization.type.coding:HL7-Fachschluesselgruppe
                                                                  Slice NameHL7-Fachschluesselgruppe
                                                                  Definition

                                                                  Hier wird die Fachrichtung/Fachabteilung anhand eines Codes aus dem Codesystem 'Fachabteilungsschlüssel' der HL7 Basis Deutschland angegeben.

                                                                  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..0
                                                                  This element is affected by the following invariants: ele-1
                                                                  BindingThe codes SHALL be taken from Fachabteilungsschlüssel ValueSet
                                                                  (required to http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel)
                                                                  TypeCoding
                                                                  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()))
                                                                  305. Organization.type.coding:HL7-Fachschluesselgruppe-erweitert
                                                                  Slice NameHL7-Fachschluesselgruppe-erweitert
                                                                  Definition

                                                                  Hier wird die Fachrichtung/Fachabteilung anhand eines Codes aus dem Codesystem "FachabteilungsschlüsselErweitert" der HL7 Basis Deutschland angegeben.

                                                                  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..0
                                                                  This element is affected by the following invariants: ele-1
                                                                  BindingThe codes SHALL be taken from FachabteilungsschluesselErweitert ValueSet
                                                                  (required to http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert)
                                                                  TypeCoding
                                                                  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()))
                                                                  314. Organization.type.coding:Betriebsstaettenstatus
                                                                  Slice NameBetriebsstaettenstatus
                                                                  Definition

                                                                  Hier wird ein Code aus einem geeigneten Code-System angegeben.

                                                                  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..1
                                                                  This element is affected by the following invariants: ele-1
                                                                  BindingThe codes SHALL be taken from KBV_VS_WEST_BDT_Betriebsstaettenstatus (1.0.0-kommentierung)
                                                                  (required to https://fhir.kbv.de/ValueSet/KBV_VS_WEST_BDT_Betriebsstaettenstatus|1.0.0-kommentierung)
                                                                  TypeCoding
                                                                  Must Supporttrue
                                                                  Summarytrue
                                                                  Requirements

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

                                                                  Pattern Value{
                                                                    "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_WEST_BDT_Betriebsstaettenstatus"
                                                                  }
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  316. Organization.type.coding:Betriebsstaettenstatus.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
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  318. Organization.type.coding:Betriebsstaettenstatus.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..*
                                                                  This element is affected by the following invariants: ele-1
                                                                  TypeExtension
                                                                  Standard StatusNormative (from Trial Use)
                                                                  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 Organization.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                  • value @ url
                                                                  • 320. Organization.type.coding:Betriebsstaettenstatus.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
                                                                    This element is affected by the following invariants: ele-1
                                                                    Typeuri
                                                                    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.

                                                                    Fixed Valuehttps://fhir.kbv.de/CodeSystem/KBV_CS_WEST_BDT_Betriebsstaettenstatus
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    322. Organization.type.coding:Betriebsstaettenstatus.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)
                                                                    Control1..1
                                                                    This element is affected by the following invariants: ele-1
                                                                    Typestring
                                                                    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()))
                                                                    324. Organization.type.coding:Betriebsstaettenstatus.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
                                                                    Comments

                                                                    Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                    Control1..1
                                                                    This element is affected by the following invariants: ele-1
                                                                    Typecode
                                                                    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()))
                                                                    326. Organization.type.coding:Betriebsstaettenstatus.display
                                                                    Definition

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

                                                                    ShortRepresentation defined by the system
                                                                    Comments

                                                                    Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                    Control1..1
                                                                    This element is affected by the following invariants: ele-1
                                                                    Typestring
                                                                    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()))
                                                                    328. Organization.type.coding:Betriebsstaettenstatus.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..1
                                                                    This element is affected by the following invariants: ele-1
                                                                    Typeboolean
                                                                    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()))
                                                                    330. Organization.type.text
                                                                    Definition

                                                                    Hier wird ein Freitext eingetragen.

                                                                    ShortPlain text representation of the concept
                                                                    Comments

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

                                                                    Control0..1
                                                                    This element is affected by the following invariants: ele-1
                                                                    Typestring
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Must Supporttrue
                                                                    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()))
                                                                    332. Organization.name
                                                                    Definition

                                                                    Menschenlesbarer Name der Betriebsstätte, z.B.: "Gemeinschaftspraxis Dr. Soundso"

                                                                    ShortName der Betriebsstätte
                                                                    Comments

                                                                    If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.

                                                                    Control1..1
                                                                    This element is affected by the following invariants: ele-1, org-1
                                                                    Typestring
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Must Supporttrue
                                                                    Summarytrue
                                                                    Requirements

                                                                    Need to use the name as the label of the organization.

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

                                                                    A list of alternate names that the organization is known as, or was known as in the past.

                                                                    ShortA list of alternate names that the organization is known as, or was known as in the past
                                                                    Comments

                                                                    There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization.

                                                                    Control0..0
                                                                    This element is affected by the following invariants: ele-1
                                                                    Typestring
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Requirements

                                                                    Over time locations and organizations go through many changes and can be known by different names.

                                                                    For searching knowing previous names that the organization was known by can be very useful.

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

                                                                    Dieses Element beschreibt die vorhandenen Kontaktmöglichkeiten.

                                                                    ShortDetails of a Technology mediated contact point (phone, fax, email, etc.)
                                                                    Comments

                                                                    The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself.

                                                                    Control0..*
                                                                    This element is affected by the following invariants: ele-1, org-3
                                                                    TypeContactPoint(KBV_PR_Base_Datatype_Contactpoint)
                                                                    Must Supporttrue
                                                                    Requirements

                                                                    Human contact for the organization.

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                                                                    org-3: The telecom of an organization can never be of use 'home' (where(use = 'home').empty())
                                                                    338. Organization.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
                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                    340. Organization.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..*
                                                                    This element is affected by the following invariants: ele-1
                                                                    TypeExtension
                                                                    Standard StatusNormative (from Trial Use)
                                                                    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 Organization.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                    • value @ url
                                                                    • 342. Organization.telecom.system
                                                                      Definition

                                                                      Telekommunikationsform für die Kontaktstelle - Kommunikationssystem, welches erforderlich ist, um den Kontakt zu nutzen.

                                                                      Shortphone | fax | email | pager | url | sms | other
                                                                      Comments

                                                                      Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                      Control1..1
                                                                      This element is affected by the following invariants: ele-1, 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
                                                                      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()))
                                                                      344. Organization.telecom.value
                                                                      Definition

                                                                      In diesem Element werden Kontaktinformationen passend zum Kontaktkanal angegeben. 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
                                                                      This element is affected by the following invariants: ele-1
                                                                      Typestring
                                                                      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()))
                                                                      346. Organization.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..1
                                                                      This element is affected by the following invariants: ele-1
                                                                      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()))
                                                                      348. Organization.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..1
                                                                      This element is affected by the following invariants: ele-1
                                                                      TypepositiveInt
                                                                      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()))
                                                                      350. Organization.telecom.period
                                                                      Definition

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

                                                                      ShortTime period when the contact point was/is in use
                                                                      Comments

                                                                      A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

                                                                      Period is not used for a duration (a measure of elapsed time). See Duration.

                                                                      Control0..0
                                                                      This element is affected by the following invariants: ele-1
                                                                      TypePeriod
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                                                      352. Organization.address
                                                                      Definition

                                                                      In dieses Feld wird die Anschrift eingetragen.

                                                                      ShortEine Adresse gemäß postalischer Konventionen
                                                                      Comments

                                                                      Organization may have multiple addresses with different uses or applicable periods. The use code 'home' is not to be used.

                                                                      Control1..*
                                                                      This element is affected by the following invariants: ele-1, org-2
                                                                      TypeAddress
                                                                      Must Supporttrue
                                                                      Requirements

                                                                      May need to keep track of the organization's addresses for contacting, billing or reporting requirements.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      org-2: An address of an organization can never be of use 'home' (where(use = 'home').empty())
                                                                      SlicingThis element introduces a set of slices on Organization.address. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • value @ type
                                                                      • 354. Organization.address:Strassenanschrift
                                                                        Slice NameStrassenanschrift
                                                                        Definition

                                                                        In dieses Element wird die Anschrift eingetragen.

                                                                        ShortEine Straßenadresse gemäß postalischer Konventionen
                                                                        Comments

                                                                        Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                                                        Control0..1
                                                                        This element is affected by the following invariants: ele-1, org-2
                                                                        TypeAddress(KBV_PR_Base_Datatype_Street_Address)
                                                                        Must Supporttrue
                                                                        Requirements

                                                                        May need to keep track of the organization's addresses for contacting, billing or reporting requirements.

                                                                        ExampleBeispiel für einfache Adresse: { "use" : "home", "type" : "postal", "line" : ["Musterweg 42"], "city" : "Musterhausen", "postalCode" : "99999" }
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        org-2: An address of an organization can never be of use 'home' (where(use = 'home').empty())
                                                                        add-1: Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue()))
                                                                        add-2: Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue()))
                                                                        add-3: Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()))
                                                                        add-4: Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein. (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty())
                                                                        add-5: Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue()))
                                                                        add-6: Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty())))
                                                                        add-7: Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein. (extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or all(line contains extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').value.ofType(string)))
                                                                        356. Organization.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
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        358. Organization.address:Strassenanschrift.extension
                                                                        Definition

                                                                        An Extension

                                                                        ShortExtension
                                                                        Control0..*
                                                                        This element is affected by the following invariants: ele-1
                                                                        TypeExtension
                                                                        Must Supporttrue
                                                                        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 Organization.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                        • value @ url
                                                                        • 360. Organization.address:Strassenanschrift.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)
                                                                          Must Supporttrue
                                                                          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())
                                                                          362. Organization.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..1
                                                                          This element is affected by the following invariants: ele-1
                                                                          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()))
                                                                          364. Organization.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
                                                                          This element is affected by the following invariants: ele-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
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Pattern Valueboth
                                                                          ExampleGeneral: both
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          366. Organization.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..1
                                                                          This element is affected by the following invariants: ele-1
                                                                          Typestring
                                                                          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()))
                                                                          368. Organization.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
                                                                          Comments

                                                                          Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                          Control0..3
                                                                          This element is affected by the following invariants: ele-1
                                                                          Typestring
                                                                          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()))
                                                                          370. Organization.address:Strassenanschrift.line.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
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          372. Organization.address:Strassenanschrift.line.extension
                                                                          Definition

                                                                          An Extension

                                                                          ShortExtension
                                                                          Control0..*
                                                                          This element is affected by the following invariants: ele-1
                                                                          TypeExtension
                                                                          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 Organization.address.line.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                          • value @ url
                                                                          • 374. Organization.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)
                                                                            Must Supporttrue
                                                                            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())
                                                                            376. Organization.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)
                                                                            Must Supporttrue
                                                                            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())
                                                                            378. Organization.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)
                                                                            Must Supporttrue
                                                                            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())
                                                                            380. Organization.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)
                                                                            Standard StatusNormative (from Trial Use)
                                                                            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())
                                                                            382. Organization.address:Strassenanschrift.line.value
                                                                            Definition

                                                                            Primitive value for string

                                                                            ShortPrimitive value for string
                                                                            Control0..1
                                                                            Typestring
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Max Length:1048576
                                                                            384. Organization.address:Strassenanschrift.city
                                                                            Definition

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

                                                                            ShortName of city, town etc.
                                                                            Comments

                                                                            Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                            Control0..1
                                                                            This element is affected by the following invariants: ele-1
                                                                            Typestring
                                                                            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()))
                                                                            386. Organization.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
                                                                            This element is affected by the following invariants: ele-1
                                                                            Typestring
                                                                            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()))
                                                                            388. Organization.address:Strassenanschrift.state
                                                                            Definition

                                                                            Name (oder Kürzel) des Bundeslandes.

                                                                            ShortBundesland
                                                                            Comments

                                                                            Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                            Control0..1
                                                                            This element is affected by the following invariants: ele-1
                                                                            BindingThe codes SHOULD be taken from ISO-3166-2:de-Laendercodes
                                                                            (preferred to http://fhir.de/ValueSet/iso/bundeslaender)
                                                                            Typestring
                                                                            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()))
                                                                            390. Organization.address:Strassenanschrift.postalCode
                                                                            Definition

                                                                            Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen

                                                                            ShortPostleitzahl
                                                                            Comments

                                                                            Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                            Control0..1
                                                                            This element is affected by the following invariants: ele-1
                                                                            Typestring
                                                                            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()))
                                                                            392. Organization.address:Strassenanschrift.country
                                                                            Definition

                                                                            Nach DEÜV Anlage8

                                                                            ShortStaat
                                                                            Comments

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

                                                                            Control0..1
                                                                            This element is affected by the following invariants: ele-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
                                                                            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()))
                                                                            394. Organization.address:Strassenanschrift.period
                                                                            Definition

                                                                            Time period when address was/is in use.

                                                                            ShortTime period when address was/is in use
                                                                            Comments

                                                                            A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

                                                                            Period is not used for a duration (a measure of elapsed time). See Duration.

                                                                            Control0..1
                                                                            This element is affected by the following invariants: ele-1
                                                                            TypePeriod
                                                                            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()))
                                                                            per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                                                            396. Organization.address:Postfach
                                                                            Slice NamePostfach
                                                                            Definition

                                                                            Hier werden Angaben zu einem Postfach gemacht.

                                                                            ShortHier können Angaben zu einem Postfach gemacht werden.
                                                                            Comments

                                                                            Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                                                            Control0..1
                                                                            This element is affected by the following invariants: ele-1, org-2
                                                                            TypeAddress(KBV_PR_Base_Datatype_Post_Office_Box)
                                                                            Must Supporttrue
                                                                            Requirements

                                                                            May need to keep track of the organization's addresses for contacting, billing or reporting requirements.

                                                                            ExampleBeispiel für einfache Adresse: { "use" : "home", "type" : "postal", "line" : ["Musterweg 42"], "city" : "Musterhausen", "postalCode" : "99999" }
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            org-2: An address of an organization can never be of use 'home' (where(use = 'home').empty())
                                                                            add-1: Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue()))
                                                                            add-2: Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue()))
                                                                            add-3: Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()))
                                                                            add-4: Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein. (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty())
                                                                            add-5: Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue()))
                                                                            add-6: Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden (line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty())))
                                                                            add-7: Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein. (extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or all(line contains extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').value.ofType(string)))
                                                                            postBox-de-1: Die Extension 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox' darf nur einmal vorkommen. (line.where($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').exists()).count()=1)
                                                                            398. Organization.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
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            400. Organization.address:Postfach.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..*
                                                                            This element is affected by the following invariants: ele-1
                                                                            TypeExtension
                                                                            Standard StatusNormative (from Trial Use)
                                                                            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 Organization.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 402. Organization.address:Postfach.extension:Stadtteil
                                                                              Slice NameStadtteil
                                                                              Definition

                                                                              A subsection of a municipality.

                                                                              ShortStadt- oder Ortsteil
                                                                              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
                                                                              This element is affected by the following invariants: ele-1
                                                                              TypeExtension(ADXP Precinct) (Extension Type: string)
                                                                              Standard StatusNormative (from Trial Use)
                                                                              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())
                                                                              404. Organization.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..1
                                                                              This element is affected by the following invariants: ele-1
                                                                              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()))
                                                                              406. Organization.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
                                                                              This element is affected by the following invariants: ele-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
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Pattern Valuepostal
                                                                              ExampleGeneral: both
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              408. Organization.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..1
                                                                              This element is affected by the following invariants: ele-1
                                                                              Typestring
                                                                              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()))
                                                                              410. Organization.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
                                                                              Comments

                                                                              Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                              Control0..3
                                                                              This element is affected by the following invariants: ele-1
                                                                              Typestring
                                                                              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()))
                                                                              412. Organization.address:Postfach.line.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
                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                              414. Organization.address:Postfach.line.extension
                                                                              Definition

                                                                              An Extension

                                                                              ShortExtension
                                                                              Control0..*
                                                                              This element is affected by the following invariants: ele-1
                                                                              TypeExtension
                                                                              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 Organization.address.line.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                              • value @ url
                                                                              • 416. Organization.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)
                                                                                Standard StatusNormative (from Trial Use)
                                                                                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())
                                                                                418. Organization.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)
                                                                                Standard StatusNormative (from Trial Use)
                                                                                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())
                                                                                420. Organization.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)
                                                                                Standard StatusNormative (from Trial Use)
                                                                                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())
                                                                                422. Organization.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)
                                                                                Must Supporttrue
                                                                                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())
                                                                                424. Organization.address:Postfach.line.value
                                                                                Definition

                                                                                Primitive value for string

                                                                                ShortPrimitive value for string
                                                                                Control0..1
                                                                                Typestring
                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                Max Length:1048576
                                                                                426. Organization.address:Postfach.city
                                                                                Definition

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

                                                                                ShortName of city, town etc.
                                                                                Comments

                                                                                Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                                Control0..1
                                                                                This element is affected by the following invariants: ele-1
                                                                                Typestring
                                                                                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()))
                                                                                428. Organization.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
                                                                                This element is affected by the following invariants: ele-1
                                                                                Typestring
                                                                                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()))
                                                                                430. Organization.address:Postfach.state
                                                                                Definition

                                                                                Name (oder Kürzel) des Bundeslandes.

                                                                                ShortBundesland
                                                                                Comments

                                                                                Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                                Control0..1
                                                                                This element is affected by the following invariants: ele-1
                                                                                BindingThe codes SHOULD be taken from ISO-3166-2:de-Laendercodes
                                                                                (preferred to http://fhir.de/ValueSet/iso/bundeslaender)
                                                                                Typestring
                                                                                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()))
                                                                                432. Organization.address:Postfach.postalCode
                                                                                Definition

                                                                                Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen

                                                                                ShortPostleitzahl
                                                                                Comments

                                                                                Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                                Control0..1
                                                                                This element is affected by the following invariants: ele-1
                                                                                Typestring
                                                                                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()))
                                                                                434. Organization.address:Postfach.country
                                                                                Definition

                                                                                Nach DEÜV Anlage8

                                                                                ShortStaat
                                                                                Comments

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

                                                                                Control0..1
                                                                                This element is affected by the following invariants: ele-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
                                                                                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()))
                                                                                436. Organization.address:Postfach.period
                                                                                Definition

                                                                                Time period when address was/is in use.

                                                                                ShortTime period when address was/is in use
                                                                                Comments

                                                                                A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

                                                                                Period is not used for a duration (a measure of elapsed time). See Duration.

                                                                                Control0..1
                                                                                This element is affected by the following invariants: ele-1
                                                                                TypePeriod
                                                                                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()))
                                                                                per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                                                                438. Organization.partOf
                                                                                Definition

                                                                                Hier wird die übergeordnete Einrichtung/Organisationseinheit referenziert, z.B. wenn es sich bei der hier betrachteten Einrichtung/Organisationseinheit um die Fachabteilung oder die Station eines Krankenhauses handelt.

                                                                                ShortThe organization of which this organization forms a part
                                                                                Comments

                                                                                References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

                                                                                Control0..0
                                                                                This element is affected by the following invariants: ele-1
                                                                                TypeReference(Organization)
                                                                                Summarytrue
                                                                                Requirements

                                                                                Need to be able to track the hierarchy of organizations within an organization.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                                                                                440. Organization.contact
                                                                                Definition

                                                                                Dieses Element beschreibt die vorhandenen Kontaktmöglichkeiten für einen spezifischen Kontakt innerhalb der Organisation.

                                                                                ShortContact for the organization for a certain purpose
                                                                                Comments

                                                                                Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use.

                                                                                Control0..0
                                                                                This element is affected by the following invariants: ele-1
                                                                                TypeBackboneElement
                                                                                Requirements

                                                                                Need to keep track of assigned contact points within bigger organization.

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

                                                                                Technical endpoints providing access to services operated for the organization.

                                                                                ShortTechnical endpoints providing access to services operated for the organization
                                                                                Comments

                                                                                References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

                                                                                Control0..0
                                                                                This element is affected by the following invariants: ele-1
                                                                                TypeReference(Endpoint)
                                                                                Requirements

                                                                                Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))