Arbeitsgruppe WeST
Version 1.0.0-kommentierung - ci-build

Resource Profile: KBV_PR_WEST_Patient - Detailed Descriptions

Draft as of 2026-06-01

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

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

0. Patient
Definition

Diese Ressource bietet die Möglichkeit Informationen zu einer versicherten Person abzubilden.


Demographics and other administrative information about an individual or animal receiving care or other health-related services.

ShortInformation about an individual or animal receiving health care services
Control0..*
Alternate NamesSubjectOfCare Client Resident
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())
pat-de-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist (gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists())
photo-nand-data-url: Es darf für das Photo nur entweder das data oder url Element gefüllt sein. ((photo.url.exists() and photo.data.exists().not()) or (photo.data.exists() and photo.url.exists().not()))
2. Patient.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. Patient.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. Patient.meta.versionId
Definition

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

ShortVersion specific identifier
Comments

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

Control0..01
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
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Patient.meta.lastUpdated
Definition

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

ShortWhen the resource version last changed
Comments

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

Control0..01
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
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Patient.meta.source
Definition

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


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

ShortIdentifies where the resource comes from
Comments

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

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

Control0..01
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()))
12. Patient.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..*
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
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 Patient.meta.profile. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ $this
  • 14. Patient.meta.profile:mioProfile
    Slice NamemioProfile
    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_Patient|1.0.0-kommentierung
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Patient.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()))
    18. Patient.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()))
    20. Patient.extension:klinisches-Geschlecht
    Slice Nameklinisches-Geschlecht
    Definition

    A parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc..

    ShortA context-specific sex parameter for clinical use
    Control0..0
    This element is affected by the following invariants: ele-1
    TypeExtension(Patient Sex Parameter For Clinical Use) (Complex Extension)
    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. Patient.extension:aktuelle_Taetigkeit
    Slice Nameaktuelle_Taetigkeit
    Definition

    Angabe zur aktuellen Tätigkeit. Sollten mehrere Tätigkeiten und Arbeitgeber vorhanden sein, so sollen die Felder synchronisiert werden. Arbeitgeber[0] passt zu Tätigkeit[0] (Arbeitgeber[1] zu Tätigkeit[1];....).

    ShortAkutelle Tätigkeit
    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(KBV_EX_WEST_Patient_Aktuelle_Taetigkeit) (Complex Extension)
    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())
    24. Patient.extension:aktuelle_Taetigkeit.extension:aktuelle_Taetigkeit
    Slice Nameaktuelle_Taetigkeit
    Definition

    An Extension

    ShortExtensionAdditional content defined by implementations
    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())
    26. Patient.extension:aktuelle_Taetigkeit.extension:aktuelle_Taetigkeit.extension
    Definition

    An Extension


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

    ShortExtensionAdditional content defined by implementations
    Comments

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

    Control0..0*
    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 Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 28. Patient.extension:aktuelle_Taetigkeit.extension:aktuelle_Taetigkeit.url
      Definition

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

      Shortidentifies the meaning of the extension
      Comments

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

      Control1..1
      Typeuri
      XML FormatIn the XML format, this property is represented as an attribute.
      Fixed Valueaktuelle_Taetigkeit
      30. Patient.extension:aktuelle_Taetigkeit.extension:aktuelle_Taetigkeit.value[x]
      Definition

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

      ShortValue of extension
      Control10..1
      This element is affected by the following invariants: ele-1
      Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      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()))
      SlicingThis element introduces a set of slices on Patient.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
      • type @ $this
      • 32. Patient.extension:aktuelle_Taetigkeit.extension:aktuelle_Taetigkeit.value[x]:valueString
        Slice NamevalueString
        Definition

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

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

        An Extension

        ShortExtensionAdditional content defined by implementations
        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())
        36. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.extension
        Definition

        An Extension


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

        ShortExtensionAdditional content defined by implementations
        Comments

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

        Control0..0*
        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 Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 38. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.url
          Definition

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

          Shortidentifies the meaning of the extension
          Comments

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

          Control1..1
          Typeuri
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed Valuearbeitgeber
          40. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]
          Definition

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

          ShortValue of extension
          Control10..1
          This element is affected by the following invariants: ele-1
          TypeReference, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          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 Patient.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
          • type @ $this
          • 42. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]:valueReference
            Slice NamevalueReference
            Definition

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

            ShortValue of extension
            Control10..1
            This element is affected by the following invariants: ele-1
            TypeReference(Organization), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Must Supporttrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            44. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]:valueReference.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
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            46. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]:valueReference.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..01
            This element is affected by the following invariants: ele-1
            BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
            (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

            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()))
            48. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]:valueReference.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..01
            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()))
            50. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]:valueReference.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.

            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
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            52. Patient.extension:aktuelle_Taetigkeit.extension:beschaeftigt_seit
            Slice Namebeschaeftigt_seit
            Definition

            An Extension

            ShortExtensionAdditional content defined by implementations
            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())
            54. Patient.extension:aktuelle_Taetigkeit.extension:beschaeftigt_seit.extension
            Definition

            An Extension


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

            ShortExtensionAdditional content defined by implementations
            Comments

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

            Control0..0*
            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 Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 56. Patient.extension:aktuelle_Taetigkeit.extension:beschaeftigt_seit.url
              Definition

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

              Shortidentifies the meaning of the extension
              Comments

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

              Control1..1
              Typeuri
              XML FormatIn the XML format, this property is represented as an attribute.
              Fixed Valuebeschaeftigt_seit
              58. Patient.extension:aktuelle_Taetigkeit.extension:beschaeftigt_seit.value[x]
              Definition

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

              ShortValue of extension
              Control10..1
              This element is affected by the following invariants: ele-1
              TypedateTime, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              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()))
              SlicingThis element introduces a set of slices on Patient.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
              • type @ $this
              • 60. Patient.extension:aktuelle_Taetigkeit.extension:beschaeftigt_seit.value[x]:valueDateTime
                Slice NamevalueDateTime
                Definition

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

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

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

                Shortidentifies the meaning of the extension
                Comments

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

                Control1..1
                Typeuri
                XML FormatIn the XML format, this property is represented as an attribute.
                Fixed Valuehttps://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Patient_Aktuelle_Taetigkeit
                64. Patient.extension:aktuelle_Taetigkeit.value[x]
                Definition

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

                ShortValue of extension
                Control0..01
                This element is affected by the following invariants: ele-1
                TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                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()))
                66. Patient.extension:staatsangehoerigkeit
                Slice Namestaatsangehoerigkeit
                Definition

                Zur Dokumentation der Staatsangehörigkeit ist dieses Feld vorgesehen.

                ShortStaatsangehörigkeit
                Control0..*
                This element is affected by the following invariants: ele-1
                TypeExtension(Patient Citizenship) (Complex Extension)
                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())
                68. Patient.extension:staatsangehoerigkeit.extension:code
                Slice Namecode
                Definition

                An Extension

                ShortExtensionAdditional content defined by implementations
                Control0..1*
                This element is affected by the following invariants: ele-1
                TypeExtension
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                70. Patient.extension:staatsangehoerigkeit.extension:code.extension
                Definition

                An Extension


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

                ShortExtensionAdditional content defined by implementations
                Comments

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

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

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

                  Shortidentifies the meaning of the extension
                  Comments

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

                  Control1..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  Fixed Valuecode
                  74. Patient.extension:staatsangehoerigkeit.extension:code.value[x]
                  Definition

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

                  ShortValue of extension
                  Control10..1
                  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)
                  TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  76. Patient.extension:staatsangehoerigkeit.extension:code.value[x].coding
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortCode defined by a terminology system
                  Comments

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

                  Control0..*
                  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()))
                  78. Patient.extension:staatsangehoerigkeit.extension:code.value[x].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.

                  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
                  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()))
                  80. Patient.extension:staatsangehoerigkeit.extension:code.value[x].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

                  Control0..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()))
                  82. Patient.extension:staatsangehoerigkeit.extension:code.value[x].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..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()))
                  84. Patient.extension:staatsangehoerigkeit.extension:code.value[x].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()))
                  86. Patient.extension:staatsangehoerigkeit.extension:code.value[x].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()))
                  88. Patient.extension:staatsangehoerigkeit.extension:period
                  Slice Nameperiod
                  Definition

                  An Extension

                  ShortExtensionAdditional content defined by implementations
                  Control0..0*
                  This element is affected by the following invariants: ele-1
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  93. Patient.extension:staatsangehoerigkeit.url
                  Definition

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

                  Shortidentifies the meaning of the extension
                  Comments

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

                  Control1..1
                  Typeuri
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  Fixed Valuehttp://hl7.org/fhir/StructureDefinition/patient-citizenship
                  95. Patient.extension:staatsangehoerigkeit.value[x]
                  Definition

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

                  ShortValue of extension
                  Control0..01
                  This element is affected by the following invariants: ele-1
                  TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  97. Patient.extension:versichertendaten_Zusatzinformationen
                  Slice Nameversichertendaten_Zusatzinformationen
                  Definition

                  Dieses Element beschreibt Informationen, welche von der Versicherung unverändert (amtliche Daten), bspw. von einer KVK/eGK/Versicherungsschein, übernommen wurden.

                  ShortVersichertendaten
                  Control0..1
                  This element is affected by the following invariants: ele-1
                  TypeExtension(KBV_EX_WEST_Patient_Vsdm_Zusatzinformationen) (Complex Extension)
                  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())
                  99. Patient.extension:versichertendaten_Zusatzinformationen.extension:name
                  Slice Namename
                  Definition

                  An Extension

                  ShortExtensionAdditional content defined by implementations
                  Control0..1*
                  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())
                  101. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.extension
                  Definition

                  An Extension


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

                  ShortExtensionAdditional content defined by implementations
                  Comments

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

                  Control0..0*
                  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 Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 103. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.url
                    Definition

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

                    Shortidentifies the meaning of the extension
                    Comments

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

                    Control1..1
                    Typeuri
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Fixed Valuename
                    105. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]
                    Definition

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

                    ShortValue of extension
                    Control10..1
                    This element is affected by the following invariants: ele-1
                    TypeHumanName, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    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 Patient.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                    • type @ $this
                    • 107. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName
                      Slice NamevalueHumanName
                      Definition

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

                      ShortValue of extension
                      Control10..1
                      This element is affected by the following invariants: ele-1
                      TypeHumanName(KBV_PR_Base_Datatype_Name), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      Must Supporttrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      109. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.use
                      Definition

                      Identifies the purpose for this name.

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

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

                      Control10..1
                      This element is affected by the following invariants: ele-1
                      BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
                      (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                      The use of a human name.

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

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

                      Pattern Valueofficial
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      111. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.text
                      Definition

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


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

                      ShortVollständiger NameText representation of the full name
                      Comments

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

                      Control0..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

                      A renderable, unencoded form.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      113. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.family
                      Definition

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


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

                      ShortFamiliennameFamily name (often called 'Surname')
                      Comments

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

                      Control10..1
                      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 Namessurname
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      115. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.family.extension:namenszusatz
                      Slice Namenamenszusatz
                      Definition

                      Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst

                      ShortNamenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
                      Comments

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

                      Control0..1
                      This element is affected by the following invariants: ele-1
                      TypeExtension(Extension zur Erfassung der VSDM Namensbestandteile) (Extension Type: string)
                      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())
                      117. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.family.extension:nachname
                      Slice Namenachname
                      Definition

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

                      ShortPortion derived from person's own surname
                      Comments

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

                      Control0..1
                      This element is affected by the following invariants: ele-1
                      TypeExtension(Own 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())
                      119. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.family.extension:vorsatzwort
                      Slice Namevorsatzwort
                      Definition

                      The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse.

                      ShortVoorvoegsel derived from person's own surname
                      Comments

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

                      Control0..1
                      This element is affected by the following invariants: ele-1
                      TypeExtension(Own Prefix) (Extension Type: string)
                      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())
                      121. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.given
                      Definition

                      Vorname der Person


                      Given name.

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

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

                      Control0..1*
                      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 Namesfirst name, middle name
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      123. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.prefix
                      Definition

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


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

                      ShortNamensteile vor dem VornamenParts that come before the name
                      Comments

                      Note that FHIR strings SHALL NOT exceed 1MB in size

                      Control0..*
                      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()))
                      125. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.prefix.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.

                      Control10..*
                      This element is affected by the following invariants: ele-1
                      TypeExtension
                      Standard StatusNormative (from Normative)
                      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 Patient.extension.extension.value[x].prefix.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 127. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.prefix.extension:prefix-qualifier
                        Slice Nameprefix-qualifier
                        Definition

                        Spezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel

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

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

                        Control1..1
                        This element is affected by the following invariants: ele-1
                        TypeExtension(EN Qualifier) (Extension Type: code)
                        Is Modifierfalse
                        Standard StatusNormative (from Normative)
                        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())
                        129. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.prefix.extension:prefix-qualifier.extension
                        Definition

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

                        ShortAdditional content defined by implementations
                        Comments

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

                        Control0..0*
                        This element is affected by the following invariants: ele-1
                        TypeExtension
                        Standard StatusNormative (from Normative)
                        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 Patient.extension.extension.value[x].prefix.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 131. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.prefix.extension:prefix-qualifier.url
                          Definition

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

                          Shortidentifies the meaning of the extension
                          Comments

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

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

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

                          ShortValue of extension
                          Control10..1
                          This element is affected by the following invariants: ele-1
                          BindingThe codes SHALL be taken from For codes, see EntityNamePartQualifier
                          (required to http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1)

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

                          Typecode, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Standard StatusNormative (from Normative)
                          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 Patient.extension.extension.value[x].prefix.extension.value[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • type @ $this
                          • 135. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.prefix.extension:prefix-qualifier.value[x]:valueCode
                            Slice NamevalueCode
                            Definition

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

                            ShortValue of extension
                            Control10..1
                            This element is affected by the following invariants: ele-1
                            BindingThe codes SHALL be taken from For codes, see EntityNamePartQualifier
                            (required to http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1)

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

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

                            Namensteile nach dem Nachnamen


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

                            ShortNamensteile nach dem NachnamenParts that come after the name
                            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
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            139. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.period
                            Definition

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

                            ShortTime period when name 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
                            Requirements

                            Allows names to be placed in historical context.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            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))
                            141. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht
                            Slice Namegeschlecht
                            Definition

                            An Extension

                            ShortExtensionAdditional content defined by implementations
                            Control0..1*
                            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())
                            143. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.extension
                            Definition

                            An Extension


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

                            ShortExtensionAdditional content defined by implementations
                            Comments

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

                            Control0..0*
                            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 Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 145. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.url
                              Definition

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

                              Shortidentifies the meaning of the extension
                              Comments

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

                              Control1..1
                              Typeuri
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Fixed Valuegeschlecht
                              147. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]
                              Definition

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

                              ShortValue of extension
                              Control10..1
                              This element is affected by the following invariants: ele-1
                              TypeCoding, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              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 Patient.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                              • type @ $this
                              • 149. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]:valueCoding
                                Slice NamevalueCoding
                                Definition

                                Der Code Other darf nicht genutzt werden. Es stehen dafür die deutschen Alternativen zur Verfügung.


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

                                ShortValue of extension
                                Control10..1
                                This element is affected by the following invariants: ele-1
                                BindingThe codes SHALL be taken from For codes, see KBV_VS_WEST_Patient_VSDM_Gender
                                (required to https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Patient_VSDM_Gender)
                                TypeCoding, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                Must Supporttrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                151. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]:valueCoding.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()))
                                153. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]:valueCoding.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()))
                                155. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]:valueCoding.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()))
                                157. Patient.extension:versichertendaten_Zusatzinformationen.extension:geburtsdatum
                                Slice Namegeburtsdatum
                                Definition

                                An Extension

                                ShortExtensionAdditional content defined by implementations
                                Control0..1*
                                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())
                                159. Patient.extension:versichertendaten_Zusatzinformationen.extension:geburtsdatum.extension
                                Definition

                                An Extension


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

                                ShortExtensionAdditional content defined by implementations
                                Comments

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

                                Control0..0*
                                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 Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 161. Patient.extension:versichertendaten_Zusatzinformationen.extension:geburtsdatum.url
                                  Definition

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

                                  Shortidentifies the meaning of the extension
                                  Comments

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

                                  Control1..1
                                  Typeuri
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Fixed Valuegeburtsdatum
                                  163. Patient.extension:versichertendaten_Zusatzinformationen.extension:geburtsdatum.value[x]
                                  Definition

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

                                  ShortValue of extension
                                  Control10..1
                                  This element is affected by the following invariants: ele-1
                                  Typedate, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                  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()))
                                  SlicingThis element introduces a set of slices on Patient.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                  • type @ $this
                                  • 165. Patient.extension:versichertendaten_Zusatzinformationen.extension:geburtsdatum.value[x]:valueDate
                                    Slice NamevalueDate
                                    Definition

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

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

                                    An Extension

                                    ShortExtensionAdditional content defined by implementations
                                    Control0..1*
                                    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())
                                    169. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Strassenadresse.extension
                                    Definition

                                    An Extension


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

                                    ShortExtensionAdditional content defined by implementations
                                    Comments

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

                                    Control0..0*
                                    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 Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 171. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Strassenadresse.url
                                      Definition

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

                                      Shortidentifies the meaning of the extension
                                      Comments

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

                                      Control1..1
                                      Typeuri
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Fixed Valueadresse-Strassenadresse
                                      173. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Strassenadresse.value[x]
                                      Definition

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

                                      ShortValue of extension
                                      Control10..1
                                      This element is affected by the following invariants: ele-1
                                      TypeAddress, date, Meta, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                      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 Patient.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                      • type @ $this
                                      • 175. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Strassenadresse.value[x]:valueAddress
                                        Slice NamevalueAddress
                                        Definition

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

                                        ShortValue of extension
                                        Control10..1
                                        This element is affected by the following invariants: ele-1
                                        TypeAddress(KBV_PR_Base_Datatype_Street_Address), date, Meta, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                        Must Supporttrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        177. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Postfach
                                        Slice Nameadresse-Postfach
                                        Definition

                                        An Extension

                                        ShortExtensionAdditional content defined by implementations
                                        Control0..1*
                                        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())
                                        179. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Postfach.extension
                                        Definition

                                        An Extension


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

                                        ShortExtensionAdditional content defined by implementations
                                        Comments

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

                                        Control0..0*
                                        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 Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 181. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Postfach.url
                                          Definition

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

                                          Shortidentifies the meaning of the extension
                                          Comments

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

                                          Control1..1
                                          Typeuri
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Fixed Valueadresse-Postfach
                                          183. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Postfach.value[x]
                                          Definition

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

                                          ShortValue of extension
                                          Control10..1
                                          This element is affected by the following invariants: ele-1
                                          TypeAddress, date, Meta, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                          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 Patient.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                          • type @ $this
                                          • 185. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Postfach.value[x]:valueAddress
                                            Slice NamevalueAddress
                                            Definition

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

                                            ShortValue of extension
                                            Control10..1
                                            This element is affected by the following invariants: ele-1
                                            TypeAddress(KBV_PR_Base_Datatype_Post_Office_Box), date, Meta, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                            Must Supporttrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            187. Patient.extension:versichertendaten_Zusatzinformationen.url
                                            Definition

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

                                            Shortidentifies the meaning of the extension
                                            Comments

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

                                            Control1..1
                                            Typeuri
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Fixed Valuehttps://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Patient_Vsdm_Zusatzinformationen
                                            189. Patient.extension:versichertendaten_Zusatzinformationen.value[x]
                                            Definition

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

                                            ShortValue of extension
                                            Control0..01
                                            This element is affected by the following invariants: ele-1
                                            TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                            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()))
                                            191. Patient.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 Normative)
                                            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 Patient.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 193. Patient.identifier
                                              Definition

                                              In diesem Element wird der Identifier (Identifikator) für die Person eingetragen. Der Identifikator kann aus diversen Quellen stammen.


                                              An identifier for this patient.

                                              ShortAn identifier for this patient
                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                              Control0..*
                                              This element is affected by the following invariants: ele-1
                                              TypeIdentifier
                                              Summarytrue
                                              Requirements

                                              Patients are almost always assigned specific numerical identifiers.

                                              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 Patient.identifier. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                              • value @ type
                                              • 195. Patient.identifier:pid
                                                Slice Namepid
                                                Definition

                                                Dieses Element enthält die Abbildung einer organisationsspezifischen Patienten-ID.


                                                An identifier for this patient.

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

                                                Patients are almost always assigned specific numerical identifiers.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                197. Patient.identifier:pid.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()))
                                                199. Patient.identifier:pid.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" : "MR"
                                                  }]
                                                }
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                201. Patient.identifier:pid.type.coding
                                                Definition

                                                A reference to a code defined by a terminology system.

                                                ShortCode defined by a terminology system
                                                Comments

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

                                                Control10..1*
                                                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()))
                                                203. Patient.identifier:pid.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()))
                                                205. Patient.identifier:pid.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()))
                                                207. Patient.identifier:pid.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()))
                                                209. Patient.identifier:pid.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()))
                                                211. Patient.identifier:pid.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()))
                                                213. Patient.identifier:pid.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()))
                                                215. Patient.identifier:pid.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.

                                                ExampleGeneral: http://www.acme.com/identifiers/patient
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                217. Patient.identifier:pid.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()))
                                                219. Patient.identifier:pid.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))
                                                221. Patient.identifier:pid.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')))
                                                223. Patient.identifier:versichertenId
                                                Slice NameversichertenId
                                                Definition

                                                Hier wird der unveränderliche Teil der einheitlichen Krankenversicherungsnummer der GKV gemäß § 290 SGB V angegeben. Die 10-stellige Zeichenfolge beginnt mit einem zufällig vergebene Großbuchstaben, darauf folgen 8 zufällige Ziffern. Das 10.Zeichen ist eine Prüfziffer.


                                                An identifier for this patient.

                                                ShortAn identifier intended for computationAn identifier for this patient
                                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                                Control0..1*
                                                This element is affected by the following invariants: ele-1
                                                TypeIdentifier(Identifier-Profil für die 10-stellige Krankenversichertennummer)
                                                Must Supporttrue
                                                Summarytrue
                                                Requirements

                                                Patients are almost always assigned specific numerical identifiers.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                225. Patient.identifier:versichertenId.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()))
                                                227. Patient.identifier:versichertenId.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" : "KVZ10"
                                                  }]
                                                }
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                kvid-2: Die type Codes 'GKV' und 'PKV' haben den Status 'retired', daher sollen diese nicht mehr verwendet werden (($this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='GKV') or $this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='PKV')).not())
                                                229. Patient.identifier:versichertenId.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()))
                                                231. Patient.identifier:versichertenId.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()))
                                                233. Patient.identifier:versichertenId.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()))
                                                235. Patient.identifier:versichertenId.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()))
                                                237. Patient.identifier:versichertenId.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()))
                                                239. Patient.identifier:versichertenId.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()))
                                                241. Patient.identifier:versichertenId.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()))
                                                243. Patient.identifier:versichertenId.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/gkv/kvid-10
                                                ExampleGeneral: http://www.acme.com/identifiers/patient
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                245. Patient.identifier:versichertenId.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()))
                                                kvid-1: Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen (matches('^[A-Z][0-9]{9}$'))
                                                247. Patient.identifier:versichertenId.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))
                                                249. Patient.identifier:versichertenId.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')))
                                                251. Patient.identifier:versichertennummer_pkv
                                                Slice Nameversichertennummer_pkv
                                                Definition

                                                Hier wird die vom privaten Krankenversicherungsunternehmen vergebene PKV-eigene Versichertennummer angegeben.


                                                An identifier for this patient.

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

                                                Patients are almost always assigned specific numerical identifiers.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                253. Patient.identifier:versichertennummer_pkv.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 Valuesecondary
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                255. Patient.identifier:versichertennummer_pkv.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" : "https://fhir.kbv.de/CodeSystem/KBV_CS_Base_identifier_type",
                                                    "code" : "pkv-nr"
                                                  }]
                                                }
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                257. Patient.identifier:versichertennummer_pkv.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.

                                                Control20..*
                                                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()))
                                                259. Patient.identifier:versichertennummer_pkv.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()))
                                                261. Patient.identifier:versichertennummer_pkv.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()))
                                                263. Patient.identifier:versichertennummer_pkv.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()))
                                                265. Patient.identifier:versichertennummer_pkv.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()))
                                                267. Patient.identifier:versichertennummer_pkv.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()))
                                                269. Patient.identifier:versichertennummer_pkv.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()))
                                                271. Patient.identifier:versichertennummer_pkv.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.

                                                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
                                                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.

                                                ExampleGeneral: http://www.acme.com/identifiers/patient
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                273. Patient.identifier:versichertennummer_pkv.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()))
                                                275. Patient.identifier:versichertennummer_pkv.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))
                                                277. Patient.identifier:versichertennummer_pkv.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.

                                                Control10..1
                                                This element is affected by the following invariants: ele-1
                                                TypeReference(Organization, Organization)
                                                Must Supporttrue
                                                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')))
                                                279. Patient.identifier:versichertennummer_pkv.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()))
                                                281. Patient.identifier:versichertennummer_pkv.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.

                                                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
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                283. Patient.identifier:reisepassnummer
                                                Slice Namereisepassnummer
                                                Definition

                                                Hier wird die Reisepassnummer angegeben.


                                                An identifier for this patient.

                                                ShortIdentifier ReisepassnummerAn identifier for this patient
                                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                                Control0..0*
                                                This element is affected by the following invariants: ele-1
                                                TypeIdentifier(KBV_PR_Base_Identifier_Reisepassnummer)
                                                Summarytrue
                                                Requirements

                                                Patients are almost always assigned specific numerical identifiers.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                285. Patient.identifier:versichertennummer_kvk
                                                Slice Nameversichertennummer_kvk
                                                Definition

                                                Hier wird die Versichertennummer der Krankenversichertenkarte (KVK) angegeben.


                                                An identifier for this patient.

                                                ShortIdentifier KVKAn identifier for this patient
                                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                                Control0..1*
                                                This element is affected by the following invariants: ele-1
                                                TypeIdentifier(KBV_PR_Base_Identifier_KVK)
                                                Must Supporttrue
                                                Summarytrue
                                                Requirements

                                                Patients are almost always assigned specific numerical identifiers.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                287. Patient.identifier:versichertennummer_kvk.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()))
                                                289. Patient.identifier:versichertennummer_kvk.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 Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
                                                (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
                                                Must Supporttrue
                                                Summarytrue
                                                Requirements

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

                                                Pattern Value{
                                                  "coding" : [{
                                                    "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_Base_identifier_type",
                                                    "code" : "kvk"
                                                  }]
                                                }
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                291. Patient.identifier:versichertennummer_kvk.type.coding
                                                Definition

                                                A reference to a code defined by a terminology system.

                                                ShortCode defined by a terminology system
                                                Comments

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

                                                Control10..1*
                                                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()))
                                                293. Patient.identifier:versichertennummer_kvk.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()))
                                                295. Patient.identifier:versichertennummer_kvk.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()))
                                                297. Patient.identifier:versichertennummer_kvk.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()))
                                                299. Patient.identifier:versichertennummer_kvk.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.

                                                Pattern ValueKrankenversichertenkarte
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                301. Patient.identifier:versichertennummer_kvk.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()))
                                                303. Patient.identifier:versichertennummer_kvk.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()))
                                                305. Patient.identifier:versichertennummer_kvk.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/gkv/kvk-versichertennummer
                                                ExampleGeneral: http://www.acme.com/identifiers/patient
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                307. Patient.identifier:versichertennummer_kvk.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()))
                                                kvk-1: Die Krankenversichertenkartenummer muss numerisch und 6- bis 12-stellig sein. (matches('^[0-9]{6,12}$'))
                                                309. Patient.identifier:versichertennummer_kvk.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))
                                                311. Patient.identifier:versichertennummer_kvk.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')))
                                                313. Patient.active
                                                Definition

                                                Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

                                                It is often used to filter patient lists to exclude inactive patients

                                                Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.

                                                ShortWhether this patient's record is in active use
                                                Comments

                                                If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

                                                Control0..1
                                                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
                                                Must Supporttrue
                                                Summarytrue
                                                Requirements

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

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

                                                Dieses Element beschreibt den vollständigen Namen der behandelten Person.


                                                A name associated with the individual.

                                                ShortA name associated with the patient
                                                Comments

                                                A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                                Control10..*
                                                This element is affected by the following invariants: ele-1
                                                TypeHumanName
                                                Summarytrue
                                                Requirements

                                                Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                                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 Patient.name. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                • value @ use
                                                • 317. Patient.name:name
                                                  Slice Namename
                                                  Definition

                                                  Dieses Element beschreibt diverse Namensbestandteile des Patienten. Diese werden hier als Versichertendaten des PVS bezeichnen.


                                                  A name associated with the individual.

                                                  ShortVersichertendatenA name associated with the patient
                                                  Comments

                                                  Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.


                                                  A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                                  Control0..1*
                                                  This element is affected by the following invariants: ele-1
                                                  TypeHumanName(KBV_PR_Base_Datatype_Name)
                                                  Must Supporttrue
                                                  Summarytrue
                                                  Requirements

                                                  Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden (family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue())
                                                  hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden (family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue())
                                                  hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden (family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue())
                                                  hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden (prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue()))
                                                  319. Patient.name:name.use
                                                  Definition

                                                  Identifies the purpose for this name.

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

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

                                                  Control10..1
                                                  This element is affected by the following invariants: ele-1
                                                  BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
                                                  (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                                  The use of a human name.

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

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

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

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


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

                                                  ShortVollständiger NameText representation of the full name
                                                  Comments

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

                                                  Control0..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

                                                  A renderable, unencoded form.

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

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


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

                                                  ShortFamiliennameFamily name (often called 'Surname')
                                                  Comments

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

                                                  Control10..1
                                                  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 Namessurname
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  325. Patient.name:name.family.extension:namenszusatz
                                                  Slice Namenamenszusatz
                                                  Definition

                                                  Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst

                                                  ShortNamenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
                                                  Comments

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

                                                  Control0..1
                                                  This element is affected by the following invariants: ele-1
                                                  TypeExtension(Extension zur Erfassung der VSDM Namensbestandteile) (Extension Type: string)
                                                  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())
                                                  327. Patient.name:name.family.extension:nachname
                                                  Slice Namenachname
                                                  Definition

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

                                                  ShortPortion derived from person's own surname
                                                  Comments

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

                                                  Control0..1
                                                  This element is affected by the following invariants: ele-1
                                                  TypeExtension(Own 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())
                                                  329. Patient.name:name.family.extension:vorsatzwort
                                                  Slice Namevorsatzwort
                                                  Definition

                                                  The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse.

                                                  ShortVoorvoegsel derived from person's own surname
                                                  Comments

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

                                                  Control0..1
                                                  This element is affected by the following invariants: ele-1
                                                  TypeExtension(Own Prefix) (Extension Type: string)
                                                  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())
                                                  331. Patient.name:name.given
                                                  Definition

                                                  Vorname der Person


                                                  Given name.

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

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

                                                  Control0..1*
                                                  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 Namesfirst name, middle name
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  333. Patient.name:name.prefix
                                                  Definition

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


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

                                                  ShortNamensteile vor dem VornamenParts that come before the name
                                                  Comments

                                                  Note that FHIR strings SHALL NOT exceed 1MB in size

                                                  Control0..*
                                                  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()))
                                                  335. Patient.name:name.prefix.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.

                                                  Control10..*
                                                  This element is affected by the following invariants: ele-1
                                                  TypeExtension
                                                  Standard StatusNormative (from Normative)
                                                  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 Patient.name.prefix.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 337. Patient.name:name.prefix.extension:prefix-qualifier
                                                    Slice Nameprefix-qualifier
                                                    Definition

                                                    Spezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel

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

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

                                                    Control1..1
                                                    This element is affected by the following invariants: ele-1
                                                    TypeExtension(EN Qualifier) (Extension Type: code)
                                                    Is Modifierfalse
                                                    Standard StatusNormative (from Normative)
                                                    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())
                                                    339. Patient.name:name.prefix.extension:prefix-qualifier.extension
                                                    Definition

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

                                                    ShortAdditional content defined by implementations
                                                    Comments

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

                                                    Control0..0*
                                                    This element is affected by the following invariants: ele-1
                                                    TypeExtension
                                                    Standard StatusNormative (from Normative)
                                                    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 Patient.name.prefix.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                    • value @ url
                                                    • 341. Patient.name:name.prefix.extension:prefix-qualifier.url
                                                      Definition

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

                                                      Shortidentifies the meaning of the extension
                                                      Comments

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

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

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

                                                      ShortValue of extension
                                                      Control10..1
                                                      This element is affected by the following invariants: ele-1
                                                      BindingThe codes SHALL be taken from For codes, see EntityNamePartQualifier
                                                      (required to http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1)

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

                                                      Typecode, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Standard StatusNormative (from Normative)
                                                      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 Patient.name.prefix.extension.value[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • type @ $this
                                                      • 345. Patient.name:name.prefix.extension:prefix-qualifier.value[x]:valueCode
                                                        Slice NamevalueCode
                                                        Definition

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

                                                        ShortValue of extension
                                                        Control10..1
                                                        This element is affected by the following invariants: ele-1
                                                        BindingThe codes SHALL be taken from For codes, see EntityNamePartQualifier
                                                        (required to http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1)

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

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

                                                        Namensteile nach dem Nachnamen


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

                                                        ShortNamensteile nach dem NachnamenParts that come after the name
                                                        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
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        349. Patient.name:name.period
                                                        Definition

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

                                                        ShortTime period when name was/is in use
                                                        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
                                                        Requirements

                                                        Allows names to be placed in historical context.

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

                                                        Hier wird das Geburtsdatum der behandelten Person angegeben. Ist dieses nicht bekannt kann die Extension 'data-absent-reason' verwendet werden, um das Nichtvorhandensein zu dokumentieren.


                                                        A name associated with the individual.

                                                        ShortGeburtsnameA name associated with the patient
                                                        Comments

                                                        Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.


                                                        A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                                        Control0..0*
                                                        This element is affected by the following invariants: ele-1
                                                        TypeHumanName(KBV_PR_Base_Datatype_Maiden_Name)
                                                        Summarytrue
                                                        Requirements

                                                        Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden (family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue())
                                                        hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden (family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue())
                                                        hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden (family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue())
                                                        hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden (prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue()))
                                                        353. Patient.telecom
                                                        Definition

                                                        Dieses Element beschreibt die vorhandenen Kontaktmöglichkeiten.


                                                        A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.

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

                                                        A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

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

                                                        People have (primary) ways to contact them in some way such as phone, email.

                                                        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())
                                                        355. Patient.telecom.system
                                                        Definition

                                                        Hier wird die Art des Kontaktes definiert, z. B. Telefon (phone), E-Mail, Fax.


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

                                                        Shortphone | fax | email | pager | url | sms | other
                                                        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()))
                                                        357. Patient.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()))
                                                        359. Patient.telecom.use
                                                        Definition

                                                        Identifies the purpose for the contact point.

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

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

                                                        Control0..01
                                                        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()))
                                                        361. Patient.telecom.rank
                                                        Definition

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

                                                        ShortSpecify preferred order of use (1 = highest)
                                                        Comments

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

                                                        Control0..01
                                                        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()))
                                                        363. Patient.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))
                                                        365. Patient.gender
                                                        Definition

                                                        Hier wird die Geschlechtsdefinition nach den Versichertenstammdaten (VSD) angegeben.


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

                                                        Shortmale | female | other | unknown
                                                        Comments

                                                        The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.

                                                        Control10..1
                                                        This element is affected by the following invariants: ele-1
                                                        BindingThe codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
                                                        (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

                                                        The gender of a person used for administrative purposes.

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

                                                        Needed for identification of the individual, in combination with (at least) name and birth date.

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

                                                        An Extension


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

                                                        ShortExtensionAdditional content defined by implementations
                                                        Comments

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

                                                        Control0..*
                                                        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 Patient.gender.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 369. Patient.gender.extension:other-amtlich
                                                          Slice Nameother-amtlich
                                                          Definition

                                                          Optional Extension Element - found in all resources.

                                                          ShortOptional Extensions Element
                                                          Control0..1
                                                          This element is affected by the following invariants: ele-1
                                                          TypeExtension(Differenzierung des administrativen Geschlechts 'other') (Extension Type: Coding)
                                                          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())
                                                          371. Patient.birthDate
                                                          Definition

                                                          Hier wird das Geburtsdatum der behandelten Person angegeben. Ist dieses nicht bekannt kann die Extension 'data-absent-reason' verwendet werden, um das Nichtvorhandensein zu dokumentieren.


                                                          The date of birth for the individual.

                                                          ShortThe date of birth for the individual
                                                          Comments

                                                          At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).

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

                                                          Age of the individual drives many clinical processes.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          373. Patient.birthDate.extension:data-absent-reason
                                                          Slice Namedata-absent-reason
                                                          Definition

                                                          Provides a reason why the expected value or elements in the element that is extended are missing.

                                                          Shortunknown | asked | temp | notasked | masked | unsupported | astext | error
                                                          Control0..1
                                                          This element is affected by the following invariants: ele-1
                                                          TypeExtension(Data Absent Reason) (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())
                                                          375. Patient.birthDate.extension:data-absent-reason.extension
                                                          Definition

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

                                                          ShortAdditional content defined by implementations
                                                          Comments

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

                                                          Control0..0*
                                                          This element is affected by the following invariants: ele-1
                                                          TypeExtension
                                                          Standard StatusNormative (from Normative)
                                                          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 Patient.birthDate.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 377. Patient.birthDate.extension:data-absent-reason.url
                                                            Definition

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

                                                            Shortidentifies the meaning of the extension
                                                            Comments

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

                                                            Control1..1
                                                            Typeuri
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Fixed Valuehttp://hl7.org/fhir/StructureDefinition/data-absent-reason
                                                            379. Patient.birthDate.extension:data-absent-reason.value[x]
                                                            Definition

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

                                                            ShortValue of extension
                                                            Control10..1
                                                            This element is affected by the following invariants: ele-1
                                                            BindingThe codes SHALL be taken from For codes, see DataAbsentReason
                                                            (required to http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1)

                                                            Used to specify why the normally expected content of the data element is missing.

                                                            Typecode, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                            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()))
                                                            SlicingThis element introduces a set of slices on Patient.birthDate.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                            • type @ $this
                                                            • 381. Patient.birthDate.extension:data-absent-reason.value[x]:valueCode
                                                              Slice NamevalueCode
                                                              Definition

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

                                                              ShortValue of extension
                                                              Control10..1
                                                              This element is affected by the following invariants: ele-1
                                                              BindingThe codes SHALL be taken from For codes, see DataAbsentReason
                                                              (required to http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1)

                                                              Used to specify why the normally expected content of the data element is missing.

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

                                                              Indicates if the individual is deceased or not.

                                                              ShortIndicates if the individual is deceased or not
                                                              Comments

                                                              If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

                                                              Control0..01
                                                              This element is affected by the following invariants: ele-1
                                                              TypeChoice of: boolean, dateTime
                                                              Is Modifiertrue because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Requirements

                                                              The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

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

                                                              Hier werden Angaben zur Anschrift der behandelten Person gemacht.


                                                              An address for the individual.

                                                              ShortAn address for the individual
                                                              Comments

                                                              Patient may have multiple addresses with different uses or applicable periods.

                                                              Control0..*
                                                              This element is affected by the following invariants: ele-1
                                                              TypeAddress
                                                              Must Supporttrue
                                                              Summarytrue
                                                              Requirements

                                                              May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                                              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 Patient.address. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • value @ type
                                                              • 387. Patient.address:Strassenanschrift
                                                                Slice NameStrassenanschrift
                                                                Definition

                                                                In diesem Slice sollen die Stammdaten des Systems hinterlegt werden.

                                                                Eine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden.

                                                                Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird.

                                                                Insbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend.


                                                                An address for the individual.

                                                                ShortAdress-Stammdaten-StrassenanschriftAn address for the individual
                                                                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).


                                                                Patient may have multiple addresses with different uses or applicable periods.

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

                                                                May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                                                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()))
                                                                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)))
                                                                389. Patient.address:Strassenanschrift.extension:Stadtteil
                                                                Slice NameStadtteil
                                                                Definition

                                                                A subsection of a municipality.

                                                                Shortprecinct
                                                                Control0..0
                                                                This element is affected by the following invariants: ele-1
                                                                TypeExtension(ADXP Precinct) (Extension Type: string)
                                                                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())
                                                                391. Patient.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()))
                                                                393. Patient.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
                                                                Must Supporttrue
                                                                Summarytrue
                                                                Pattern Valueboth
                                                                ExampleGeneral: both
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                395. Patient.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()))
                                                                397. Patient.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())
                                                                399. Patient.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())
                                                                401. Patient.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())
                                                                403. Patient.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 Normative)
                                                                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())
                                                                405. Patient.address:Strassenanschrift.line.extension:Postleitzahl_und_Ort
                                                                Slice NamePostleitzahl_und_Ort
                                                                Definition

                                                                In dieser Extension soll die gemeinsame Angabe von Postleitzahl und Ort der Patientenanschrift ermöglicht werden.

                                                                ShortPostleitzahl und Ort
                                                                Control0..1
                                                                This element is affected by the following invariants: ele-1
                                                                TypeExtension(KBV_EX_WEST_Patient_Postleitzahl_und_Ort) (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())
                                                                407. Patient.address:Strassenanschrift.line.extension:Postleitzahl_und_Ort.extension
                                                                Definition

                                                                An Extension


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

                                                                ShortExtensionAdditional content defined by implementations
                                                                Comments

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

                                                                Control0..0*
                                                                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 Patient.address.line.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • value @ url
                                                                • 409. Patient.address:Strassenanschrift.line.extension:Postleitzahl_und_Ort.url
                                                                  Definition

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

                                                                  Shortidentifies the meaning of the extension
                                                                  Comments

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

                                                                  Control1..1
                                                                  Typeuri
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  Fixed Valuehttps://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Patient_Postleitzahl_und_Ort
                                                                  411. Patient.address:Strassenanschrift.line.extension:Postleitzahl_und_Ort.value[x]
                                                                  Definition

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

                                                                  ShortValue of extension
                                                                  Control10..1
                                                                  This element is affected by the following invariants: ele-1
                                                                  Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                  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()))
                                                                  SlicingThis element introduces a set of slices on Patient.address.line.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                  • type @ $this
                                                                  • 413. Patient.address:Strassenanschrift.line.extension:Postleitzahl_und_Ort.value[x]:valueString
                                                                    Slice NamevalueString
                                                                    Definition

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

                                                                    ShortPostleitzahl und OrtValue of extension
                                                                    Comments

                                                                    Postleitzahl und Ort in gemeinsamer Angabe

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

                                                                    Name (oder Kürzel) des Bundeslandes.


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

                                                                    ShortBundeslandSub-unit of country (abbreviations ok)
                                                                    Comments

                                                                    Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                    Control0..01
                                                                    This element is affected by the following invariants: ele-1
                                                                    BindingThe codes SHOULD be taken from For codes, see 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()))
                                                                    421. Patient.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()))
                                                                    423. Patient.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()))
                                                                    425. Patient.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..01
                                                                    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))
                                                                    per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                                                    427. Patient.address:Postfach
                                                                    Slice NamePostfach
                                                                    Definition

                                                                    In diesem Slice sollen die Adress-Stammdaten hinterlegt werden.

                                                                    Eine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden.

                                                                    Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird.

                                                                    Insbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend.


                                                                    An address for the individual.

                                                                    ShortAdress-Stammdaten-PostfachAn address for the individual
                                                                    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).


                                                                    Patient may have multiple addresses with different uses or applicable periods.

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

                                                                    May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                                                    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()))
                                                                    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)
                                                                    429. Patient.address:Postfach.extension:Stadtteil
                                                                    Slice NameStadtteil
                                                                    Definition

                                                                    A subsection of a municipality.

                                                                    Shortprecinct
                                                                    Control0..0
                                                                    This element is affected by the following invariants: ele-1
                                                                    TypeExtension(ADXP Precinct) (Extension Type: string)
                                                                    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())
                                                                    431. Patient.address:Postfach.use
                                                                    Definition

                                                                    The purpose of this address.

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

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

                                                                    Control0..01
                                                                    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()))
                                                                    433. Patient.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
                                                                    Must Supporttrue
                                                                    Summarytrue
                                                                    Pattern Valuepostal
                                                                    ExampleGeneral: both
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    435. Patient.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()))
                                                                    437. Patient.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 Normative)
                                                                    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())
                                                                    439. Patient.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 Normative)
                                                                    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())
                                                                    441. Patient.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 Normative)
                                                                    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())
                                                                    443. Patient.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())
                                                                    445. Patient.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()))
                                                                    447. Patient.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()))
                                                                    449. Patient.address:Postfach.state
                                                                    Definition

                                                                    Name (oder Kürzel) des Bundeslandes.


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

                                                                    ShortBundeslandSub-unit of country (abbreviations ok)
                                                                    Comments

                                                                    Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                    Control0..01
                                                                    This element is affected by the following invariants: ele-1
                                                                    BindingThe codes SHOULD be taken from For codes, see 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()))
                                                                    451. Patient.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()))
                                                                    453. Patient.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()))
                                                                    455. Patient.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..01
                                                                    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))
                                                                    per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                                                    457. Patient.maritalStatus
                                                                    Definition

                                                                    Hier wird der Personenstand (Familienstand) der behandelten Person angegeben.


                                                                    This field contains a patient's most recent marital (civil) status.

                                                                    ShortPersonenstandMarital (civil) status of a patient
                                                                    Comments

                                                                    Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

                                                                    Control0..01
                                                                    This element is affected by the following invariants: ele-1
                                                                    BindingUnless not suitable, these codes SHALL be taken from Marital Status Codeshttp://hl7.org/fhir/ValueSet/marital-status|4.0.1
                                                                    (extensible to http://hl7.org/fhir/ValueSet/marital-status)

                                                                    The domestic partnership status of a person.

                                                                    TypeCodeableConcept
                                                                    Requirements

                                                                    Most, if not all systems capture it.

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    459. Patient.multipleBirth[x]
                                                                    Definition

                                                                    Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

                                                                    ShortWhether patient is part of a multiple birth
                                                                    Comments

                                                                    Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).

                                                                    Control0..01
                                                                    This element is affected by the following invariants: ele-1
                                                                    TypeChoice of: boolean, integer
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Requirements

                                                                    For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

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

                                                                    In diesem Element kann ein Foto des Patienten eingefügt werden.


                                                                    Image of the patient.

                                                                    ShortBild des PatientenImage of the patient
                                                                    Comments

                                                                    Guidelines:

                                                                    • Use id photos, not clinical photos.
                                                                    • Limit dimensions to thumbnail.
                                                                    • Keep byte count low to ease resource updates.
                                                                    Control0..*
                                                                    This element is affected by the following invariants: ele-1
                                                                    TypeAttachment
                                                                    Must Supporttrue
                                                                    Requirements

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

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    att-1: If the Attachment has data, it SHALL have a contentType (data.empty() or contentType.exists())
                                                                    att-1: If the Attachment has data, it SHALL have a contentType (data.empty() or contentType.exists())
                                                                    463. Patient.contact
                                                                    Definition

                                                                    A contact party (e.g. guardian, partner, friend) for the patient.

                                                                    ShortA contact party (e.g. guardian, partner, friend) for the patient
                                                                    Comments

                                                                    Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.

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

                                                                    Need to track people you can contact about the patient.

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    pat-1: SHALL at least contain a contact's details or a reference to an organization (name.exists() or telecom.exists() or address.exists() or organization.exists())
                                                                    467. Patient.communication
                                                                    Definition

                                                                    In diesem Element kann z.B. die Muttersprache des Patienten angegeben werden.


                                                                    A language which may be used to communicate with the patient about his or her health.

                                                                    ShortSprachfähigkeitenA language which may be used to communicate with the patient about his or her health
                                                                    Comments

                                                                    If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

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

                                                                    If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.

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

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

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

                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                    Comments

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

                                                                    Control0..*
                                                                    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 element that contains them
                                                                    Summarytrue
                                                                    Requirements

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

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

                                                                    Hier werden Sprachen angegeben, die zur Kommunikation mit der behandelten Person über medizinische Themen verwendet werden können.


                                                                    The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.

                                                                    ShortBevorzugte SpracheThe language which can be used to communicate with the patient about his or her health
                                                                    Comments

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

                                                                    Control1..1
                                                                    This element is affected by the following invariants: ele-1
                                                                    BindingUnless not suitable, these codes SHALL be taken from The codes SHOULD be taken from Bevorzugte Sprache (Includes)http://hl7.org/fhir/ValueSet/languages|4.0.1
                                                                    (extensible to https://fhir.kbv.de/ValueSet/KBV_VS_Base_CommonLanguages)
                                                                    TypeCodeableConcept
                                                                    Must Supporttrue
                                                                    Requirements

                                                                    Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    473. Patient.communication.language.coding
                                                                    Definition

                                                                    A reference to a code defined by a terminology system.

                                                                    ShortCode defined by a terminology system
                                                                    Comments

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

                                                                    Control10..1*
                                                                    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()))
                                                                    475. Patient.communication.language.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()))
                                                                    477. Patient.communication.language.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()))
                                                                    479. Patient.communication.language.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()))
                                                                    481. Patient.communication.language.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()))
                                                                    483. Patient.communication.preferred
                                                                    Definition

                                                                    Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).

                                                                    ShortLanguage preference indicator
                                                                    Comments

                                                                    This language is specifically identified for communicating healthcare information.

                                                                    Control10..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
                                                                    Must Supporttrue
                                                                    Requirements

                                                                    People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.

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

                                                                    Ist ein Hausarzt des Patienten bekannt, so kann dieser in diesem Element dokumentiert werden. Für die Referenz ist das Profil KBV_PR_WEST_PractitionerRole zu nutzen.


                                                                    Patient's nominated care provider.

                                                                    ShortHausarztPatient's nominated primary care provider
                                                                    Comments

                                                                    This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.

                                                                    Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.

                                                                    Control0..1*
                                                                    This element is affected by the following invariants: ele-1
                                                                    TypeReference(KBV_PR_WEST_PractitionerRole, Organization, Practitioner, PractitionerRole)
                                                                    Must Supporttrue
                                                                    Alternate NamescareProvider
                                                                    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')))
                                                                    487. Patient.generalPractitioner.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
                                                                    Must Supporttrue
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    489. Patient.generalPractitioner.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..01
                                                                    This element is affected by the following invariants: ele-1
                                                                    BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
                                                                    (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

                                                                    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()))
                                                                    491. Patient.generalPractitioner.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..01
                                                                    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()))
                                                                    493. Patient.generalPractitioner.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.

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

                                                                    Organization that is the custodian of the patient record.

                                                                    ShortOrganization that is the custodian of the patient record
                                                                    Comments

                                                                    There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).

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

                                                                    Need to know who recognizes this patient record, manages and updates it.

                                                                    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')))
                                                                    497. Patient.link
                                                                    Definition

                                                                    Link to another patient resource that concerns the same actual patient.

                                                                    ShortLink to another patient resource that concerns the same actual person
                                                                    Comments

                                                                    There is no assumption that linked patient records have mutual links.

                                                                    Control0..0*
                                                                    This element is affected by the following invariants: ele-1
                                                                    TypeBackboneElement
                                                                    Is Modifiertrue because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
                                                                    Summarytrue
                                                                    Requirements

                                                                    There are multiple use cases:

                                                                    • Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
                                                                    • Distribution of patient information across multiple servers.
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

                                                                    0. Patient
                                                                    Definition

                                                                    Diese Ressource bietet die Möglichkeit Informationen zu einer versicherten Person abzubilden.

                                                                    Invariantsphoto-nand-data-url: Es darf für das Photo nur entweder das data oder url Element gefüllt sein. ((photo.url.exists() and photo.data.exists().not()) or (photo.data.exists() and photo.url.exists().not()))
                                                                    2. Patient.id
                                                                    Control1..?
                                                                    4. Patient.meta
                                                                    Control1..?
                                                                    Must Supporttrue
                                                                    6. Patient.meta.versionId
                                                                    Control0..0
                                                                    8. Patient.meta.lastUpdated
                                                                    Control0..0
                                                                    10. Patient.meta.source
                                                                    Control0..0
                                                                    12. Patient.meta.profile
                                                                    Control1..?
                                                                    Must Supporttrue
                                                                    SlicingThis element introduces a set of slices on Patient.meta.profile. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                    • value @ $this
                                                                    • 14. Patient.meta.profile:mioProfile
                                                                      Slice NamemioProfile
                                                                      Control1..1
                                                                      Must Supporttrue
                                                                      Fixed Valuehttps://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Patient|1.0.0-kommentierung
                                                                      16. Patient.text
                                                                      Control0..0
                                                                      18. Patient.extension:klinisches-Geschlecht
                                                                      Slice Nameklinisches-Geschlecht
                                                                      Control0..0
                                                                      20. Patient.extension:aktuelle_Taetigkeit
                                                                      Slice Nameaktuelle_Taetigkeit
                                                                      Control0..*
                                                                      TypeExtension(KBV_EX_WEST_Patient_Aktuelle_Taetigkeit) (Complex Extension)
                                                                      Must Supporttrue
                                                                      22. Patient.extension:aktuelle_Taetigkeit.extension:aktuelle_Taetigkeit
                                                                      Slice Nameaktuelle_Taetigkeit
                                                                      Must Supporttrue
                                                                      24. Patient.extension:aktuelle_Taetigkeit.extension:aktuelle_Taetigkeit.value[x]:valueString
                                                                      Slice NamevalueString
                                                                      Typestring
                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Must Supporttrue
                                                                      26. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber
                                                                      Slice Namearbeitgeber
                                                                      Must Supporttrue
                                                                      28. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]:valueReference
                                                                      Slice NamevalueReference
                                                                      TypeReference(Organization)
                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                      Must Supporttrue
                                                                      30. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]:valueReference.reference
                                                                      Must Supporttrue
                                                                      32. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]:valueReference.display
                                                                      Must Supporttrue
                                                                      34. Patient.extension:aktuelle_Taetigkeit.extension:beschaeftigt_seit
                                                                      Slice Namebeschaeftigt_seit
                                                                      Must Supporttrue
                                                                      36. Patient.extension:aktuelle_Taetigkeit.extension:beschaeftigt_seit.value[x]:valueDateTime
                                                                      Slice NamevalueDateTime
                                                                      TypedateTime
                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Must Supporttrue
                                                                      38. Patient.extension:staatsangehoerigkeit
                                                                      Slice Namestaatsangehoerigkeit
                                                                      Definition

                                                                      Zur Dokumentation der Staatsangehörigkeit ist dieses Feld vorgesehen.

                                                                      ShortStaatsangehörigkeit
                                                                      Control0..*
                                                                      TypeExtension(Patient Citizenship) (Complex Extension)
                                                                      Must Supporttrue
                                                                      40. Patient.extension:staatsangehoerigkeit.extension:code
                                                                      Slice Namecode
                                                                      Must Supporttrue
                                                                      42. Patient.extension:staatsangehoerigkeit.extension:code.value[x]
                                                                      BindingUnless not suitable, these codes SHALL be taken from Land/Wohnsitzländercode
                                                                      (extensible to https://fhir.kbv.de/ValueSet/KBV_VS_Base_Deuev_Anlage_8)
                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                      44. Patient.extension:staatsangehoerigkeit.extension:code.value[x].coding
                                                                      Must Supporttrue
                                                                      46. Patient.extension:staatsangehoerigkeit.extension:code.value[x].coding.system
                                                                      Must Supporttrue
                                                                      48. Patient.extension:staatsangehoerigkeit.extension:code.value[x].coding.code
                                                                      Must Supporttrue
                                                                      50. Patient.extension:staatsangehoerigkeit.extension:code.value[x].coding.display
                                                                      Must Supporttrue
                                                                      52. Patient.extension:staatsangehoerigkeit.extension:code.value[x].coding.userSelected
                                                                      Control0..0
                                                                      54. Patient.extension:staatsangehoerigkeit.extension:code.value[x].text
                                                                      Control0..0
                                                                      56. Patient.extension:staatsangehoerigkeit.extension:period
                                                                      Slice Nameperiod
                                                                      Control0..0
                                                                      58. Patient.extension:versichertendaten_Zusatzinformationen
                                                                      Slice Nameversichertendaten_Zusatzinformationen
                                                                      Control0..1
                                                                      TypeExtension(KBV_EX_WEST_Patient_Vsdm_Zusatzinformationen) (Complex Extension)
                                                                      Must Supporttrue
                                                                      60. Patient.extension:versichertendaten_Zusatzinformationen.extension:name
                                                                      Slice Namename
                                                                      Must Supporttrue
                                                                      62. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName
                                                                      Slice NamevalueHumanName
                                                                      TypeHumanName(KBV_PR_Base_Datatype_Name)
                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                      Must Supporttrue
                                                                      64. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.text
                                                                      Control0..0
                                                                      66. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.family
                                                                      Must Supporttrue
                                                                      68. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.family.extension:namenszusatz
                                                                      Slice Namenamenszusatz
                                                                      Must Supporttrue
                                                                      70. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.family.extension:nachname
                                                                      Slice Namenachname
                                                                      Must Supporttrue
                                                                      72. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.family.extension:vorsatzwort
                                                                      Slice Namevorsatzwort
                                                                      Must Supporttrue
                                                                      74. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.given
                                                                      Must Supporttrue
                                                                      76. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.prefix
                                                                      Must Supporttrue
                                                                      78. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.suffix
                                                                      Control0..0
                                                                      80. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.period
                                                                      Control0..0
                                                                      82. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht
                                                                      Slice Namegeschlecht
                                                                      Must Supporttrue
                                                                      84. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]:valueCoding
                                                                      Slice NamevalueCoding
                                                                      TypeCoding
                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                      Must Supporttrue
                                                                      86. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]:valueCoding.system
                                                                      Must Supporttrue
                                                                      88. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]:valueCoding.code
                                                                      Must Supporttrue
                                                                      90. Patient.extension:versichertendaten_Zusatzinformationen.extension:geburtsdatum
                                                                      Slice Namegeburtsdatum
                                                                      Must Supporttrue
                                                                      92. Patient.extension:versichertendaten_Zusatzinformationen.extension:geburtsdatum.value[x]:valueDate
                                                                      Slice NamevalueDate
                                                                      Typedate
                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Must Supporttrue
                                                                      94. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Strassenadresse
                                                                      Slice Nameadresse-Strassenadresse
                                                                      Must Supporttrue
                                                                      96. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Strassenadresse.value[x]:valueAddress
                                                                      Slice NamevalueAddress
                                                                      TypeAddress(KBV_PR_Base_Datatype_Street_Address)
                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                      Must Supporttrue
                                                                      98. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Postfach
                                                                      Slice Nameadresse-Postfach
                                                                      Must Supporttrue
                                                                      100. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Postfach.value[x]:valueAddress
                                                                      Slice NamevalueAddress
                                                                      TypeAddress(KBV_PR_Base_Datatype_Post_Office_Box)
                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                      Must Supporttrue
                                                                      102. Patient.identifier
                                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                      SlicingThis element introduces a set of slices on Patient.identifier. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                      • value @ type
                                                                      • 104. Patient.identifier:pid
                                                                        Slice Namepid
                                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                        Must Supporttrue
                                                                        106. Patient.identifier:pid.type
                                                                        Must Supporttrue
                                                                        108. Patient.identifier:pid.type.coding
                                                                        Must Supporttrue
                                                                        110. Patient.identifier:pid.type.coding.system
                                                                        Must Supporttrue
                                                                        112. Patient.identifier:pid.type.coding.version
                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                        Control0..0
                                                                        114. Patient.identifier:pid.type.coding.code
                                                                        Must Supporttrue
                                                                        116. Patient.identifier:pid.type.coding.display
                                                                        Control0..0
                                                                        118. Patient.identifier:pid.type.coding.userSelected
                                                                        Control0..0
                                                                        120. Patient.identifier:pid.type.text
                                                                        Control0..0
                                                                        122. Patient.identifier:pid.system
                                                                        Must Supporttrue
                                                                        124. Patient.identifier:pid.value
                                                                        Must Supporttrue
                                                                        126. Patient.identifier:pid.period
                                                                        Control0..0
                                                                        128. Patient.identifier:pid.assigner
                                                                        Control0..0
                                                                        130. Patient.identifier:versichertenId
                                                                        Slice NameversichertenId
                                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                        Must Supporttrue
                                                                        132. Patient.identifier:versichertenId.type
                                                                        Must Supporttrue
                                                                        134. Patient.identifier:versichertenId.type.coding
                                                                        Must Supporttrue
                                                                        136. Patient.identifier:versichertenId.type.coding.system
                                                                        Must Supporttrue
                                                                        138. Patient.identifier:versichertenId.type.coding.version
                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                        Control0..0
                                                                        140. Patient.identifier:versichertenId.type.coding.code
                                                                        Must Supporttrue
                                                                        142. Patient.identifier:versichertenId.type.coding.display
                                                                        Control0..0
                                                                        144. Patient.identifier:versichertenId.type.coding.userSelected
                                                                        Control0..0
                                                                        146. Patient.identifier:versichertenId.type.text
                                                                        Control0..0
                                                                        148. Patient.identifier:versichertenId.system
                                                                        Must Supporttrue
                                                                        150. Patient.identifier:versichertenId.value
                                                                        Must Supporttrue
                                                                        152. Patient.identifier:versichertenId.period
                                                                        Control0..0
                                                                        154. Patient.identifier:versichertenId.assigner
                                                                        Control0..0
                                                                        156. Patient.identifier:versichertennummer_pkv
                                                                        Slice Nameversichertennummer_pkv
                                                                        Definition

                                                                        Hier wird die vom privaten Krankenversicherungsunternehmen vergebene PKV-eigene Versichertennummer angegeben.

                                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                        Must Supporttrue
                                                                        158. Patient.identifier:versichertennummer_pkv.type
                                                                        Must Supporttrue
                                                                        160. Patient.identifier:versichertennummer_pkv.type.coding
                                                                        Must Supporttrue
                                                                        162. Patient.identifier:versichertennummer_pkv.type.coding.system
                                                                        Must Supporttrue
                                                                        164. Patient.identifier:versichertennummer_pkv.type.coding.version
                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                        Control0..0
                                                                        166. Patient.identifier:versichertennummer_pkv.type.coding.code
                                                                        Must Supporttrue
                                                                        168. Patient.identifier:versichertennummer_pkv.type.coding.display
                                                                        Control0..0
                                                                        170. Patient.identifier:versichertennummer_pkv.type.coding.userSelected
                                                                        Control0..0
                                                                        172. Patient.identifier:versichertennummer_pkv.type.text
                                                                        Control0..0
                                                                        174. Patient.identifier:versichertennummer_pkv.system
                                                                        Must Supporttrue
                                                                        176. Patient.identifier:versichertennummer_pkv.value
                                                                        Must Supporttrue
                                                                        178. Patient.identifier:versichertennummer_pkv.period
                                                                        Control0..0
                                                                        180. Patient.identifier:versichertennummer_pkv.assigner
                                                                        Must Supporttrue
                                                                        182. Patient.identifier:reisepassnummer
                                                                        Slice Namereisepassnummer
                                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                        Control0..0
                                                                        184. Patient.identifier:versichertennummer_kvk
                                                                        Slice Nameversichertennummer_kvk
                                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                        Must Supporttrue
                                                                        186. Patient.identifier:versichertennummer_kvk.type
                                                                        Must Supporttrue
                                                                        188. Patient.identifier:versichertennummer_kvk.type.coding
                                                                        Must Supporttrue
                                                                        190. Patient.identifier:versichertennummer_kvk.type.coding.system
                                                                        Must Supporttrue
                                                                        192. Patient.identifier:versichertennummer_kvk.type.coding.version
                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                        Control0..0
                                                                        194. Patient.identifier:versichertennummer_kvk.type.coding.code
                                                                        Must Supporttrue
                                                                        196. Patient.identifier:versichertennummer_kvk.type.coding.display
                                                                        Control0..0
                                                                        198. Patient.identifier:versichertennummer_kvk.type.coding.userSelected
                                                                        Control0..0
                                                                        200. Patient.identifier:versichertennummer_kvk.type.text
                                                                        Control0..0
                                                                        202. Patient.identifier:versichertennummer_kvk.system
                                                                        Must Supporttrue
                                                                        204. Patient.identifier:versichertennummer_kvk.value
                                                                        Must Supporttrue
                                                                        206. Patient.identifier:versichertennummer_kvk.period
                                                                        Control0..0
                                                                        208. Patient.identifier:versichertennummer_kvk.assigner
                                                                        Control0..0
                                                                        210. Patient.active
                                                                        Must Supporttrue
                                                                        212. Patient.name
                                                                        SlicingThis element introduces a set of slices on Patient.name. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                        • value @ use
                                                                        • 214. Patient.name:name
                                                                          Slice Namename
                                                                          Definition

                                                                          Dieses Element beschreibt diverse Namensbestandteile des Patienten. Diese werden hier als Versichertendaten des PVS bezeichnen.

                                                                          ShortVersichertendaten
                                                                          Must Supporttrue
                                                                          216. Patient.name:name.text
                                                                          Control0..0
                                                                          218. Patient.name:name.family
                                                                          Must Supporttrue
                                                                          220. Patient.name:name.family.extension:namenszusatz
                                                                          Slice Namenamenszusatz
                                                                          Must Supporttrue
                                                                          222. Patient.name:name.family.extension:nachname
                                                                          Slice Namenachname
                                                                          Must Supporttrue
                                                                          224. Patient.name:name.family.extension:vorsatzwort
                                                                          Slice Namevorsatzwort
                                                                          Must Supporttrue
                                                                          226. Patient.name:name.given
                                                                          Must Supporttrue
                                                                          228. Patient.name:name.prefix
                                                                          Must Supporttrue
                                                                          230. Patient.name:name.suffix
                                                                          Control0..0
                                                                          232. Patient.name:name.period
                                                                          Control0..0
                                                                          234. Patient.name:geburtsname
                                                                          Slice Namegeburtsname
                                                                          Control0..0
                                                                          236. Patient.telecom
                                                                          Must Supporttrue
                                                                          238. Patient.telecom.system
                                                                          Must Supporttrue
                                                                          240. Patient.telecom.value
                                                                          Must Supporttrue
                                                                          242. Patient.telecom.use
                                                                          Control0..0
                                                                          244. Patient.telecom.rank
                                                                          Control0..0
                                                                          246. Patient.telecom.period
                                                                          Control0..0
                                                                          248. Patient.gender
                                                                          Control1..?
                                                                          Must Supporttrue
                                                                          250. Patient.gender.extension
                                                                          Must Supporttrue
                                                                          252. Patient.gender.extension:other-amtlich
                                                                          Slice Nameother-amtlich
                                                                          Must Supporttrue
                                                                          254. Patient.birthDate
                                                                          Must Supporttrue
                                                                          256. Patient.birthDate.extension:data-absent-reason
                                                                          Slice Namedata-absent-reason
                                                                          Must Supporttrue
                                                                          258. Patient.birthDate.extension:data-absent-reason.value[x]
                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                          SlicingThis element introduces a set of slices on Patient.birthDate.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                          • type @ $this
                                                                          • 260. Patient.birthDate.extension:data-absent-reason.value[x]:valueCode
                                                                            Slice NamevalueCode
                                                                            Typecode
                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Must Supporttrue
                                                                            262. Patient.deceased[x]
                                                                            Control0..0
                                                                            264. Patient.address
                                                                            Must Supporttrue
                                                                            266. Patient.address:Strassenanschrift
                                                                            Slice NameStrassenanschrift
                                                                            Definition

                                                                            In diesem Slice sollen die Stammdaten des Systems hinterlegt werden.

                                                                            Eine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden.

                                                                            Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird.

                                                                            Insbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend.

                                                                            ShortAdress-Stammdaten-Strassenanschrift
                                                                            Must Supporttrue
                                                                            268. Patient.address:Strassenanschrift.extension:Stadtteil
                                                                            Slice NameStadtteil
                                                                            Control0..0
                                                                            270. Patient.address:Strassenanschrift.type
                                                                            Must Supporttrue
                                                                            272. Patient.address:Strassenanschrift.line
                                                                            Must Supporttrue
                                                                            274. Patient.address:Strassenanschrift.line.extension:Strasse
                                                                            Slice NameStrasse
                                                                            Must Supporttrue
                                                                            276. Patient.address:Strassenanschrift.line.extension:Hausnummer
                                                                            Slice NameHausnummer
                                                                            Must Supporttrue
                                                                            278. Patient.address:Strassenanschrift.line.extension:Adresszusatz
                                                                            Slice NameAdresszusatz
                                                                            Must Supporttrue
                                                                            280. Patient.address:Strassenanschrift.line.extension:Postleitzahl_und_Ort
                                                                            Slice NamePostleitzahl_und_Ort
                                                                            Control0..1
                                                                            TypeExtension(KBV_EX_WEST_Patient_Postleitzahl_und_Ort) (Extension Type: string)
                                                                            Must Supporttrue
                                                                            282. Patient.address:Strassenanschrift.line.extension:Postleitzahl_und_Ort.value[x]:valueString
                                                                            Slice NamevalueString
                                                                            Typestring
                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Must Supporttrue
                                                                            284. Patient.address:Strassenanschrift.city
                                                                            Must Supporttrue
                                                                            286. Patient.address:Strassenanschrift.state
                                                                            Control0..0
                                                                            288. Patient.address:Strassenanschrift.postalCode
                                                                            Must Supporttrue
                                                                            290. Patient.address:Strassenanschrift.country
                                                                            Definition

                                                                            Nach DEÜV Anlage8

                                                                            Must Supporttrue
                                                                            292. Patient.address:Strassenanschrift.period
                                                                            Control0..0
                                                                            294. Patient.address:Postfach
                                                                            Slice NamePostfach
                                                                            Definition

                                                                            In diesem Slice sollen die Adress-Stammdaten hinterlegt werden.

                                                                            Eine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden.

                                                                            Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird.

                                                                            Insbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend.

                                                                            ShortAdress-Stammdaten-Postfach
                                                                            Must Supporttrue
                                                                            296. Patient.address:Postfach.extension:Stadtteil
                                                                            Slice NameStadtteil
                                                                            Control0..0
                                                                            298. Patient.address:Postfach.use
                                                                            Control0..0
                                                                            300. Patient.address:Postfach.type
                                                                            Must Supporttrue
                                                                            302. Patient.address:Postfach.line
                                                                            Must Supporttrue
                                                                            304. Patient.address:Postfach.line.extension:Postfach
                                                                            Slice NamePostfach
                                                                            Must Supporttrue
                                                                            306. Patient.address:Postfach.city
                                                                            Must Supporttrue
                                                                            308. Patient.address:Postfach.state
                                                                            Control0..0
                                                                            310. Patient.address:Postfach.postalCode
                                                                            Must Supporttrue
                                                                            312. Patient.address:Postfach.country
                                                                            Definition

                                                                            Nach DEÜV Anlage8

                                                                            Must Supporttrue
                                                                            314. Patient.address:Postfach.period
                                                                            Control0..0
                                                                            316. Patient.maritalStatus
                                                                            Control0..0
                                                                            318. Patient.multipleBirth[x]
                                                                            Control0..0
                                                                            320. Patient.photo
                                                                            Definition

                                                                            In diesem Element kann ein Foto des Patienten eingefügt werden.

                                                                            ShortBild des Patienten
                                                                            Must Supporttrue
                                                                            322. Patient.contact
                                                                            Control0..0
                                                                            324. Patient.communication
                                                                            Definition

                                                                            In diesem Element kann z.B. die Muttersprache des Patienten angegeben werden.

                                                                            ShortSprachfähigkeiten
                                                                            Must Supporttrue
                                                                            326. Patient.communication.language
                                                                            BindingUnless not suitable, these codes SHALL be taken from Bevorzugte Sprache (Includes)
                                                                            (extensible to https://fhir.kbv.de/ValueSet/KBV_VS_Base_CommonLanguages)
                                                                            Must Supporttrue
                                                                            328. Patient.communication.language.coding
                                                                            Control1..1
                                                                            Must Supporttrue
                                                                            330. Patient.communication.language.coding.system
                                                                            Control1..?
                                                                            Must Supporttrue
                                                                            332. Patient.communication.language.coding.code
                                                                            Control1..?
                                                                            Must Supporttrue
                                                                            334. Patient.communication.language.coding.userSelected
                                                                            Control0..0
                                                                            336. Patient.communication.language.text
                                                                            Control0..0
                                                                            338. Patient.communication.preferred
                                                                            Control1..?
                                                                            Must Supporttrue
                                                                            340. Patient.generalPractitioner
                                                                            Definition

                                                                            Ist ein Hausarzt des Patienten bekannt, so kann dieser in diesem Element dokumentiert werden. Für die Referenz ist das Profil KBV_PR_WEST_PractitionerRole zu nutzen.

                                                                            ShortHausarzt
                                                                            Control0..1
                                                                            TypeReference(KBV_PR_WEST_PractitionerRole)
                                                                            Must Supporttrue
                                                                            342. Patient.generalPractitioner.reference
                                                                            Must Supporttrue
                                                                            344. Patient.generalPractitioner.type
                                                                            Control0..0
                                                                            346. Patient.generalPractitioner.identifier
                                                                            NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                            Control0..0
                                                                            348. Patient.generalPractitioner.display
                                                                            Must Supporttrue
                                                                            350. Patient.managingOrganization
                                                                            Control0..0
                                                                            352. Patient.link
                                                                            Control0..0

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

                                                                            0. Patient
                                                                            Definition

                                                                            Diese Ressource bietet die Möglichkeit Informationen zu einer versicherten Person abzubilden.

                                                                            ShortInformation about an individual or animal receiving health care services
                                                                            Control0..*
                                                                            Alternate NamesSubjectOfCare Client Resident
                                                                            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())
                                                                            pat-de-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist (gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists())
                                                                            photo-nand-data-url: Es darf für das Photo nur entweder das data oder url Element gefüllt sein. ((photo.url.exists() and photo.data.exists().not()) or (photo.data.exists() and photo.url.exists().not()))
                                                                            2. Patient.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. Patient.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. Patient.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. Patient.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 Normative)
                                                                            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 Patient.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 10. Patient.meta.versionId
                                                                              Definition

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

                                                                              ShortVersion specific identifier
                                                                              Comments

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

                                                                              Control0..0
                                                                              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
                                                                              Summarytrue
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              12. Patient.meta.lastUpdated
                                                                              Definition

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

                                                                              ShortWhen the resource version last changed
                                                                              Comments

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

                                                                              Control0..0
                                                                              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
                                                                              Summarytrue
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              14. Patient.meta.source
                                                                              Definition

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

                                                                              ShortIdentifies where the resource comes from
                                                                              Comments

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

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

                                                                              Control0..0
                                                                              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. Patient.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..*
                                                                              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
                                                                              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 Patient.meta.profile. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                              • value @ $this
                                                                              • 18. Patient.meta.profile:mioProfile
                                                                                Slice NamemioProfile
                                                                                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_Patient|1.0.0-kommentierung
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                20. Patient.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()))
                                                                                22. Patient.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()))
                                                                                24. Patient.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()))
                                                                                26. Patient.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()))
                                                                                28. Patient.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()))
                                                                                30. Patient.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
                                                                                32. Patient.extension
                                                                                Definition

                                                                                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.

                                                                                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 Normative)
                                                                                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 Patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                • value @ url
                                                                                • 34. Patient.extension:klinisches-Geschlecht
                                                                                  Slice Nameklinisches-Geschlecht
                                                                                  Definition

                                                                                  A parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc..

                                                                                  ShortA context-specific sex parameter for clinical use
                                                                                  Control0..0
                                                                                  This element is affected by the following invariants: ele-1
                                                                                  TypeExtension(Patient Sex Parameter For Clinical Use) (Complex Extension)
                                                                                  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. Patient.extension:aktuelle_Taetigkeit
                                                                                  Slice Nameaktuelle_Taetigkeit
                                                                                  Definition

                                                                                  Angabe zur aktuellen Tätigkeit. Sollten mehrere Tätigkeiten und Arbeitgeber vorhanden sein, so sollen die Felder synchronisiert werden. Arbeitgeber[0] passt zu Tätigkeit[0] (Arbeitgeber[1] zu Tätigkeit[1];....).

                                                                                  ShortAkutelle Tätigkeit
                                                                                  Control0..*
                                                                                  This element is affected by the following invariants: ele-1
                                                                                  TypeExtension(KBV_EX_WEST_Patient_Aktuelle_Taetigkeit) (Complex Extension)
                                                                                  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())
                                                                                  38. Patient.extension:aktuelle_Taetigkeit.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.
                                                                                  40. Patient.extension:aktuelle_Taetigkeit.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 Normative)
                                                                                  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 Patient.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                  • value @ url
                                                                                  • 42. Patient.extension:aktuelle_Taetigkeit.extension:aktuelle_Taetigkeit
                                                                                    Slice Nameaktuelle_Taetigkeit
                                                                                    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())
                                                                                    44. Patient.extension:aktuelle_Taetigkeit.extension:aktuelle_Taetigkeit.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.
                                                                                    46. Patient.extension:aktuelle_Taetigkeit.extension:aktuelle_Taetigkeit.extension
                                                                                    Definition

                                                                                    An Extension

                                                                                    ShortExtension
                                                                                    Control0..0
                                                                                    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 Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                    • value @ url
                                                                                    • 48. Patient.extension:aktuelle_Taetigkeit.extension:aktuelle_Taetigkeit.url
                                                                                      Definition

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

                                                                                      Shortidentifies the meaning of the extension
                                                                                      Comments

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

                                                                                      Control1..1
                                                                                      Typeuri
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Fixed Valueaktuelle_Taetigkeit
                                                                                      50. Patient.extension:aktuelle_Taetigkeit.extension:aktuelle_Taetigkeit.value[x]
                                                                                      Definition

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

                                                                                      ShortValue of extension
                                                                                      Control1..1
                                                                                      This element is affected by the following invariants: ele-1
                                                                                      Typestring
                                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      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 Patient.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                      • type @ $this
                                                                                      • 52. Patient.extension:aktuelle_Taetigkeit.extension:aktuelle_Taetigkeit.value[x]:valueString
                                                                                        Slice NamevalueString
                                                                                        Definition

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

                                                                                        ShortValue of extension
                                                                                        Control1..1
                                                                                        This element is affected by the following invariants: ele-1
                                                                                        Typestring
                                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Must Supporttrue
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        54. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber
                                                                                        Slice Namearbeitgeber
                                                                                        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())
                                                                                        56. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.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. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.extension
                                                                                        Definition

                                                                                        An Extension

                                                                                        ShortExtension
                                                                                        Control0..0
                                                                                        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 Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                        • value @ url
                                                                                        • 60. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.url
                                                                                          Definition

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

                                                                                          Shortidentifies the meaning of the extension
                                                                                          Comments

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

                                                                                          Control1..1
                                                                                          Typeuri
                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                          Fixed Valuearbeitgeber
                                                                                          62. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]
                                                                                          Definition

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

                                                                                          ShortValue of extension
                                                                                          Control1..1
                                                                                          This element is affected by the following invariants: ele-1
                                                                                          TypeReference
                                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                          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 Patient.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                          • type @ $this
                                                                                          • 64. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]:valueReference
                                                                                            Slice NamevalueReference
                                                                                            Definition

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

                                                                                            ShortValue of extension
                                                                                            Control1..1
                                                                                            This element is affected by the following invariants: ele-1
                                                                                            TypeReference(Organization)
                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                            Must Supporttrue
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            66. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]:valueReference.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.
                                                                                            68. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]:valueReference.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 Normative)
                                                                                            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 Patient.extension.extension.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                            • value @ url
                                                                                            • 70. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]:valueReference.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
                                                                                              Must Supporttrue
                                                                                              Summarytrue
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              72. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]:valueReference.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..0
                                                                                              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|4.0.1)

                                                                                              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()))
                                                                                              74. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]:valueReference.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..0
                                                                                              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()))
                                                                                              76. Patient.extension:aktuelle_Taetigkeit.extension:arbeitgeber.value[x]:valueReference.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.

                                                                                              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
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              78. Patient.extension:aktuelle_Taetigkeit.extension:beschaeftigt_seit
                                                                                              Slice Namebeschaeftigt_seit
                                                                                              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())
                                                                                              80. Patient.extension:aktuelle_Taetigkeit.extension:beschaeftigt_seit.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.
                                                                                              82. Patient.extension:aktuelle_Taetigkeit.extension:beschaeftigt_seit.extension
                                                                                              Definition

                                                                                              An Extension

                                                                                              ShortExtension
                                                                                              Control0..0
                                                                                              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 Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                              • value @ url
                                                                                              • 84. Patient.extension:aktuelle_Taetigkeit.extension:beschaeftigt_seit.url
                                                                                                Definition

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

                                                                                                Shortidentifies the meaning of the extension
                                                                                                Comments

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

                                                                                                Control1..1
                                                                                                Typeuri
                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                Fixed Valuebeschaeftigt_seit
                                                                                                86. Patient.extension:aktuelle_Taetigkeit.extension:beschaeftigt_seit.value[x]
                                                                                                Definition

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

                                                                                                ShortValue of extension
                                                                                                Control1..1
                                                                                                This element is affected by the following invariants: ele-1
                                                                                                TypedateTime
                                                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                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 Patient.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                • type @ $this
                                                                                                • 88. Patient.extension:aktuelle_Taetigkeit.extension:beschaeftigt_seit.value[x]:valueDateTime
                                                                                                  Slice NamevalueDateTime
                                                                                                  Definition

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

                                                                                                  ShortValue of extension
                                                                                                  Control1..1
                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                  TypedateTime
                                                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Must Supporttrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  90. Patient.extension:aktuelle_Taetigkeit.url
                                                                                                  Definition

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

                                                                                                  Shortidentifies the meaning of the extension
                                                                                                  Comments

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

                                                                                                  Control1..1
                                                                                                  Typeuri
                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                  Fixed Valuehttps://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Patient_Aktuelle_Taetigkeit
                                                                                                  92. Patient.extension:aktuelle_Taetigkeit.value[x]
                                                                                                  Definition

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

                                                                                                  ShortValue of extension
                                                                                                  Control0..0
                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                  TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                                                                                  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()))
                                                                                                  94. Patient.extension:staatsangehoerigkeit
                                                                                                  Slice Namestaatsangehoerigkeit
                                                                                                  Definition

                                                                                                  Zur Dokumentation der Staatsangehörigkeit ist dieses Feld vorgesehen.

                                                                                                  ShortStaatsangehörigkeit
                                                                                                  Control0..*
                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                  TypeExtension(Patient Citizenship) (Complex Extension)
                                                                                                  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())
                                                                                                  96. Patient.extension:staatsangehoerigkeit.id
                                                                                                  Definition

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

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

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

                                                                                                  ShortAdditional content defined by implementations
                                                                                                  Comments

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

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

                                                                                                    An Extension

                                                                                                    ShortExtension
                                                                                                    Control0..1
                                                                                                    TypeExtension
                                                                                                    Is Modifierfalse
                                                                                                    Must Supporttrue
                                                                                                    Summaryfalse
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                    102. Patient.extension:staatsangehoerigkeit.extension:code.id
                                                                                                    Definition

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

                                                                                                    ShortUnique id for inter-element referencing
                                                                                                    Control0..1
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                    Summaryfalse
                                                                                                    104. Patient.extension:staatsangehoerigkeit.extension:code.extension
                                                                                                    Definition

                                                                                                    An Extension

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

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

                                                                                                      Shortidentifies the meaning of the extension
                                                                                                      Comments

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

                                                                                                      Control1..1
                                                                                                      Typeuri
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                      Summaryfalse
                                                                                                      Fixed Valuecode
                                                                                                      108. Patient.extension:staatsangehoerigkeit.extension:code.value[x]
                                                                                                      Definition

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

                                                                                                      ShortValue of extension
                                                                                                      Control1..1
                                                                                                      BindingUnless not suitable, these codes SHALL be taken from Land/Wohnsitzländercode
                                                                                                      (extensible to https://fhir.kbv.de/ValueSet/KBV_VS_Base_Deuev_Anlage_8)
                                                                                                      TypeCodeableConcept
                                                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      110. Patient.extension:staatsangehoerigkeit.extension:code.value[x].id
                                                                                                      Definition

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

                                                                                                      ShortUnique id for inter-element referencing
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                      112. Patient.extension:staatsangehoerigkeit.extension:code.value[x].extension
                                                                                                      Definition

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

                                                                                                      ShortAdditional content defined by implementations
                                                                                                      Comments

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

                                                                                                      Control0..*
                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                      TypeExtension
                                                                                                      Standard StatusNormative (from Normative)
                                                                                                      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 Patient.extension.extension.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                      • value @ url
                                                                                                      • 114. Patient.extension:staatsangehoerigkeit.extension:code.value[x].coding
                                                                                                        Definition

                                                                                                        A reference to a code defined by a terminology system.

                                                                                                        ShortCode defined by a terminology system
                                                                                                        Comments

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

                                                                                                        Control0..*
                                                                                                        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()))
                                                                                                        116. Patient.extension:staatsangehoerigkeit.extension:code.value[x].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.
                                                                                                        118. Patient.extension:staatsangehoerigkeit.extension:code.value[x].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 Normative)
                                                                                                        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 Patient.extension.extension.value[x].coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                        • value @ url
                                                                                                        • 120. Patient.extension:staatsangehoerigkeit.extension:code.value[x].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.

                                                                                                          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
                                                                                                          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()))
                                                                                                          122. Patient.extension:staatsangehoerigkeit.extension:code.value[x].coding.version
                                                                                                          Definition

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

                                                                                                          ShortVersion of the system - if relevant
                                                                                                          Comments

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

                                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                          Control0..1
                                                                                                          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()))
                                                                                                          124. Patient.extension:staatsangehoerigkeit.extension:code.value[x].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

                                                                                                          Control0..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()))
                                                                                                          126. Patient.extension:staatsangehoerigkeit.extension:code.value[x].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..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()))
                                                                                                          128. Patient.extension:staatsangehoerigkeit.extension:code.value[x].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()))
                                                                                                          130. Patient.extension:staatsangehoerigkeit.extension:code.value[x].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()))
                                                                                                          132. Patient.extension:staatsangehoerigkeit.extension:period
                                                                                                          Slice Nameperiod
                                                                                                          Definition

                                                                                                          An Extension

                                                                                                          ShortExtension
                                                                                                          Control0..0
                                                                                                          TypeExtension
                                                                                                          Is Modifierfalse
                                                                                                          Summaryfalse
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                          138. Patient.extension:staatsangehoerigkeit.url
                                                                                                          Definition

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

                                                                                                          Shortidentifies the meaning of the extension
                                                                                                          Comments

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

                                                                                                          Control1..1
                                                                                                          Typeuri
                                                                                                          Is Modifierfalse
                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                          Summaryfalse
                                                                                                          Fixed Valuehttp://hl7.org/fhir/StructureDefinition/patient-citizenship
                                                                                                          140. Patient.extension:staatsangehoerigkeit.value[x]
                                                                                                          Definition

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

                                                                                                          ShortValue of extension
                                                                                                          Control0..0
                                                                                                          TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                                                                                          Is Modifierfalse
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Summaryfalse
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          142. Patient.extension:versichertendaten_Zusatzinformationen
                                                                                                          Slice Nameversichertendaten_Zusatzinformationen
                                                                                                          Definition

                                                                                                          Dieses Element beschreibt Informationen, welche von der Versicherung unverändert (amtliche Daten), bspw. von einer KVK/eGK/Versicherungsschein, übernommen wurden.

                                                                                                          ShortVersichertendaten
                                                                                                          Control0..1
                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                          TypeExtension(KBV_EX_WEST_Patient_Vsdm_Zusatzinformationen) (Complex Extension)
                                                                                                          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())
                                                                                                          144. Patient.extension:versichertendaten_Zusatzinformationen.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.
                                                                                                          146. Patient.extension:versichertendaten_Zusatzinformationen.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 Normative)
                                                                                                          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 Patient.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                          • value @ url
                                                                                                          • 148. Patient.extension:versichertendaten_Zusatzinformationen.extension:name
                                                                                                            Slice Namename
                                                                                                            Definition

                                                                                                            An Extension

                                                                                                            ShortExtension
                                                                                                            Control0..1
                                                                                                            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())
                                                                                                            150. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.id
                                                                                                            Definition

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

                                                                                                            ShortUnique id for inter-element referencing
                                                                                                            Control0..1
                                                                                                            Typestring
                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                            152. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.extension
                                                                                                            Definition

                                                                                                            An Extension

                                                                                                            ShortExtension
                                                                                                            Control0..0
                                                                                                            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 Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                            • value @ url
                                                                                                            • 154. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.url
                                                                                                              Definition

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

                                                                                                              Shortidentifies the meaning of the extension
                                                                                                              Comments

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

                                                                                                              Control1..1
                                                                                                              Typeuri
                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                              Fixed Valuename
                                                                                                              156. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]
                                                                                                              Definition

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

                                                                                                              ShortValue of extension
                                                                                                              Control1..1
                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                              TypeHumanName
                                                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                              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 Patient.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                              • type @ $this
                                                                                                              • 158. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName
                                                                                                                Slice NamevalueHumanName
                                                                                                                Definition

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

                                                                                                                ShortValue of extension
                                                                                                                Control1..1
                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                TypeHumanName(KBV_PR_Base_Datatype_Name)
                                                                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                Must Supporttrue
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                160. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.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.
                                                                                                                162. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.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 Normative)
                                                                                                                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 Patient.extension.extension.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                • value @ url
                                                                                                                • 164. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.use
                                                                                                                  Definition

                                                                                                                  Identifies the purpose for this name.

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

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

                                                                                                                  Control1..1
                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                  BindingThe codes SHALL be taken from NameUse
                                                                                                                  (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                                                                                                  The use of a human name.

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

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

                                                                                                                  Pattern Valueofficial
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  166. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.text
                                                                                                                  Definition

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

                                                                                                                  ShortVollständiger Name
                                                                                                                  Comments

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

                                                                                                                  Control0..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

                                                                                                                  A renderable, unencoded form.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  168. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.family
                                                                                                                  Definition

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

                                                                                                                  ShortFamilienname
                                                                                                                  Comments

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

                                                                                                                  Control1..1
                                                                                                                  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 Namessurname
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  170. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.family.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.
                                                                                                                  172. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.family.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 Normative)
                                                                                                                  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 Patient.extension.extension.value[x].family.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                  • value @ url
                                                                                                                  • 174. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.family.extension:namenszusatz
                                                                                                                    Slice Namenamenszusatz
                                                                                                                    Definition

                                                                                                                    Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst

                                                                                                                    ShortNamenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
                                                                                                                    Comments

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

                                                                                                                    Control0..1
                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                    TypeExtension(Extension zur Erfassung der VSDM Namensbestandteile) (Extension Type: string)
                                                                                                                    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())
                                                                                                                    176. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.family.extension:nachname
                                                                                                                    Slice Namenachname
                                                                                                                    Definition

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

                                                                                                                    ShortPortion derived from person's own surname
                                                                                                                    Comments

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

                                                                                                                    Control0..1
                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                    TypeExtension(Own 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())
                                                                                                                    178. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.family.extension:vorsatzwort
                                                                                                                    Slice Namevorsatzwort
                                                                                                                    Definition

                                                                                                                    The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse.

                                                                                                                    ShortVoorvoegsel derived from person's own surname
                                                                                                                    Comments

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

                                                                                                                    Control0..1
                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                    TypeExtension(Own Prefix) (Extension Type: string)
                                                                                                                    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())
                                                                                                                    180. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.family.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
                                                                                                                    182. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.given
                                                                                                                    Definition

                                                                                                                    Vorname der Person

                                                                                                                    ShortVorname
                                                                                                                    Comments

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

                                                                                                                    Control0..1
                                                                                                                    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 Namesfirst name, middle name
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    184. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.prefix
                                                                                                                    Definition

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

                                                                                                                    ShortNamensteile vor dem Vornamen
                                                                                                                    Comments

                                                                                                                    Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                                                                    Control0..*
                                                                                                                    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()))
                                                                                                                    186. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.prefix.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.
                                                                                                                    188. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.prefix.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.

                                                                                                                    Control1..*
                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                    TypeExtension
                                                                                                                    Standard StatusNormative (from Normative)
                                                                                                                    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 Patient.extension.extension.value[x].prefix.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                    • value @ url
                                                                                                                    • 190. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.prefix.extension:prefix-qualifier
                                                                                                                      Slice Nameprefix-qualifier
                                                                                                                      Definition

                                                                                                                      Spezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel

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

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

                                                                                                                      Control1..1
                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                      TypeExtension(EN Qualifier) (Extension Type: code)
                                                                                                                      Is Modifierfalse
                                                                                                                      Standard StatusNormative (from Normative)
                                                                                                                      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())
                                                                                                                      192. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.prefix.extension:prefix-qualifier.id
                                                                                                                      Definition

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

                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                      Control0..1
                                                                                                                      Typestring
                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                      194. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.prefix.extension:prefix-qualifier.extension
                                                                                                                      Definition

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

                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                      Comments

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

                                                                                                                      Control0..0
                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                      TypeExtension
                                                                                                                      Standard StatusNormative (from Normative)
                                                                                                                      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 Patient.extension.extension.value[x].prefix.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                      • value @ url
                                                                                                                      • 196. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.prefix.extension:prefix-qualifier.url
                                                                                                                        Definition

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

                                                                                                                        Shortidentifies the meaning of the extension
                                                                                                                        Comments

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

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

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

                                                                                                                        ShortValue of extension
                                                                                                                        Control1..1
                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                        BindingThe codes SHALL be taken from EntityNamePartQualifier
                                                                                                                        (required to http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1)

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

                                                                                                                        Typecode
                                                                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Standard StatusNormative (from Normative)
                                                                                                                        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 Patient.extension.extension.value[x].prefix.extension.value[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                        • type @ $this
                                                                                                                        • 200. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.prefix.extension:prefix-qualifier.value[x]:valueCode
                                                                                                                          Slice NamevalueCode
                                                                                                                          Definition

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

                                                                                                                          ShortValue of extension
                                                                                                                          Control1..1
                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                          BindingThe codes SHALL be taken from EntityNamePartQualifier
                                                                                                                          (required to http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1)

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

                                                                                                                          Typecode
                                                                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                          Standard StatusNormative (from Normative)
                                                                                                                          Fixed ValueAC
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          202. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.prefix.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
                                                                                                                          204. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.suffix
                                                                                                                          Definition

                                                                                                                          Namensteile nach dem Nachnamen

                                                                                                                          ShortNamensteile nach dem Nachnamen
                                                                                                                          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
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          206. Patient.extension:versichertendaten_Zusatzinformationen.extension:name.value[x]:valueHumanName.period
                                                                                                                          Definition

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

                                                                                                                          ShortTime period when name 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
                                                                                                                          Requirements

                                                                                                                          Allows names to be placed in historical context.

                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                                                                                                          208. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht
                                                                                                                          Slice Namegeschlecht
                                                                                                                          Definition

                                                                                                                          An Extension

                                                                                                                          ShortExtension
                                                                                                                          Control0..1
                                                                                                                          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())
                                                                                                                          210. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.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.
                                                                                                                          212. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.extension
                                                                                                                          Definition

                                                                                                                          An Extension

                                                                                                                          ShortExtension
                                                                                                                          Control0..0
                                                                                                                          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 Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                          • value @ url
                                                                                                                          • 214. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.url
                                                                                                                            Definition

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

                                                                                                                            Shortidentifies the meaning of the extension
                                                                                                                            Comments

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

                                                                                                                            Control1..1
                                                                                                                            Typeuri
                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                            Fixed Valuegeschlecht
                                                                                                                            216. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]
                                                                                                                            Definition

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

                                                                                                                            ShortValue of extension
                                                                                                                            Control1..1
                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                            TypeCoding
                                                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                            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 Patient.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                            • type @ $this
                                                                                                                            • 218. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]:valueCoding
                                                                                                                              Slice NamevalueCoding
                                                                                                                              Definition

                                                                                                                              Der Code Other darf nicht genutzt werden. Es stehen dafür die deutschen Alternativen zur Verfügung.

                                                                                                                              ShortValue of extension
                                                                                                                              Control1..1
                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                              BindingThe codes SHALL be taken from KBV_VS_WEST_Patient_VSDM_Gender
                                                                                                                              (required to https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Patient_VSDM_Gender)
                                                                                                                              TypeCoding
                                                                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                              Must Supporttrue
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              220. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]:valueCoding.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.
                                                                                                                              222. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]:valueCoding.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 Normative)
                                                                                                                              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 Patient.extension.extension.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                              • value @ url
                                                                                                                              • 224. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]:valueCoding.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()))
                                                                                                                                226. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]:valueCoding.version
                                                                                                                                Definition

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

                                                                                                                                ShortVersion of the system - if relevant
                                                                                                                                Comments

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

                                                                                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                Control0..1
                                                                                                                                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()))
                                                                                                                                228. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]:valueCoding.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()))
                                                                                                                                230. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]:valueCoding.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..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

                                                                                                                                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()))
                                                                                                                                232. Patient.extension:versichertendaten_Zusatzinformationen.extension:geschlecht.value[x]:valueCoding.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()))
                                                                                                                                234. Patient.extension:versichertendaten_Zusatzinformationen.extension:geburtsdatum
                                                                                                                                Slice Namegeburtsdatum
                                                                                                                                Definition

                                                                                                                                An Extension

                                                                                                                                ShortExtension
                                                                                                                                Control0..1
                                                                                                                                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())
                                                                                                                                236. Patient.extension:versichertendaten_Zusatzinformationen.extension:geburtsdatum.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.
                                                                                                                                238. Patient.extension:versichertendaten_Zusatzinformationen.extension:geburtsdatum.extension
                                                                                                                                Definition

                                                                                                                                An Extension

                                                                                                                                ShortExtension
                                                                                                                                Control0..0
                                                                                                                                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 Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                • value @ url
                                                                                                                                • 240. Patient.extension:versichertendaten_Zusatzinformationen.extension:geburtsdatum.url
                                                                                                                                  Definition

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

                                                                                                                                  Shortidentifies the meaning of the extension
                                                                                                                                  Comments

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

                                                                                                                                  Control1..1
                                                                                                                                  Typeuri
                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                  Fixed Valuegeburtsdatum
                                                                                                                                  242. Patient.extension:versichertendaten_Zusatzinformationen.extension:geburtsdatum.value[x]
                                                                                                                                  Definition

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

                                                                                                                                  ShortValue of extension
                                                                                                                                  Control1..1
                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                  Typedate
                                                                                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                  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 Patient.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                  • type @ $this
                                                                                                                                  • 244. Patient.extension:versichertendaten_Zusatzinformationen.extension:geburtsdatum.value[x]:valueDate
                                                                                                                                    Slice NamevalueDate
                                                                                                                                    Definition

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

                                                                                                                                    ShortValue of extension
                                                                                                                                    Control1..1
                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                    Typedate
                                                                                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                    Must Supporttrue
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    246. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Strassenadresse
                                                                                                                                    Slice Nameadresse-Strassenadresse
                                                                                                                                    Definition

                                                                                                                                    An Extension

                                                                                                                                    ShortExtension
                                                                                                                                    Control0..1
                                                                                                                                    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())
                                                                                                                                    248. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Strassenadresse.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.
                                                                                                                                    250. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Strassenadresse.extension
                                                                                                                                    Definition

                                                                                                                                    An Extension

                                                                                                                                    ShortExtension
                                                                                                                                    Control0..0
                                                                                                                                    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 Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                    • value @ url
                                                                                                                                    • 252. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Strassenadresse.url
                                                                                                                                      Definition

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

                                                                                                                                      Shortidentifies the meaning of the extension
                                                                                                                                      Comments

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

                                                                                                                                      Control1..1
                                                                                                                                      Typeuri
                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                      Fixed Valueadresse-Strassenadresse
                                                                                                                                      254. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Strassenadresse.value[x]
                                                                                                                                      Definition

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

                                                                                                                                      ShortValue of extension
                                                                                                                                      Control1..1
                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                      TypeAddress
                                                                                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                      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 Patient.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                      • type @ $this
                                                                                                                                      • 256. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Strassenadresse.value[x]:valueAddress
                                                                                                                                        Slice NamevalueAddress
                                                                                                                                        Definition

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

                                                                                                                                        ShortValue of extension
                                                                                                                                        Control1..1
                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                        TypeAddress(KBV_PR_Base_Datatype_Street_Address)
                                                                                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                        Must Supporttrue
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        258. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Postfach
                                                                                                                                        Slice Nameadresse-Postfach
                                                                                                                                        Definition

                                                                                                                                        An Extension

                                                                                                                                        ShortExtension
                                                                                                                                        Control0..1
                                                                                                                                        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())
                                                                                                                                        260. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-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.
                                                                                                                                        262. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Postfach.extension
                                                                                                                                        Definition

                                                                                                                                        An Extension

                                                                                                                                        ShortExtension
                                                                                                                                        Control0..0
                                                                                                                                        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 Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                        • value @ url
                                                                                                                                        • 264. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Postfach.url
                                                                                                                                          Definition

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

                                                                                                                                          Shortidentifies the meaning of the extension
                                                                                                                                          Comments

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

                                                                                                                                          Control1..1
                                                                                                                                          Typeuri
                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                          Fixed Valueadresse-Postfach
                                                                                                                                          266. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Postfach.value[x]
                                                                                                                                          Definition

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

                                                                                                                                          ShortValue of extension
                                                                                                                                          Control1..1
                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                          TypeAddress
                                                                                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                          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 Patient.extension.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                          • type @ $this
                                                                                                                                          • 268. Patient.extension:versichertendaten_Zusatzinformationen.extension:adresse-Postfach.value[x]:valueAddress
                                                                                                                                            Slice NamevalueAddress
                                                                                                                                            Definition

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

                                                                                                                                            ShortValue of extension
                                                                                                                                            Control1..1
                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                            TypeAddress(KBV_PR_Base_Datatype_Post_Office_Box)
                                                                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                            Must Supporttrue
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            270. Patient.extension:versichertendaten_Zusatzinformationen.url
                                                                                                                                            Definition

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

                                                                                                                                            Shortidentifies the meaning of the extension
                                                                                                                                            Comments

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

                                                                                                                                            Control1..1
                                                                                                                                            Typeuri
                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                            Fixed Valuehttps://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Patient_Vsdm_Zusatzinformationen
                                                                                                                                            272. Patient.extension:versichertendaten_Zusatzinformationen.value[x]
                                                                                                                                            Definition

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

                                                                                                                                            ShortValue of extension
                                                                                                                                            Control0..0
                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                            TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                                                                                                                            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()))
                                                                                                                                            274. Patient.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 Normative)
                                                                                                                                            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 Patient.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                            • value @ url
                                                                                                                                            • 276. Patient.identifier
                                                                                                                                              Definition

                                                                                                                                              In diesem Element wird der Identifier (Identifikator) für die Person eingetragen. Der Identifikator kann aus diversen Quellen stammen.

                                                                                                                                              ShortAn identifier for this patient
                                                                                                                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                                                              Control0..*
                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                              TypeIdentifier
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              Patients are almost always assigned specific numerical identifiers.

                                                                                                                                              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 Patient.identifier. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                              • value @ type
                                                                                                                                              • 278. Patient.identifier:pid
                                                                                                                                                Slice Namepid
                                                                                                                                                Definition

                                                                                                                                                Dieses Element enthält die Abbildung einer organisationsspezifischen Patienten-ID.

                                                                                                                                                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
                                                                                                                                                TypeIdentifier(Identifier-Profil für die Abbildung einer Patienten-ID)
                                                                                                                                                Must Supporttrue
                                                                                                                                                Summarytrue
                                                                                                                                                Requirements

                                                                                                                                                Patients are almost always assigned specific numerical identifiers.

                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                280. Patient.identifier:pid.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.
                                                                                                                                                282. Patient.identifier:pid.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 Normative)
                                                                                                                                                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 Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                • value @ url
                                                                                                                                                • 284. Patient.identifier:pid.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()))
                                                                                                                                                  286. Patient.identifier:pid.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" : "MR"
                                                                                                                                                    }]
                                                                                                                                                  }
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  288. Patient.identifier:pid.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.
                                                                                                                                                  290. Patient.identifier:pid.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 Normative)
                                                                                                                                                  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 Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                  • value @ url
                                                                                                                                                  • 292. Patient.identifier:pid.type.coding
                                                                                                                                                    Definition

                                                                                                                                                    A reference to a code defined by a terminology system.

                                                                                                                                                    ShortCode defined by a terminology system
                                                                                                                                                    Comments

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

                                                                                                                                                    Control1..1
                                                                                                                                                    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()))
                                                                                                                                                    294. Patient.identifier:pid.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.
                                                                                                                                                    296. Patient.identifier:pid.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 Normative)
                                                                                                                                                    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 Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                    • value @ url
                                                                                                                                                    • 298. Patient.identifier:pid.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()))
                                                                                                                                                      300. Patient.identifier:pid.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()))
                                                                                                                                                      302. Patient.identifier:pid.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()))
                                                                                                                                                      304. Patient.identifier:pid.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()))
                                                                                                                                                      306. Patient.identifier:pid.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()))
                                                                                                                                                      308. Patient.identifier:pid.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()))
                                                                                                                                                      310. Patient.identifier:pid.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.

                                                                                                                                                      ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      312. Patient.identifier:pid.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()))
                                                                                                                                                      314. Patient.identifier:pid.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))
                                                                                                                                                      316. Patient.identifier:pid.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')))
                                                                                                                                                      318. Patient.identifier:versichertenId
                                                                                                                                                      Slice NameversichertenId
                                                                                                                                                      Definition

                                                                                                                                                      Hier wird der unveränderliche Teil der einheitlichen Krankenversicherungsnummer der GKV gemäß § 290 SGB V angegeben. Die 10-stellige Zeichenfolge beginnt mit einem zufällig vergebene Großbuchstaben, darauf folgen 8 zufällige Ziffern. Das 10.Zeichen ist eine Prüfziffer.

                                                                                                                                                      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
                                                                                                                                                      TypeIdentifier(Identifier-Profil für die 10-stellige Krankenversichertennummer)
                                                                                                                                                      Must Supporttrue
                                                                                                                                                      Summarytrue
                                                                                                                                                      Requirements

                                                                                                                                                      Patients are almost always assigned specific numerical identifiers.

                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      320. Patient.identifier:versichertenId.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.
                                                                                                                                                      322. Patient.identifier:versichertenId.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 Normative)
                                                                                                                                                      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 Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                      • value @ url
                                                                                                                                                      • 324. Patient.identifier:versichertenId.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()))
                                                                                                                                                        326. Patient.identifier:versichertenId.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" : "KVZ10"
                                                                                                                                                          }]
                                                                                                                                                        }
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        kvid-2: Die type Codes 'GKV' und 'PKV' haben den Status 'retired', daher sollen diese nicht mehr verwendet werden (($this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='GKV') or $this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='PKV')).not())
                                                                                                                                                        328. Patient.identifier:versichertenId.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.
                                                                                                                                                        330. Patient.identifier:versichertenId.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 Normative)
                                                                                                                                                        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 Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                        • value @ url
                                                                                                                                                        • 332. Patient.identifier:versichertenId.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()))
                                                                                                                                                          334. Patient.identifier:versichertenId.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.
                                                                                                                                                          336. Patient.identifier:versichertenId.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 Normative)
                                                                                                                                                          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 Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                          • value @ url
                                                                                                                                                          • 338. Patient.identifier:versichertenId.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()))
                                                                                                                                                            340. Patient.identifier:versichertenId.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()))
                                                                                                                                                            342. Patient.identifier:versichertenId.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()))
                                                                                                                                                            344. Patient.identifier:versichertenId.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()))
                                                                                                                                                            346. Patient.identifier:versichertenId.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()))
                                                                                                                                                            348. Patient.identifier:versichertenId.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()))
                                                                                                                                                            350. Patient.identifier:versichertenId.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/gkv/kvid-10
                                                                                                                                                            ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            352. Patient.identifier:versichertenId.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()))
                                                                                                                                                            kvid-1: Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen (matches('^[A-Z][0-9]{9}$'))
                                                                                                                                                            354. Patient.identifier:versichertenId.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))
                                                                                                                                                            356. Patient.identifier:versichertenId.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')))
                                                                                                                                                            358. Patient.identifier:versichertennummer_pkv
                                                                                                                                                            Slice Nameversichertennummer_pkv
                                                                                                                                                            Definition

                                                                                                                                                            Hier wird die vom privaten Krankenversicherungsunternehmen vergebene PKV-eigene Versichertennummer angegeben.

                                                                                                                                                            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
                                                                                                                                                            TypeIdentifier(Identifier-Profil für die Abbildung einer Privatversichertennummer)
                                                                                                                                                            Must Supporttrue
                                                                                                                                                            Summarytrue
                                                                                                                                                            Requirements

                                                                                                                                                            Patients are almost always assigned specific numerical identifiers.

                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            360. Patient.identifier:versichertennummer_pkv.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.
                                                                                                                                                            362. Patient.identifier:versichertennummer_pkv.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 Normative)
                                                                                                                                                            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 Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                            • value @ url
                                                                                                                                                            • 364. Patient.identifier:versichertennummer_pkv.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 Valuesecondary
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              366. Patient.identifier:versichertennummer_pkv.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" : "https://fhir.kbv.de/CodeSystem/KBV_CS_Base_identifier_type",
                                                                                                                                                                  "code" : "pkv-nr"
                                                                                                                                                                }]
                                                                                                                                                              }
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              368. Patient.identifier:versichertennummer_pkv.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.
                                                                                                                                                              370. Patient.identifier:versichertennummer_pkv.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 Normative)
                                                                                                                                                              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 Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                              • value @ url
                                                                                                                                                              • 372. Patient.identifier:versichertennummer_pkv.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.

                                                                                                                                                                Control2..*
                                                                                                                                                                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()))
                                                                                                                                                                374. Patient.identifier:versichertennummer_pkv.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.
                                                                                                                                                                376. Patient.identifier:versichertennummer_pkv.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 Normative)
                                                                                                                                                                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 Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                • value @ url
                                                                                                                                                                • 378. Patient.identifier:versichertennummer_pkv.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()))
                                                                                                                                                                  380. Patient.identifier:versichertennummer_pkv.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()))
                                                                                                                                                                  382. Patient.identifier:versichertennummer_pkv.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()))
                                                                                                                                                                  384. Patient.identifier:versichertennummer_pkv.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()))
                                                                                                                                                                  386. Patient.identifier:versichertennummer_pkv.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()))
                                                                                                                                                                  388. Patient.identifier:versichertennummer_pkv.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()))
                                                                                                                                                                  390. Patient.identifier:versichertennummer_pkv.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.

                                                                                                                                                                  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
                                                                                                                                                                  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.

                                                                                                                                                                  ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                  392. Patient.identifier:versichertennummer_pkv.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()))
                                                                                                                                                                  394. Patient.identifier:versichertennummer_pkv.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))
                                                                                                                                                                  396. Patient.identifier:versichertennummer_pkv.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.

                                                                                                                                                                  Control1..1
                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                  TypeReference(Organization)
                                                                                                                                                                  Must Supporttrue
                                                                                                                                                                  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')))
                                                                                                                                                                  398. Patient.identifier:versichertennummer_pkv.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.
                                                                                                                                                                  400. Patient.identifier:versichertennummer_pkv.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 Normative)
                                                                                                                                                                  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 Patient.identifier.assigner.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                  • value @ url
                                                                                                                                                                  • 402. Patient.identifier:versichertennummer_pkv.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()))
                                                                                                                                                                    404. Patient.identifier:versichertennummer_pkv.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()))
                                                                                                                                                                    406. Patient.identifier:versichertennummer_pkv.assigner.identifier
                                                                                                                                                                    Definition

                                                                                                                                                                    An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.

                                                                                                                                                                    ShortAn identifier intended for computation
                                                                                                                                                                    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(Identifier-Profil für die Abbildung eines Institutionskennzeichens (IKNR))
                                                                                                                                                                    Summarytrue
                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    408. Patient.identifier:versichertennummer_pkv.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()))
                                                                                                                                                                    410. Patient.identifier:reisepassnummer
                                                                                                                                                                    Slice Namereisepassnummer
                                                                                                                                                                    Definition

                                                                                                                                                                    Hier wird die Reisepassnummer angegeben.

                                                                                                                                                                    ShortIdentifier Reisepassnummer
                                                                                                                                                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                                                                                    Control0..0
                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                    TypeIdentifier(KBV_PR_Base_Identifier_Reisepassnummer)
                                                                                                                                                                    Summarytrue
                                                                                                                                                                    Requirements

                                                                                                                                                                    Patients are almost always assigned specific numerical identifiers.

                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    412. Patient.identifier:versichertennummer_kvk
                                                                                                                                                                    Slice Nameversichertennummer_kvk
                                                                                                                                                                    Definition

                                                                                                                                                                    Hier wird die Versichertennummer der Krankenversichertenkarte (KVK) angegeben.

                                                                                                                                                                    ShortIdentifier KVK
                                                                                                                                                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                                                                                    Control0..1
                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                    TypeIdentifier(KBV_PR_Base_Identifier_KVK)
                                                                                                                                                                    Must Supporttrue
                                                                                                                                                                    Summarytrue
                                                                                                                                                                    Requirements

                                                                                                                                                                    Patients are almost always assigned specific numerical identifiers.

                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                    414. Patient.identifier:versichertennummer_kvk.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.
                                                                                                                                                                    416. Patient.identifier:versichertennummer_kvk.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 Normative)
                                                                                                                                                                    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 Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                    • value @ url
                                                                                                                                                                    • 418. Patient.identifier:versichertennummer_kvk.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()))
                                                                                                                                                                      420. Patient.identifier:versichertennummer_kvk.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 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
                                                                                                                                                                      Must Supporttrue
                                                                                                                                                                      Summarytrue
                                                                                                                                                                      Requirements

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

                                                                                                                                                                      Pattern Value{
                                                                                                                                                                        "coding" : [{
                                                                                                                                                                          "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_Base_identifier_type",
                                                                                                                                                                          "code" : "kvk"
                                                                                                                                                                        }]
                                                                                                                                                                      }
                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      422. Patient.identifier:versichertennummer_kvk.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.
                                                                                                                                                                      424. Patient.identifier:versichertennummer_kvk.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 Normative)
                                                                                                                                                                      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 Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                      • value @ url
                                                                                                                                                                      • 426. Patient.identifier:versichertennummer_kvk.type.coding
                                                                                                                                                                        Definition

                                                                                                                                                                        A reference to a code defined by a terminology system.

                                                                                                                                                                        ShortCode defined by a terminology system
                                                                                                                                                                        Comments

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

                                                                                                                                                                        Control1..1
                                                                                                                                                                        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()))
                                                                                                                                                                        428. Patient.identifier:versichertennummer_kvk.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.
                                                                                                                                                                        430. Patient.identifier:versichertennummer_kvk.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 Normative)
                                                                                                                                                                        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 Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                        • value @ url
                                                                                                                                                                        • 432. Patient.identifier:versichertennummer_kvk.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()))
                                                                                                                                                                          434. Patient.identifier:versichertennummer_kvk.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()))
                                                                                                                                                                          436. Patient.identifier:versichertennummer_kvk.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()))
                                                                                                                                                                          438. Patient.identifier:versichertennummer_kvk.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.

                                                                                                                                                                          Pattern ValueKrankenversichertenkarte
                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          440. Patient.identifier:versichertennummer_kvk.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()))
                                                                                                                                                                          442. Patient.identifier:versichertennummer_kvk.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()))
                                                                                                                                                                          444. Patient.identifier:versichertennummer_kvk.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/gkv/kvk-versichertennummer
                                                                                                                                                                          ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                          446. Patient.identifier:versichertennummer_kvk.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()))
                                                                                                                                                                          kvk-1: Die Krankenversichertenkartenummer muss numerisch und 6- bis 12-stellig sein. (matches('^[0-9]{6,12}$'))
                                                                                                                                                                          448. Patient.identifier:versichertennummer_kvk.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))
                                                                                                                                                                          450. Patient.identifier:versichertennummer_kvk.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')))
                                                                                                                                                                          452. Patient.active
                                                                                                                                                                          Definition

                                                                                                                                                                          Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

                                                                                                                                                                          It is often used to filter patient lists to exclude inactive patients

                                                                                                                                                                          Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.

                                                                                                                                                                          ShortWhether this patient's record is in active use
                                                                                                                                                                          Comments

                                                                                                                                                                          If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

                                                                                                                                                                          Control0..1
                                                                                                                                                                          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
                                                                                                                                                                          Must Supporttrue
                                                                                                                                                                          Summarytrue
                                                                                                                                                                          Requirements

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

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

                                                                                                                                                                          Dieses Element beschreibt den vollständigen Namen der behandelten Person.

                                                                                                                                                                          ShortA name associated with the patient
                                                                                                                                                                          Comments

                                                                                                                                                                          A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                                                                                                                                                          Control1..*
                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                          TypeHumanName
                                                                                                                                                                          Summarytrue
                                                                                                                                                                          Requirements

                                                                                                                                                                          Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                                                                                                                                                          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 Patient.name. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                          • value @ use
                                                                                                                                                                          • 456. Patient.name:name
                                                                                                                                                                            Slice Namename
                                                                                                                                                                            Definition

                                                                                                                                                                            Dieses Element beschreibt diverse Namensbestandteile des Patienten. Diese werden hier als Versichertendaten des PVS bezeichnen.

                                                                                                                                                                            ShortVersichertendaten
                                                                                                                                                                            Comments

                                                                                                                                                                            Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.

                                                                                                                                                                            Control0..1
                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                            TypeHumanName(KBV_PR_Base_Datatype_Name)
                                                                                                                                                                            Must Supporttrue
                                                                                                                                                                            Summarytrue
                                                                                                                                                                            Requirements

                                                                                                                                                                            Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                            hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden (family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue())
                                                                                                                                                                            hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden (family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue())
                                                                                                                                                                            hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden (family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue())
                                                                                                                                                                            hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden (prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue()))
                                                                                                                                                                            458. Patient.name:name.id
                                                                                                                                                                            Definition

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

                                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                                            Control0..1
                                                                                                                                                                            Typestring
                                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                            460. Patient.name:name.extension
                                                                                                                                                                            Definition

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

                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                            Comments

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

                                                                                                                                                                            Control0..*
                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                            TypeExtension
                                                                                                                                                                            Standard StatusNormative (from Normative)
                                                                                                                                                                            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 Patient.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                            • value @ url
                                                                                                                                                                            • 462. Patient.name:name.use
                                                                                                                                                                              Definition

                                                                                                                                                                              Identifies the purpose for this name.

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

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

                                                                                                                                                                              Control1..1
                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                              BindingThe codes SHALL be taken from NameUse
                                                                                                                                                                              (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                                                                                                                                                              The use of a human name.

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

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

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

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

                                                                                                                                                                              ShortVollständiger Name
                                                                                                                                                                              Comments

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

                                                                                                                                                                              Control0..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

                                                                                                                                                                              A renderable, unencoded form.

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

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

                                                                                                                                                                              ShortFamilienname
                                                                                                                                                                              Comments

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

                                                                                                                                                                              Control1..1
                                                                                                                                                                              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 Namessurname
                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                              468. Patient.name:name.family.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.
                                                                                                                                                                              470. Patient.name:name.family.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 Normative)
                                                                                                                                                                              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 Patient.name.family.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                              • value @ url
                                                                                                                                                                              • 472. Patient.name:name.family.extension:namenszusatz
                                                                                                                                                                                Slice Namenamenszusatz
                                                                                                                                                                                Definition

                                                                                                                                                                                Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst

                                                                                                                                                                                ShortNamenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
                                                                                                                                                                                Comments

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

                                                                                                                                                                                Control0..1
                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                TypeExtension(Extension zur Erfassung der VSDM Namensbestandteile) (Extension Type: string)
                                                                                                                                                                                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())
                                                                                                                                                                                474. Patient.name:name.family.extension:nachname
                                                                                                                                                                                Slice Namenachname
                                                                                                                                                                                Definition

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

                                                                                                                                                                                ShortPortion derived from person's own surname
                                                                                                                                                                                Comments

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

                                                                                                                                                                                Control0..1
                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                TypeExtension(Own 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())
                                                                                                                                                                                476. Patient.name:name.family.extension:vorsatzwort
                                                                                                                                                                                Slice Namevorsatzwort
                                                                                                                                                                                Definition

                                                                                                                                                                                The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse.

                                                                                                                                                                                ShortVoorvoegsel derived from person's own surname
                                                                                                                                                                                Comments

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

                                                                                                                                                                                Control0..1
                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                TypeExtension(Own Prefix) (Extension Type: string)
                                                                                                                                                                                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())
                                                                                                                                                                                478. Patient.name:name.family.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
                                                                                                                                                                                480. Patient.name:name.given
                                                                                                                                                                                Definition

                                                                                                                                                                                Vorname der Person

                                                                                                                                                                                ShortVorname
                                                                                                                                                                                Comments

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

                                                                                                                                                                                Control0..1
                                                                                                                                                                                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 Namesfirst name, middle name
                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                482. Patient.name:name.prefix
                                                                                                                                                                                Definition

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

                                                                                                                                                                                ShortNamensteile vor dem Vornamen
                                                                                                                                                                                Comments

                                                                                                                                                                                Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                                                                                                                                Control0..*
                                                                                                                                                                                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()))
                                                                                                                                                                                484. Patient.name:name.prefix.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.
                                                                                                                                                                                486. Patient.name:name.prefix.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.

                                                                                                                                                                                Control1..*
                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                TypeExtension
                                                                                                                                                                                Standard StatusNormative (from Normative)
                                                                                                                                                                                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 Patient.name.prefix.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                • value @ url
                                                                                                                                                                                • 488. Patient.name:name.prefix.extension:prefix-qualifier
                                                                                                                                                                                  Slice Nameprefix-qualifier
                                                                                                                                                                                  Definition

                                                                                                                                                                                  Spezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel

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

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

                                                                                                                                                                                  Control1..1
                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                  TypeExtension(EN Qualifier) (Extension Type: code)
                                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                                  Standard StatusNormative (from Normative)
                                                                                                                                                                                  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())
                                                                                                                                                                                  490. Patient.name:name.prefix.extension:prefix-qualifier.id
                                                                                                                                                                                  Definition

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

                                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                                  Control0..1
                                                                                                                                                                                  Typestring
                                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                  492. Patient.name:name.prefix.extension:prefix-qualifier.extension
                                                                                                                                                                                  Definition

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

                                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                                  Comments

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

                                                                                                                                                                                  Control0..0
                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                  TypeExtension
                                                                                                                                                                                  Standard StatusNormative (from Normative)
                                                                                                                                                                                  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 Patient.name.prefix.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                  • value @ url
                                                                                                                                                                                  • 494. Patient.name:name.prefix.extension:prefix-qualifier.url
                                                                                                                                                                                    Definition

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

                                                                                                                                                                                    Shortidentifies the meaning of the extension
                                                                                                                                                                                    Comments

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

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

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

                                                                                                                                                                                    ShortValue of extension
                                                                                                                                                                                    Control1..1
                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                    BindingThe codes SHALL be taken from EntityNamePartQualifier
                                                                                                                                                                                    (required to http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1)

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

                                                                                                                                                                                    Typecode
                                                                                                                                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                    Standard StatusNormative (from Normative)
                                                                                                                                                                                    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 Patient.name.prefix.extension.value[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                    • type @ $this
                                                                                                                                                                                    • 498. Patient.name:name.prefix.extension:prefix-qualifier.value[x]:valueCode
                                                                                                                                                                                      Slice NamevalueCode
                                                                                                                                                                                      Definition

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

                                                                                                                                                                                      ShortValue of extension
                                                                                                                                                                                      Control1..1
                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                      BindingThe codes SHALL be taken from EntityNamePartQualifier
                                                                                                                                                                                      (required to http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1)

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

                                                                                                                                                                                      Typecode
                                                                                                                                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                      Standard StatusNormative (from Normative)
                                                                                                                                                                                      Fixed ValueAC
                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      500. Patient.name:name.prefix.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
                                                                                                                                                                                      502. Patient.name:name.suffix
                                                                                                                                                                                      Definition

                                                                                                                                                                                      Namensteile nach dem Nachnamen

                                                                                                                                                                                      ShortNamensteile nach dem Nachnamen
                                                                                                                                                                                      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
                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      504. Patient.name:name.period
                                                                                                                                                                                      Definition

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

                                                                                                                                                                                      ShortTime period when name was/is in use
                                                                                                                                                                                      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
                                                                                                                                                                                      Requirements

                                                                                                                                                                                      Allows names to be placed in historical context.

                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                                                                                                                                                                      506. Patient.name:geburtsname
                                                                                                                                                                                      Slice Namegeburtsname
                                                                                                                                                                                      Definition

                                                                                                                                                                                      Hier wird das Geburtsdatum der behandelten Person angegeben. Ist dieses nicht bekannt kann die Extension 'data-absent-reason' verwendet werden, um das Nichtvorhandensein zu dokumentieren.

                                                                                                                                                                                      ShortGeburtsname
                                                                                                                                                                                      Comments

                                                                                                                                                                                      Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.

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

                                                                                                                                                                                      Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                      hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden (family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue())
                                                                                                                                                                                      hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden (family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue())
                                                                                                                                                                                      hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden (family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue())
                                                                                                                                                                                      hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden (prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue()))
                                                                                                                                                                                      508. Patient.telecom
                                                                                                                                                                                      Definition

                                                                                                                                                                                      Dieses Element beschreibt die vorhandenen Kontaktmöglichkeiten.

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

                                                                                                                                                                                      A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

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

                                                                                                                                                                                      People have (primary) ways to contact them in some way such as phone, email.

                                                                                                                                                                                      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())
                                                                                                                                                                                      510. Patient.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.
                                                                                                                                                                                      512. Patient.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 Normative)
                                                                                                                                                                                      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 Patient.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                      • value @ url
                                                                                                                                                                                      • 514. Patient.telecom.system
                                                                                                                                                                                        Definition

                                                                                                                                                                                        Hier wird die Art des Kontaktes definiert, z. B. Telefon (phone), E-Mail, Fax.

                                                                                                                                                                                        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()))
                                                                                                                                                                                        516. Patient.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()))
                                                                                                                                                                                        518. Patient.telecom.use
                                                                                                                                                                                        Definition

                                                                                                                                                                                        Identifies the purpose for the contact point.

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

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

                                                                                                                                                                                        Control0..0
                                                                                                                                                                                        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()))
                                                                                                                                                                                        520. Patient.telecom.rank
                                                                                                                                                                                        Definition

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

                                                                                                                                                                                        ShortSpecify preferred order of use (1 = highest)
                                                                                                                                                                                        Comments

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

                                                                                                                                                                                        Control0..0
                                                                                                                                                                                        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()))
                                                                                                                                                                                        522. Patient.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))
                                                                                                                                                                                        524. Patient.gender
                                                                                                                                                                                        Definition

                                                                                                                                                                                        Hier wird die Geschlechtsdefinition nach den Versichertenstammdaten (VSD) angegeben.

                                                                                                                                                                                        Shortmale | female | other | unknown
                                                                                                                                                                                        Comments

                                                                                                                                                                                        The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.

                                                                                                                                                                                        Control1..1
                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                        BindingThe codes SHALL be taken from AdministrativeGender
                                                                                                                                                                                        (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

                                                                                                                                                                                        The gender of a person used for administrative purposes.

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

                                                                                                                                                                                        Needed for identification of the individual, in combination with (at least) name and birth date.

                                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                        526. Patient.gender.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.
                                                                                                                                                                                        528. Patient.gender.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 Patient.gender.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                        • value @ url
                                                                                                                                                                                        • 530. Patient.gender.extension:other-amtlich
                                                                                                                                                                                          Slice Nameother-amtlich
                                                                                                                                                                                          Definition

                                                                                                                                                                                          Optional Extension Element - found in all resources.

                                                                                                                                                                                          ShortOptional Extensions Element
                                                                                                                                                                                          Control0..1
                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                          TypeExtension(Differenzierung des administrativen Geschlechts 'other') (Extension Type: Coding)
                                                                                                                                                                                          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())
                                                                                                                                                                                          532. Patient.gender.value
                                                                                                                                                                                          Definition

                                                                                                                                                                                          Primitive value for code

                                                                                                                                                                                          ShortPrimitive value for code
                                                                                                                                                                                          Control0..1
                                                                                                                                                                                          Typecode
                                                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                          Max Length:1048576
                                                                                                                                                                                          534. Patient.birthDate
                                                                                                                                                                                          Definition

                                                                                                                                                                                          Hier wird das Geburtsdatum der behandelten Person angegeben. Ist dieses nicht bekannt kann die Extension 'data-absent-reason' verwendet werden, um das Nichtvorhandensein zu dokumentieren.

                                                                                                                                                                                          ShortThe date of birth for the individual
                                                                                                                                                                                          Comments

                                                                                                                                                                                          At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).

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

                                                                                                                                                                                          Age of the individual drives many clinical processes.

                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                          536. Patient.birthDate.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.
                                                                                                                                                                                          538. Patient.birthDate.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 Normative)
                                                                                                                                                                                          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 Patient.birthDate.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                          • value @ url
                                                                                                                                                                                          • 540. Patient.birthDate.extension:data-absent-reason
                                                                                                                                                                                            Slice Namedata-absent-reason
                                                                                                                                                                                            Definition

                                                                                                                                                                                            Provides a reason why the expected value or elements in the element that is extended are missing.

                                                                                                                                                                                            Shortunknown | asked | temp | notasked | masked | unsupported | astext | error
                                                                                                                                                                                            Control0..1
                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                            TypeExtension(Data Absent Reason) (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())
                                                                                                                                                                                            542. Patient.birthDate.extension:data-absent-reason.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.
                                                                                                                                                                                            544. Patient.birthDate.extension:data-absent-reason.extension
                                                                                                                                                                                            Definition

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

                                                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                                                            Comments

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

                                                                                                                                                                                            Control0..0
                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                            TypeExtension
                                                                                                                                                                                            Standard StatusNormative (from Normative)
                                                                                                                                                                                            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 Patient.birthDate.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                            • value @ url
                                                                                                                                                                                            • 546. Patient.birthDate.extension:data-absent-reason.url
                                                                                                                                                                                              Definition

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

                                                                                                                                                                                              Shortidentifies the meaning of the extension
                                                                                                                                                                                              Comments

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

                                                                                                                                                                                              Control1..1
                                                                                                                                                                                              Typeuri
                                                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                              Fixed Valuehttp://hl7.org/fhir/StructureDefinition/data-absent-reason
                                                                                                                                                                                              548. Patient.birthDate.extension:data-absent-reason.value[x]
                                                                                                                                                                                              Definition

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

                                                                                                                                                                                              ShortValue of extension
                                                                                                                                                                                              Control1..1
                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                              BindingThe codes SHALL be taken from DataAbsentReason
                                                                                                                                                                                              (required to http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1)

                                                                                                                                                                                              Used to specify why the normally expected content of the data element is missing.

                                                                                                                                                                                              Typecode
                                                                                                                                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                              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 Patient.birthDate.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                              • type @ $this
                                                                                                                                                                                              • 550. Patient.birthDate.extension:data-absent-reason.value[x]:valueCode
                                                                                                                                                                                                Slice NamevalueCode
                                                                                                                                                                                                Definition

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

                                                                                                                                                                                                ShortValue of extension
                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                BindingThe codes SHALL be taken from DataAbsentReason
                                                                                                                                                                                                (required to http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1)

                                                                                                                                                                                                Used to specify why the normally expected content of the data element is missing.

                                                                                                                                                                                                Typecode
                                                                                                                                                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                Must Supporttrue
                                                                                                                                                                                                Fixed Valueunknown
                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                552. Patient.birthDate.value
                                                                                                                                                                                                Definition

                                                                                                                                                                                                Primitive value for date

                                                                                                                                                                                                ShortPrimitive value for date
                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                Typedate
                                                                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                554. Patient.deceased[x]
                                                                                                                                                                                                Definition

                                                                                                                                                                                                Indicates if the individual is deceased or not.

                                                                                                                                                                                                ShortIndicates if the individual is deceased or not
                                                                                                                                                                                                Comments

                                                                                                                                                                                                If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

                                                                                                                                                                                                Control0..0
                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                TypeChoice of: boolean, dateTime
                                                                                                                                                                                                Is Modifiertrue because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                Requirements

                                                                                                                                                                                                The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

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

                                                                                                                                                                                                Hier werden Angaben zur Anschrift der behandelten Person gemacht.

                                                                                                                                                                                                ShortAn address for the individual
                                                                                                                                                                                                Comments

                                                                                                                                                                                                Patient may have multiple addresses with different uses or applicable periods.

                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                TypeAddress
                                                                                                                                                                                                Must Supporttrue
                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                Requirements

                                                                                                                                                                                                May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                                                                                                                                                                                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 Patient.address. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                • value @ type
                                                                                                                                                                                                • 558. Patient.address:Strassenanschrift
                                                                                                                                                                                                  Slice NameStrassenanschrift
                                                                                                                                                                                                  Definition

                                                                                                                                                                                                  In diesem Slice sollen die Stammdaten des Systems hinterlegt werden.

                                                                                                                                                                                                  Eine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden.

                                                                                                                                                                                                  Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird.

                                                                                                                                                                                                  Insbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend.

                                                                                                                                                                                                  ShortAdress-Stammdaten-Strassenanschrift
                                                                                                                                                                                                  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..*
                                                                                                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                                                                                                  TypeAddress(KBV_PR_Base_Datatype_Street_Address)
                                                                                                                                                                                                  Must Supporttrue
                                                                                                                                                                                                  Summarytrue
                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                  May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                                                                                                                                                                                  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()))
                                                                                                                                                                                                  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)))
                                                                                                                                                                                                  560. Patient.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.
                                                                                                                                                                                                  562. Patient.address:Strassenanschrift.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 Normative)
                                                                                                                                                                                                  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 Patient.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                  • value @ url
                                                                                                                                                                                                  • 564. Patient.address:Strassenanschrift.extension:Stadtteil
                                                                                                                                                                                                    Slice NameStadtteil
                                                                                                                                                                                                    Definition

                                                                                                                                                                                                    A subsection of a municipality.

                                                                                                                                                                                                    Shortprecinct
                                                                                                                                                                                                    Control0..0
                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                    TypeExtension(ADXP Precinct) (Extension Type: string)
                                                                                                                                                                                                    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())
                                                                                                                                                                                                    566. Patient.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()))
                                                                                                                                                                                                    568. Patient.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
                                                                                                                                                                                                    Must Supporttrue
                                                                                                                                                                                                    Summarytrue
                                                                                                                                                                                                    Pattern Valueboth
                                                                                                                                                                                                    ExampleGeneral: both
                                                                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                    570. Patient.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()))
                                                                                                                                                                                                    572. Patient.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()))
                                                                                                                                                                                                    574. Patient.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.
                                                                                                                                                                                                    576. Patient.address:Strassenanschrift.line.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 Normative)
                                                                                                                                                                                                    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 Patient.address.line.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                    • value @ url
                                                                                                                                                                                                    • 578. Patient.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())
                                                                                                                                                                                                      580. Patient.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())
                                                                                                                                                                                                      582. Patient.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())
                                                                                                                                                                                                      584. Patient.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 Normative)
                                                                                                                                                                                                      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())
                                                                                                                                                                                                      586. Patient.address:Strassenanschrift.line.extension:Postleitzahl_und_Ort
                                                                                                                                                                                                      Slice NamePostleitzahl_und_Ort
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      In dieser Extension soll die gemeinsame Angabe von Postleitzahl und Ort der Patientenanschrift ermöglicht werden.

                                                                                                                                                                                                      ShortPostleitzahl und Ort
                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                      TypeExtension(KBV_EX_WEST_Patient_Postleitzahl_und_Ort) (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())
                                                                                                                                                                                                      588. Patient.address:Strassenanschrift.line.extension:Postleitzahl_und_Ort.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.
                                                                                                                                                                                                      590. Patient.address:Strassenanschrift.line.extension:Postleitzahl_und_Ort.extension
                                                                                                                                                                                                      Definition

                                                                                                                                                                                                      An Extension

                                                                                                                                                                                                      ShortExtension
                                                                                                                                                                                                      Control0..0
                                                                                                                                                                                                      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 Patient.address.line.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                      • value @ url
                                                                                                                                                                                                      • 592. Patient.address:Strassenanschrift.line.extension:Postleitzahl_und_Ort.url
                                                                                                                                                                                                        Definition

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

                                                                                                                                                                                                        Shortidentifies the meaning of the extension
                                                                                                                                                                                                        Comments

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

                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                        Typeuri
                                                                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                                                        Fixed Valuehttps://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Patient_Postleitzahl_und_Ort
                                                                                                                                                                                                        594. Patient.address:Strassenanschrift.line.extension:Postleitzahl_und_Ort.value[x]
                                                                                                                                                                                                        Definition

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

                                                                                                                                                                                                        ShortValue of extension
                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                        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 Patient.address.line.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                                                                                                        • type @ $this
                                                                                                                                                                                                        • 596. Patient.address:Strassenanschrift.line.extension:Postleitzahl_und_Ort.value[x]:valueString
                                                                                                                                                                                                          Slice NamevalueString
                                                                                                                                                                                                          Definition

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

                                                                                                                                                                                                          ShortPostleitzahl und Ort
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          Postleitzahl und Ort in gemeinsamer Angabe

                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                          Must Supporttrue
                                                                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                          598. Patient.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
                                                                                                                                                                                                          600. Patient.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()))
                                                                                                                                                                                                          602. Patient.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()))
                                                                                                                                                                                                          604. Patient.address:Strassenanschrift.state
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          Name (oder Kürzel) des Bundeslandes.

                                                                                                                                                                                                          ShortBundesland
                                                                                                                                                                                                          Comments

                                                                                                                                                                                                          Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                                                                                                                                                          Control0..0
                                                                                                                                                                                                          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()))
                                                                                                                                                                                                          606. Patient.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()))
                                                                                                                                                                                                          608. Patient.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()))
                                                                                                                                                                                                          610. Patient.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..0
                                                                                                                                                                                                          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))
                                                                                                                                                                                                          612. Patient.address:Postfach
                                                                                                                                                                                                          Slice NamePostfach
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          In diesem Slice sollen die Adress-Stammdaten hinterlegt werden.

                                                                                                                                                                                                          Eine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden.

                                                                                                                                                                                                          Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird.

                                                                                                                                                                                                          Insbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend.

                                                                                                                                                                                                          ShortAdress-Stammdaten-Postfach
                                                                                                                                                                                                          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..*
                                                                                                                                                                                                          This element is affected by the following invariants: ele-1
                                                                                                                                                                                                          TypeAddress(KBV_PR_Base_Datatype_Post_Office_Box)
                                                                                                                                                                                                          Must Supporttrue
                                                                                                                                                                                                          Summarytrue
                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                          May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                                                                                                                                                                                          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()))
                                                                                                                                                                                                          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)
                                                                                                                                                                                                          614. Patient.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.
                                                                                                                                                                                                          616. Patient.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 Normative)
                                                                                                                                                                                                          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 Patient.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                          • value @ url
                                                                                                                                                                                                          • 618. Patient.address:Postfach.extension:Stadtteil
                                                                                                                                                                                                            Slice NameStadtteil
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            A subsection of a municipality.

                                                                                                                                                                                                            Shortprecinct
                                                                                                                                                                                                            Control0..0
                                                                                                                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                                                                                                                            TypeExtension(ADXP Precinct) (Extension Type: string)
                                                                                                                                                                                                            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())
                                                                                                                                                                                                            620. Patient.address:Postfach.use
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            The purpose of this address.

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

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

                                                                                                                                                                                                            Control0..0
                                                                                                                                                                                                            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()))
                                                                                                                                                                                                            622. Patient.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
                                                                                                                                                                                                            Must Supporttrue
                                                                                                                                                                                                            Summarytrue
                                                                                                                                                                                                            Pattern Valuepostal
                                                                                                                                                                                                            ExampleGeneral: both
                                                                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                            624. Patient.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()))
                                                                                                                                                                                                            626. Patient.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()))
                                                                                                                                                                                                            628. Patient.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.
                                                                                                                                                                                                            630. Patient.address:Postfach.line.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 Normative)
                                                                                                                                                                                                            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 Patient.address.line.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                            • value @ url
                                                                                                                                                                                                            • 632. Patient.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 Normative)
                                                                                                                                                                                                              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())
                                                                                                                                                                                                              634. Patient.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 Normative)
                                                                                                                                                                                                              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())
                                                                                                                                                                                                              636. Patient.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 Normative)
                                                                                                                                                                                                              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())
                                                                                                                                                                                                              638. Patient.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())
                                                                                                                                                                                                              640. Patient.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
                                                                                                                                                                                                              642. Patient.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()))
                                                                                                                                                                                                              644. Patient.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()))
                                                                                                                                                                                                              646. Patient.address:Postfach.state
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              Name (oder Kürzel) des Bundeslandes.

                                                                                                                                                                                                              ShortBundesland
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                                                                                                                                                              Control0..0
                                                                                                                                                                                                              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()))
                                                                                                                                                                                                              648. Patient.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()))
                                                                                                                                                                                                              650. Patient.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()))
                                                                                                                                                                                                              652. Patient.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..0
                                                                                                                                                                                                              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))
                                                                                                                                                                                                              654. Patient.maritalStatus
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              Hier wird der Personenstand (Familienstand) der behandelten Person angegeben.

                                                                                                                                                                                                              ShortPersonenstand
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

                                                                                                                                                                                                              Control0..0
                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                              BindingUnless not suitable, these codes SHALL be taken from Marital Status Codes
                                                                                                                                                                                                              (extensible to http://hl7.org/fhir/ValueSet/marital-status)

                                                                                                                                                                                                              The domestic partnership status of a person.

                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                              Most, if not all systems capture it.

                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              667. Patient.multipleBirth[x]
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

                                                                                                                                                                                                              ShortWhether patient is part of a multiple birth
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).

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

                                                                                                                                                                                                              For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

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

                                                                                                                                                                                                              In diesem Element kann ein Foto des Patienten eingefügt werden.

                                                                                                                                                                                                              ShortBild des Patienten
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              Guidelines:

                                                                                                                                                                                                              • Use id photos, not clinical photos.
                                                                                                                                                                                                              • Limit dimensions to thumbnail.
                                                                                                                                                                                                              • Keep byte count low to ease resource updates.
                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                                                                                                                              TypeAttachment
                                                                                                                                                                                                              Must Supporttrue
                                                                                                                                                                                                              Requirements

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

                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              att-1: If the Attachment has data, it SHALL have a contentType (data.empty() or contentType.exists())
                                                                                                                                                                                                              671. Patient.contact
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              A contact party (e.g. guardian, partner, friend) for the patient.

                                                                                                                                                                                                              ShortA contact party (e.g. guardian, partner, friend) for the patient
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.

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

                                                                                                                                                                                                              Need to track people you can contact about the patient.

                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              pat-1: SHALL at least contain a contact's details or a reference to an organization (name.exists() or telecom.exists() or address.exists() or organization.exists())
                                                                                                                                                                                                              695. Patient.communication
                                                                                                                                                                                                              Definition

                                                                                                                                                                                                              In diesem Element kann z.B. die Muttersprache des Patienten angegeben werden.

                                                                                                                                                                                                              ShortSprachfähigkeiten
                                                                                                                                                                                                              Comments

                                                                                                                                                                                                              If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

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

                                                                                                                                                                                                              If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.

                                                                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                              697. Patient.communication.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.
                                                                                                                                                                                                              699. Patient.communication.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 Normative)
                                                                                                                                                                                                              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 Patient.communication.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                              • value @ url
                                                                                                                                                                                                              • 701. Patient.communication.modifierExtension
                                                                                                                                                                                                                Definition

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

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

                                                                                                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                Comments

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

                                                                                                                                                                                                                Control0..*
                                                                                                                                                                                                                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 element that contains them
                                                                                                                                                                                                                Summarytrue
                                                                                                                                                                                                                Requirements

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

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

                                                                                                                                                                                                                Hier werden Sprachen angegeben, die zur Kommunikation mit der behandelten Person über medizinische Themen verwendet werden können.

                                                                                                                                                                                                                ShortBevorzugte Sprache
                                                                                                                                                                                                                Comments

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

                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                BindingUnless not suitable, these codes SHALL be taken from Bevorzugte Sprache (Includes)
                                                                                                                                                                                                                (extensible to https://fhir.kbv.de/ValueSet/KBV_VS_Base_CommonLanguages)
                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                Must Supporttrue
                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

                                                                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                705. Patient.communication.language.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.
                                                                                                                                                                                                                707. Patient.communication.language.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 Normative)
                                                                                                                                                                                                                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 Patient.communication.language.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                • value @ url
                                                                                                                                                                                                                • 709. Patient.communication.language.coding
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  A reference to a code defined by a terminology system.

                                                                                                                                                                                                                  ShortCode defined by a terminology system
                                                                                                                                                                                                                  Comments

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

                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                  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()))
                                                                                                                                                                                                                  711. Patient.communication.language.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.
                                                                                                                                                                                                                  713. Patient.communication.language.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 Normative)
                                                                                                                                                                                                                  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 Patient.communication.language.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                  • value @ url
                                                                                                                                                                                                                  • 715. Patient.communication.language.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()))
                                                                                                                                                                                                                    717. Patient.communication.language.coding.version
                                                                                                                                                                                                                    Definition

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

                                                                                                                                                                                                                    ShortVersion of the system - if relevant
                                                                                                                                                                                                                    Comments

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

                                                                                                                                                                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                    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()))
                                                                                                                                                                                                                    719. Patient.communication.language.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()))
                                                                                                                                                                                                                    721. Patient.communication.language.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..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

                                                                                                                                                                                                                    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()))
                                                                                                                                                                                                                    723. Patient.communication.language.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()))
                                                                                                                                                                                                                    725. Patient.communication.language.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()))
                                                                                                                                                                                                                    727. Patient.communication.preferred
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).

                                                                                                                                                                                                                    ShortLanguage preference indicator
                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                    This language is specifically identified for communicating healthcare information.

                                                                                                                                                                                                                    Control1..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
                                                                                                                                                                                                                    Must Supporttrue
                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                    People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.

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

                                                                                                                                                                                                                    Ist ein Hausarzt des Patienten bekannt, so kann dieser in diesem Element dokumentiert werden. Für die Referenz ist das Profil KBV_PR_WEST_PractitionerRole zu nutzen.

                                                                                                                                                                                                                    ShortHausarzt
                                                                                                                                                                                                                    Comments

                                                                                                                                                                                                                    This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.

                                                                                                                                                                                                                    Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.

                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                    TypeReference(KBV_PR_WEST_PractitionerRole)
                                                                                                                                                                                                                    Must Supporttrue
                                                                                                                                                                                                                    Alternate NamescareProvider
                                                                                                                                                                                                                    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')))
                                                                                                                                                                                                                    731. Patient.generalPractitioner.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.
                                                                                                                                                                                                                    733. Patient.generalPractitioner.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 Normative)
                                                                                                                                                                                                                    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 Patient.generalPractitioner.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                                                                    • value @ url
                                                                                                                                                                                                                    • 735. Patient.generalPractitioner.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
                                                                                                                                                                                                                      Must Supporttrue
                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                                                                      737. Patient.generalPractitioner.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..0
                                                                                                                                                                                                                      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|4.0.1)

                                                                                                                                                                                                                      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()))
                                                                                                                                                                                                                      739. Patient.generalPractitioner.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..0
                                                                                                                                                                                                                      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()))
                                                                                                                                                                                                                      741. Patient.generalPractitioner.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.

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

                                                                                                                                                                                                                      Organization that is the custodian of the patient record.

                                                                                                                                                                                                                      ShortOrganization that is the custodian of the patient record
                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                      There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).

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

                                                                                                                                                                                                                      Need to know who recognizes this patient record, manages and updates it.

                                                                                                                                                                                                                      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')))
                                                                                                                                                                                                                      745. Patient.link
                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                      Link to another patient resource that concerns the same actual patient.

                                                                                                                                                                                                                      ShortLink to another patient resource that concerns the same actual person
                                                                                                                                                                                                                      Comments

                                                                                                                                                                                                                      There is no assumption that linked patient records have mutual links.

                                                                                                                                                                                                                      Control0..0
                                                                                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                                                                                      TypeBackboneElement
                                                                                                                                                                                                                      Is Modifiertrue because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
                                                                                                                                                                                                                      Summarytrue
                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                      There are multiple use cases:

                                                                                                                                                                                                                      • Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
                                                                                                                                                                                                                      • Distribution of patient information across multiple servers.
                                                                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))