Arbeitsgruppe WeST
Version 1.0.0-kommentierung - ci-build

Resource Profile: KBV_PR_WEST_Practitioner - Detailed Descriptions

Draft as of 2026-06-01

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

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

0. Practitioner
Definition

Informationen zum Behandelnden (Arzt, Psychotherapeut)


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

ShortA person with a formal responsibility in the provisioning of healthcare or related services
Control0..*
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())
pract-de-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist (gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists())
2. Practitioner.id
Definition

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

ShortLogical id of this artifact
Comments

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

Control10..1
Typeidstring
Summarytrue
4. Practitioner.meta
Definition

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

ShortMetadata about the resource
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. Practitioner.meta.versionId
Definition

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

ShortVersion specific identifier
Comments

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

Control0..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. Practitioner.meta.lastUpdated
Definition

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

ShortWhen the resource version last changed
Comments

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

Control0..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. Practitioner.meta.source
Definition

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


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

ShortIdentifies where the resource comes from
Comments

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

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

Control0..01
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. Practitioner.meta.profile
Definition

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


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 Practitioner.meta.profile. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ $this
  • 14. Practitioner.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_Practitioner|1.0.0-kommentierung
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Practitioner.implicitRules
    Definition

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

    ShortA set of rules under which this content was created
    Comments

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

    Control0..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. Practitioner.text
    Definition

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

    ShortText summary of the resource, for human interpretation
    Comments

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

    Control0..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. Practitioner.extension
    Definition

    An Extension


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

    ShortExtensionAdditional content defined by implementations
    Comments

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

    Control0..*
    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 Practitioner.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
    • value @ url
    • 22. Practitioner.extension:ergaenzende_Angaben
      Slice Nameergaenzende_Angaben
      Definition

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

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

      In dieser Extension soll eine optionale individuelle Anrede für eine (Brief)Kommunikation ermöglicht werden.

      ShortAnrede
      Control0..*
      This element is affected by the following invariants: ele-1
      TypeExtension(KBV_EX_WEST_Adressbuch_Anrede) (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())
      26. Practitioner.extension:anrede.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 Practitioner.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 28. Practitioner.extension:anrede.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_Adressbuch_Anrede
        30. Practitioner.extension:anrede.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
        Must Supporttrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Practitioner.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
        • type @ $this
        • 32. Practitioner.extension:anrede.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).

          ShortAnredeValue of extension
          Comments

          Eine Anrede fuer einen Adressbucheintrag

          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. Practitioner.extension:schlusssatz
          Slice Nameschlusssatz
          Definition

          In dieser Extension soll ein optionaler individueller Schlusssatz für eine (Brief)Kommunikation ermöglicht werden.

          ShortSchlusssatz
          Control0..*
          This element is affected by the following invariants: ele-1
          TypeExtension(KBV_EX_WEST_Adressbuch_Schlusssatz) (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())
          36. Practitioner.extension:schlusssatz.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 Practitioner.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 38. Practitioner.extension:schlusssatz.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_Adressbuch_Schlusssatz
            40. Practitioner.extension:schlusssatz.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
            Must Supporttrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on Practitioner.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
            • type @ $this
            • 42. Practitioner.extension:schlusssatz.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).

              ShortSchlusssatzValue of extension
              Comments

              Ein Schlussatz fuer einen Adressbucheintrag

              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()))
              44. Practitioner.modifierExtension
              Definition

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

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

              ShortExtensions that cannot be ignored
              Comments

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

              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
              Standard StatusNormative (from Trial Use)
              Requirements

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

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

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


                An identifier that applies to this person in this role.

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

                Often, specific identities are assigned for the agent.

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

                  In diesem Element wird die Arztnummer (umgangssprachlich auch Lebenslange Arztnummer „LANR“ genannt) abgebildet. Die Vergabe und Verwendung der Arztnummer bestimmt sich nach dieser Richtlinie, den Bestimmungen des Bundesmantelvertrages-Ärzte sowie der Vereinbarung gemäß § 293 Absätze 4 und 7 SGB V über eine zentrale Arztnummernvergabe (Vereinbarung ANRV) nach https://www.kbv.de/media/sp/Arztnummern_Richtlinie.pdf.


                  An identifier that applies to this person in this role.

                  ShortAn identifier intended for computationAn identifier for the person as this agent
                  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 lebenslangen Arztnummer)
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Often, specific identities are assigned for the agent.

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

                  The purpose of this identifier.

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

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

                  Control0..01
                  This element is affected by the following invariants: ele-1
                  BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                  (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                  Identifies the purpose for this identifier, if known .

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

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

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

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

                  ShortDescription of identifier
                  Comments

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

                  Control10..1
                  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" : "LANR"
                    }]
                  }
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  54. Practitioner.identifier:ANR.type.coding
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortCode defined by a terminology system
                  Comments

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

                  Control10..*
                  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()))
                  56. Practitioner.identifier:ANR.type.coding.system
                  Definition

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

                  ShortIdentity of the terminology system
                  Comments

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

                  Control10..1
                  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()))
                  58. Practitioner.identifier:ANR.type.coding.version
                  Definition

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

                  ShortVersion of the system - if relevant
                  Comments

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

                  NoteThis is a business version Id, not a resource version Id (see discussion)
                  Control0..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()))
                  60. Practitioner.identifier:ANR.type.coding.code
                  Definition

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

                  ShortSymbol in syntax defined by the system
                  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()))
                  62. Practitioner.identifier:ANR.type.coding.display
                  Definition

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

                  ShortRepresentation defined by the system
                  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()))
                  64. Practitioner.identifier:ANR.type.coding.userSelected
                  Definition

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

                  ShortIf this coding was chosen directly by the user
                  Comments

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

                  Control0..01
                  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()))
                  66. Practitioner.identifier:ANR.type.text
                  Definition

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

                  ShortPlain text representation of the concept
                  Comments

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

                  Control0..01
                  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()))
                  68. Practitioner.identifier:ANR.system
                  Definition

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

                  ShortThe namespace for the identifier value
                  Comments

                  Identifier.system is always case sensitive.

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

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

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

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

                  ShortThe value that is unique
                  Comments

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

                  Control10..1
                  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()))
                  lanr-1: Eine LANR muss neunstellig numerisch sein (matches('^[0-9]{9}$'))
                  72. Practitioner.identifier:ANR.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))
                  74. Practitioner.identifier:ANR.assigner
                  Definition

                  Organization that issued/manages the identifier.

                  ShortOrganization that issued id (may be just text)
                  Comments

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

                  Control0..01
                  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')))
                  78. Practitioner.identifier:EFN
                  Slice NameEFN
                  Definition

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


                  An identifier that applies to this person in this role.

                  ShortAn identifier intended for computationAn identifier for the person as this agent
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..0*
                  This element is affected by the following invariants: ele-1
                  TypeIdentifier(Identifier-Profil für die Abbildung der Einheitlichen Fortbildungsnummer (EFN))
                  Summarytrue
                  Requirements

                  Often, specific identities are assigned for the agent.

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

                  In diesem Element wird die Zahnarztnummer analog zur ANR abgebildet.


                  An identifier that applies to this person in this role.

                  ShortAn identifier intended for computationAn identifier for the person as this agent
                  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 lebenslangen Zahnarztnummer)
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Often, specific identities are assigned for the agent.

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

                  The purpose of this identifier.

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

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

                  Control0..01
                  This element is affected by the following invariants: ele-1
                  BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                  (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                  Identifies the purpose for this identifier, if known .

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

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

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

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

                  ShortDescription of identifier
                  Comments

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

                  Control10..1
                  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" : "ZANR"
                    }]
                  }
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  93. Practitioner.identifier:ZANR.type.coding
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortCode defined by a terminology system
                  Comments

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

                  Control10..*
                  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()))
                  95. Practitioner.identifier:ZANR.type.coding.system
                  Definition

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

                  ShortIdentity of the terminology system
                  Comments

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

                  Control10..1
                  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()))
                  97. Practitioner.identifier:ZANR.type.coding.version
                  Definition

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

                  ShortVersion of the system - if relevant
                  Comments

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

                  NoteThis is a business version Id, not a resource version Id (see discussion)
                  Control0..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()))
                  99. Practitioner.identifier:ZANR.type.coding.code
                  Definition

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

                  ShortSymbol in syntax defined by the system
                  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()))
                  101. Practitioner.identifier:ZANR.type.coding.display
                  Definition

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

                  ShortRepresentation defined by the system
                  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()))
                  103. Practitioner.identifier:ZANR.type.coding.userSelected
                  Definition

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

                  ShortIf this coding was chosen directly by the user
                  Comments

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

                  Control0..01
                  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()))
                  105. Practitioner.identifier:ZANR.type.text
                  Definition

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

                  ShortPlain text representation of the concept
                  Comments

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

                  Control0..01
                  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()))
                  107. Practitioner.identifier:ZANR.system
                  Definition

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

                  ShortThe namespace for the identifier value
                  Comments

                  Identifier.system is always case sensitive.

                  Control10..1
                  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/kzbv/zahnarztnummer
                  ExampleGeneral: http://www.acme.com/identifiers/patient
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  109. Practitioner.identifier:ZANR.value
                  Definition

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

                  ShortThe value that is unique
                  Comments

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

                  Control10..1
                  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()))
                  zanr-1: Die ZANR bestehend aus 7-stelliger Zahnarztnummer + 2-stelliger Fachbezeichnung muss 9-stellig numerisch sein (matches('^[0-9]{9}$'))
                  111. Practitioner.identifier:ZANR.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))
                  113. Practitioner.identifier:ZANR.assigner
                  Definition

                  Organization that issued/manages the identifier.

                  ShortOrganization that issued id (may be just text)
                  Comments

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

                  Control0..01
                  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')))
                  117. Practitioner.identifier:Telematik-ID
                  Slice NameTelematik-ID
                  Definition

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


                  An identifier that applies to this person in this role.

                  ShortAn identifier intended for computationAn identifier for the person as this agent
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..0*
                  This element is affected by the following invariants: ele-1
                  TypeIdentifier(Identifier-Profil für die Telematik-ID)
                  Summarytrue
                  Requirements

                  Often, specific identities are assigned for the agent.

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

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


                  An identifier that applies to this person in this role.

                  ShortAn identifier intended for computationAn identifier for the person as this agent
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..0*
                  This element is affected by the following invariants: ele-1
                  TypeIdentifier(Identifier-Profil für die Abbildung einer lebenslangen Beschäftigtennummer)
                  Summarytrue
                  Requirements

                  Often, specific identities are assigned for the agent.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  135. Practitioner.identifier:Vertragspartner-ID
                  Slice NameVertragspartner-ID
                  Definition

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


                  An identifier that applies to this person in this role.

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

                  Often, specific identities are assigned for the agent.

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

                  The purpose of this identifier.

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

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

                  Control0..01
                  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()))
                  139. Practitioner.identifier:Vertragspartner-ID.type
                  Definition

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

                  ShortDescription of identifier
                  Comments

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

                  Control10..1
                  This element is affected by the following invariants: ele-1
                  BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
                  (extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

                  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_WEST_Identifier",
                      "version" : "1.0.0-kommentierung",
                      "code" : "VPID"
                    }]
                  }
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  141. Practitioner.identifier:Vertragspartner-ID.type.coding
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortCode defined by a terminology system
                  Comments

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

                  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()))
                  143. Practitioner.identifier:Vertragspartner-ID.type.coding.system
                  Definition

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

                  ShortIdentity of the terminology system
                  Comments

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

                  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()))
                  145. Practitioner.identifier:Vertragspartner-ID.type.coding.version
                  Definition

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

                  ShortVersion of the system - if relevant
                  Comments

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

                  NoteThis is a business version Id, not a resource version Id (see discussion)
                  Control0..01
                  This element is affected by the following invariants: ele-1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  147. Practitioner.identifier:Vertragspartner-ID.type.coding.code
                  Definition

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

                  ShortSymbol in syntax defined by the system
                  Comments

                  Note that FHIR strings SHALL NOT exceed 1MB in size

                  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()))
                  149. Practitioner.identifier:Vertragspartner-ID.type.coding.display
                  Definition

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

                  ShortRepresentation defined by the system
                  Comments

                  Note that FHIR strings SHALL NOT exceed 1MB in size

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

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

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

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

                  ShortIf this coding was chosen directly by the user
                  Comments

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

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

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

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

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

                  ShortPlain text representation of the concept
                  Comments

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

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

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

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

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

                  ShortThe namespace for the identifier value
                  Comments

                  Identifier.system is always case sensitive.

                  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
                  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()))
                  157. Practitioner.identifier:Vertragspartner-ID.value
                  Definition

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

                  ShortThe value that is unique
                  Comments

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

                  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
                  ExampleGeneral: 123456
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  159. Practitioner.identifier:Vertragspartner-ID.period
                  Definition

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

                  ShortTime period when id is/was valid for use
                  Comments

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

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

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

                  Organization that issued/manages the identifier.

                  ShortOrganization that issued id (may be just text)
                  Comments

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

                  Control0..01
                  This element is affected by the following invariants: ele-1
                  TypeReference(Organization)
                  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')))
                  163. Practitioner.active
                  Definition

                  Whether this practitioner's record is in active use.

                  ShortWhether this practitioner's record is in active use
                  Comments

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

                  Control0..01
                  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

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

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

                  Dieses Element beschreibt den vollständigen Namen der behandelnden Person.


                  The name(s) associated with the practitioner.

                  ShortThe name(s) associated with the practitioner
                  Comments

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

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

                  1. There is more than 1 name
                  2. Use = usual
                  3. Period is current to the date of the usage
                  4. Use = official
                  5. Other order as decided by internal business rules.
                  Control10..*
                  This element is affected by the following invariants: ele-1
                  TypeHumanName
                  Standard StatusNormative (from Trial Use)
                  Summarytrue
                  Requirements

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

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

                    Dieses Element beschreibt diverse Namensbestandteile der behandelnden Person.


                    The name(s) associated with the practitioner.

                    ShortPersonennameThe name(s) associated with the practitioner
                    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.


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

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

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

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

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

                    Identifies the purpose for this name.

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

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

                    Control10..1
                    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
                    Must Supporttrue
                    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()))
                    171. Practitioner.name:name.family
                    Definition

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


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

                    ShortFamiliennameFamily name (often called 'Surname')
                    Comments

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

                    Control10..1
                    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()))
                    173. Practitioner.name:name.family.extension
                    Definition

                    An Extension


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

                    ShortExtensionAdditional content defined by implementations
                    Comments

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

                    Control10..*
                    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 Practitioner.name.family.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 175. Practitioner.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())
                      177. Practitioner.name:name.family.extension:namenszusatz.extension
                      Definition

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

                      ShortAdditional content defined by implementations
                      Comments

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

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

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

                        Shortidentifies the meaning of the extension
                        Comments

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

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

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


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

                        ShortNamenszusatzValue of extension
                        Control10..1
                        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()))
                        183. Practitioner.name:name.family.extension:nachname
                        Slice Namenachname
                        Definition

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

                        ShortPortion derived from person's own surname
                        Comments

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

                        Control1..1
                        This element is affected by the following invariants: ele-1
                        TypeExtension(Own Name) (Extension Type: string)
                        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())
                        185. Practitioner.name:name.family.extension:nachname.extension
                        Definition

                        An Extension


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

                        ShortExtensionAdditional content defined by implementations
                        Comments

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

                        Control0..0*
                        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 Practitioner.name.family.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 187. Practitioner.name:name.family.extension:nachname.url
                          Definition

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

                          Shortidentifies the meaning of the extension
                          Comments

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

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

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

                          ShortValue of extension
                          Control10..1
                          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]
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supporttrue
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          191. Practitioner.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())
                          193. Practitioner.name:name.family.extension:vorsatzwort.extension
                          Definition

                          An Extension


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

                          ShortExtensionAdditional content defined by implementations
                          Comments

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

                          Control0..0*
                          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 Practitioner.name.family.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 195. Practitioner.name:name.family.extension:vorsatzwort.url
                            Definition

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

                            Shortidentifies the meaning of the extension
                            Comments

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

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

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

                            ShortValue of extension
                            Control10..1
                            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]
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            199. Practitioner.name:name.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()))
                            201. Practitioner.name:name.prefix
                            Definition

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


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

                            ShortNamensteile vor dem VornamenParts that come before the name
                            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()))
                            203. Practitioner.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 Trial Use)
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on Practitioner.name.prefix.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 205. Practitioner.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 Trial Use)
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              207. Practitioner.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 Trial Use)
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on Practitioner.name.prefix.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 209. Practitioner.name:name.prefix.extension:prefix-qualifier.url
                                Definition

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

                                Shortidentifies the meaning of the extension
                                Comments

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

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

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

                                ShortValue of extension
                                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 Trial Use)
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                SlicingThis element introduces a set of slices on Practitioner.name.prefix.extension.value[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • type @ $this
                                • 213. Practitioner.name:name.prefix.extension:prefix-qualifier.value[x]:valueCode
                                  Slice NamevalueCode
                                  Definition

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

                                  ShortValue of extension
                                  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 Trial Use)
                                  Fixed ValueAC
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  215. Practitioner.name:name.suffix
                                  Definition

                                  Namensteile nach dem Nachnamen


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

                                  ShortNamensteile nach dem NachnamenParts that come after the name
                                  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()))
                                  217. Practitioner.name:name.period
                                  Definition

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

                                  ShortTime period when name was/is in use
                                  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))
                                  219. Practitioner.name:geburtsname
                                  Slice Namegeburtsname
                                  Definition

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


                                  The name(s) associated with the practitioner.

                                  ShortGeburtsnameThe name(s) associated with the practitioner
                                  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.


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

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

                                  1. There is more than 1 name
                                  2. Use = usual
                                  3. Period is current to the date of the usage
                                  4. Use = official
                                  5. Other order as decided by internal business rules.
                                  Control0..0*
                                  This element is affected by the following invariants: ele-1
                                  TypeHumanName(KBV_PR_Base_Datatype_Maiden_Name)
                                  Summarytrue
                                  Requirements

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

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

                                  Dieses Element beschreibt die vorhandenen Kontaktmöglichkeiten.


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

                                  ShortDetails of a Technology mediated contact point (phone, fax, email, etc.)A contact detail for the practitioner (that apply to all roles)
                                  Comments

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

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

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

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                                  232. Practitioner.telecom.system
                                  Definition

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


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

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

                                  Note that FHIR strings SHALL NOT exceed 1MB in size

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

                                  Telecommunications form for contact point.

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

                                  Identifies the purpose for the contact point.

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

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

                                  Control0..01
                                  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()))
                                  238. Practitioner.telecom.rank
                                  Definition

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

                                  ShortSpecify preferred order of use (1 = highest)
                                  Comments

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

                                  Control0..01
                                  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()))
                                  240. Practitioner.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))
                                  242. Practitioner.address
                                  Definition

                                  Dieses Element beschreibt die Anschrift der behandelnden Person.


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

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

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

                                  Control0..*
                                  This element is affected by the following invariants: ele-1
                                  TypeAddress
                                  Standard StatusNormative (from Trial Use)
                                  Summarytrue
                                  Requirements

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

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

                                    Hier werden Angaben zur Straßenanschrift gemacht.


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

                                    ShortEine Straßenadresse gemäß postalischer KonventionenAddress(es) of the practitioner that are not role specific (typically home address)
                                    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).


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

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

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

                                    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)))
                                    246. Practitioner.address:Strassenanschrift.extension
                                    Definition

                                    An Extension


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

                                    ShortExtensionAdditional content defined by implementations
                                    Comments

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

                                    Control0..*
                                    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 Practitioner.address.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 248. Practitioner.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())
                                      250. Practitioner.address:Strassenanschrift.use
                                      Definition

                                      The purpose of this address.

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

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

                                      Control0..01
                                      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()))
                                      252. Practitioner.address:Strassenanschrift.type
                                      Definition

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

                                      Shortpostal | physical | both
                                      Comments

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


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

                                      Control10..1
                                      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()))
                                      254. Practitioner.address:Strassenanschrift.line
                                      Definition

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


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

                                      ShortStraßenname mit Hausnummer oder Postfach sowie weitere Angaben zur ZustellungStreet name, number, direction & P.O. Box etc.
                                      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()))
                                      256. Practitioner.address:Strassenanschrift.line.extension
                                      Definition

                                      An Extension


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

                                      ShortExtensionAdditional content defined by implementations
                                      Comments

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

                                      Control0..*
                                      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 Practitioner.address.line.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 258. Practitioner.address:Strassenanschrift.line.extension:Strasse
                                        Slice NameStrasse
                                        Definition

                                        streetName.

                                        ShortstreetName
                                        Control0..1
                                        This element is affected by the following invariants: ele-1
                                        TypeExtension(ADXP Street Name) (Extension Type: string)
                                        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. Practitioner.address:Strassenanschrift.line.extension:Hausnummer
                                        Slice NameHausnummer
                                        Definition

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

                                        ShorthouseNumber
                                        Control0..1
                                        This element is affected by the following invariants: ele-1
                                        TypeExtension(ADXP House Number) (Extension Type: string)
                                        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())
                                        262. Practitioner.address:Strassenanschrift.line.extension:Adresszusatz
                                        Slice NameAdresszusatz
                                        Definition

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

                                        ShortadditionalLocator
                                        Control0..0
                                        This element is affected by the following invariants: ele-1
                                        TypeExtension(ADXP Additional Locator) (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())
                                        264. Practitioner.address:Strassenanschrift.line.extension:Postfach
                                        Slice NamePostfach
                                        Definition

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

                                        ShortPostfach
                                        Comments

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

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

                                        The name of the administrative area (county).

                                        ShortDistrict name (aka county)
                                        Comments

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

                                        Control0..01
                                        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()))
                                        270. Practitioner.address:Strassenanschrift.state
                                        Definition

                                        Name (oder Kürzel) des Bundeslandes.


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

                                        ShortBundeslandSub-unit of country (abbreviations ok)
                                        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()))
                                        272. Practitioner.address:Strassenanschrift.postalCode
                                        Definition

                                        Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen


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

                                        ShortPostleitzahlPostal code for area
                                        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()))
                                        274. Practitioner.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()))
                                        276. Practitioner.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))
                                        278. Practitioner.address:Postfach
                                        Slice NamePostfach
                                        Definition

                                        Hier werden Angaben zu einem Postfach gemacht.


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

                                        ShortHier können Angaben zu einem Postfach gemacht werden.Address(es) of the practitioner that are not role specific (typically home address)
                                        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).


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

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

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

                                        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)
                                        280. Practitioner.gender
                                        Definition

                                        Hier wird die Geschlechtsdefinition der behandelnden Person angegeben.


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

                                        Shortmale | female | other | unknown
                                        Comments

                                        Note that FHIR strings SHALL NOT exceed 1MB in size

                                        Control0..1
                                        This element is affected by the following invariants: ele-1
                                        BindingThe codes 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 to address the person correctly.

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

                                        An Extension


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

                                        ShortExtensionAdditional content defined by implementations
                                        Comments

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

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

                                          Optional Extension Element - found in all resources.

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

                                          The date of birth for the practitioner.

                                          ShortThe date on which the practitioner was born
                                          Control0..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

                                          Needed for identification.

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

                                          Image of the person.

                                          ShortImage of the person
                                          Comments

                                          When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent".

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

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

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

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


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

                                          ShortCertification, licenses, or training pertaining to the provision of care
                                          Control0..0*
                                          This element is affected by the following invariants: ele-1
                                          TypeBackboneElement
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          294. Practitioner.communication
                                          Definition

                                          A language the practitioner can use in patient communication.

                                          ShortA language the practitioner can use in patient communication
                                          Comments

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

                                          Control0..0*
                                          This element is affected by the following invariants: ele-1
                                          BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages|4.0.1
                                          (preferred to http://hl7.org/fhir/ValueSet/languages)

                                          A human language.

                                          Additional BindingsPurpose
                                          AllLanguagesMax Binding
                                          TypeCodeableConcept
                                          Requirements

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

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

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

                                          0. Practitioner
                                          Definition

                                          Informationen zum Behandelnden (Arzt, Psychotherapeut)

                                          2. Practitioner.id
                                          Control1..?
                                          4. Practitioner.meta
                                          Control1..?
                                          Must Supporttrue
                                          6. Practitioner.meta.versionId
                                          Control0..0
                                          8. Practitioner.meta.lastUpdated
                                          Control0..0
                                          10. Practitioner.meta.source
                                          Control0..0
                                          12. Practitioner.meta.profile
                                          Control1..?
                                          Must Supporttrue
                                          SlicingThis element introduces a set of slices on Practitioner.meta.profile. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ $this
                                          • 14. Practitioner.meta.profile:mioProfile
                                            Slice NamemioProfile
                                            Control1..1
                                            Must Supporttrue
                                            Fixed Valuehttps://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Practitioner|1.0.0-kommentierung
                                            16. Practitioner.text
                                            Control0..0
                                            18. Practitioner.extension
                                            SlicingThis element introduces a set of slices on Practitioner.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 20. Practitioner.extension:ergaenzende_Angaben
                                              Slice Nameergaenzende_Angaben
                                              Must Supporttrue
                                              22. Practitioner.extension:anrede
                                              Slice Nameanrede
                                              Control0..*
                                              TypeExtension(KBV_EX_WEST_Adressbuch_Anrede) (Extension Type: string)
                                              Must Supporttrue
                                              24. Practitioner.extension:anrede.value[x]
                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                              Must Supporttrue
                                              26. Practitioner.extension:anrede.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
                                              28. Practitioner.extension:schlusssatz
                                              Slice Nameschlusssatz
                                              Control0..*
                                              TypeExtension(KBV_EX_WEST_Adressbuch_Schlusssatz) (Extension Type: string)
                                              Must Supporttrue
                                              30. Practitioner.extension:schlusssatz.value[x]
                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                              Must Supporttrue
                                              32. Practitioner.extension:schlusssatz.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
                                              34. Practitioner.identifier
                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                              SlicingThis element introduces a set of slices on Practitioner.identifier. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                              • value @ type
                                              • value @ system
                                              • 36. Practitioner.identifier:ANR
                                                Slice NameANR
                                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                                Must Supporttrue
                                                38. Practitioner.identifier:ANR.use
                                                Control0..0
                                                40. Practitioner.identifier:ANR.type
                                                Must Supporttrue
                                                42. Practitioner.identifier:ANR.type.coding
                                                Must Supporttrue
                                                44. Practitioner.identifier:ANR.type.coding.system
                                                Must Supporttrue
                                                46. Practitioner.identifier:ANR.type.coding.version
                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                Control0..0
                                                48. Practitioner.identifier:ANR.type.coding.code
                                                Must Supporttrue
                                                50. Practitioner.identifier:ANR.type.coding.display
                                                Control0..0
                                                52. Practitioner.identifier:ANR.type.coding.userSelected
                                                Control0..0
                                                54. Practitioner.identifier:ANR.type.text
                                                Control0..0
                                                56. Practitioner.identifier:ANR.system
                                                Must Supporttrue
                                                58. Practitioner.identifier:ANR.value
                                                Must Supporttrue
                                                60. Practitioner.identifier:ANR.period
                                                Control0..0
                                                62. Practitioner.identifier:ANR.assigner
                                                Control0..0
                                                64. Practitioner.identifier:EFN
                                                Slice NameEFN
                                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                                Control0..0
                                                66. Practitioner.identifier:ZANR
                                                Slice NameZANR
                                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                                Must Supporttrue
                                                68. Practitioner.identifier:ZANR.use
                                                Control0..0
                                                70. Practitioner.identifier:ZANR.type
                                                Must Supporttrue
                                                72. Practitioner.identifier:ZANR.type.coding
                                                Must Supporttrue
                                                74. Practitioner.identifier:ZANR.type.coding.system
                                                Must Supporttrue
                                                76. Practitioner.identifier:ZANR.type.coding.version
                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                Control0..0
                                                78. Practitioner.identifier:ZANR.type.coding.code
                                                Must Supporttrue
                                                80. Practitioner.identifier:ZANR.type.coding.display
                                                Control0..0
                                                82. Practitioner.identifier:ZANR.type.coding.userSelected
                                                Control0..0
                                                84. Practitioner.identifier:ZANR.type.text
                                                Control0..0
                                                86. Practitioner.identifier:ZANR.system
                                                Must Supporttrue
                                                88. Practitioner.identifier:ZANR.value
                                                Must Supporttrue
                                                90. Practitioner.identifier:ZANR.period
                                                Control0..0
                                                92. Practitioner.identifier:ZANR.assigner
                                                Control0..0
                                                94. Practitioner.identifier:Telematik-ID
                                                Slice NameTelematik-ID
                                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                                Control0..0
                                                96. Practitioner.identifier:BNR
                                                Slice NameBNR
                                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                                Control0..0
                                                98. Practitioner.identifier:Vertragspartner-ID
                                                Slice NameVertragspartner-ID
                                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                                Control0..1
                                                Must Supporttrue
                                                100. Practitioner.identifier:Vertragspartner-ID.use
                                                Control0..0
                                                102. Practitioner.identifier:Vertragspartner-ID.type
                                                Control1..?
                                                Must Supporttrue
                                                Pattern Value{
                                                  "coding" : [{
                                                    "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_WEST_Identifier",
                                                    "version" : "1.0.0-kommentierung",
                                                    "code" : "VPID"
                                                  }]
                                                }
                                                104. Practitioner.identifier:Vertragspartner-ID.type.coding
                                                Must Supporttrue
                                                106. Practitioner.identifier:Vertragspartner-ID.type.coding.system
                                                Must Supporttrue
                                                108. Practitioner.identifier:Vertragspartner-ID.type.coding.version
                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                Control0..0
                                                110. Practitioner.identifier:Vertragspartner-ID.type.coding.code
                                                Must Supporttrue
                                                112. Practitioner.identifier:Vertragspartner-ID.type.coding.display
                                                Control0..0
                                                114. Practitioner.identifier:Vertragspartner-ID.type.coding.userSelected
                                                Control0..0
                                                116. Practitioner.identifier:Vertragspartner-ID.type.text
                                                Control0..0
                                                118. Practitioner.identifier:Vertragspartner-ID.system
                                                Control0..0
                                                120. Practitioner.identifier:Vertragspartner-ID.value
                                                Must Supporttrue
                                                122. Practitioner.identifier:Vertragspartner-ID.period
                                                Control0..0
                                                124. Practitioner.identifier:Vertragspartner-ID.assigner
                                                Control0..0
                                                126. Practitioner.active
                                                Control0..0
                                                128. Practitioner.name:name
                                                Slice Namename
                                                Control1..?
                                                Must Supporttrue
                                                130. Practitioner.name:name.use
                                                Must Supporttrue
                                                132. Practitioner.name:name.family
                                                Must Supporttrue
                                                134. Practitioner.name:name.family.extension
                                                Control1..?
                                                136. Practitioner.name:name.family.extension:namenszusatz
                                                Slice Namenamenszusatz
                                                Must Supporttrue
                                                138. Practitioner.name:name.family.extension:namenszusatz.value[x]
                                                Control1..?
                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                Must Supporttrue
                                                140. Practitioner.name:name.family.extension:nachname
                                                Slice Namenachname
                                                Control1..?
                                                Must Supporttrue
                                                142. Practitioner.name:name.family.extension:nachname.value[x]
                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                Must Supporttrue
                                                144. Practitioner.name:name.family.extension:vorsatzwort
                                                Slice Namevorsatzwort
                                                Must Supporttrue
                                                146. Practitioner.name:name.family.extension:vorsatzwort.value[x]
                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                Must Supporttrue
                                                148. Practitioner.name:name.given
                                                Must Supporttrue
                                                150. Practitioner.name:name.prefix
                                                Must Supporttrue
                                                152. Practitioner.name:name.suffix
                                                Control0..0
                                                154. Practitioner.name:name.period
                                                Control0..0
                                                156. Practitioner.name:geburtsname
                                                Slice Namegeburtsname
                                                Control0..0
                                                158. Practitioner.telecom
                                                Must Supporttrue
                                                160. Practitioner.telecom.system
                                                Must Supporttrue
                                                162. Practitioner.telecom.value
                                                Must Supporttrue
                                                164. Practitioner.telecom.use
                                                Control0..0
                                                166. Practitioner.telecom.rank
                                                Control0..0
                                                168. Practitioner.telecom.period
                                                Control0..0
                                                170. Practitioner.address:Strassenanschrift
                                                Slice NameStrassenanschrift
                                                Control0..1
                                                Must Supporttrue
                                                172. Practitioner.address:Strassenanschrift.extension
                                                SlicingThis element introduces a set of slices on Practitioner.address.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 174. Practitioner.address:Strassenanschrift.extension:Stadtteil
                                                  Slice NameStadtteil
                                                  Control0..0
                                                  176. Practitioner.address:Strassenanschrift.use
                                                  Control0..0
                                                  178. Practitioner.address:Strassenanschrift.type
                                                  Must Supporttrue
                                                  180. Practitioner.address:Strassenanschrift.line
                                                  Must Supporttrue
                                                  182. Practitioner.address:Strassenanschrift.line.extension
                                                  SlicingThis element introduces a set of slices on Practitioner.address.line.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 184. Practitioner.address:Strassenanschrift.line.extension:Strasse
                                                    Slice NameStrasse
                                                    Must Supporttrue
                                                    186. Practitioner.address:Strassenanschrift.line.extension:Hausnummer
                                                    Slice NameHausnummer
                                                    Must Supporttrue
                                                    188. Practitioner.address:Strassenanschrift.line.extension:Adresszusatz
                                                    Slice NameAdresszusatz
                                                    Control0..0
                                                    190. Practitioner.address:Strassenanschrift.city
                                                    Must Supporttrue
                                                    192. Practitioner.address:Strassenanschrift.state
                                                    Control0..0
                                                    194. Practitioner.address:Strassenanschrift.postalCode
                                                    Must Supporttrue
                                                    196. Practitioner.address:Strassenanschrift.country
                                                    Definition

                                                    Nach DEÜV Anlage8

                                                    Must Supporttrue
                                                    198. Practitioner.address:Strassenanschrift.period
                                                    Control0..0
                                                    200. Practitioner.address:Postfach
                                                    Slice NamePostfach
                                                    Control0..0
                                                    202. Practitioner.gender
                                                    Must Supporttrue
                                                    204. Practitioner.gender.extension
                                                    Must Supporttrue
                                                    206. Practitioner.gender.extension:other-amtlich
                                                    Slice Nameother-amtlich
                                                    Must Supporttrue
                                                    208. Practitioner.birthDate
                                                    Must Supporttrue
                                                    210. Practitioner.photo
                                                    Control0..0
                                                    212. Practitioner.qualification
                                                    Control0..0
                                                    214. Practitioner.communication
                                                    Control0..0

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

                                                    0. Practitioner
                                                    Definition

                                                    Informationen zum Behandelnden (Arzt, Psychotherapeut)

                                                    ShortA person with a formal responsibility in the provisioning of healthcare or related services
                                                    Control0..*
                                                    Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                                    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
                                                    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
                                                    dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                                    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                                    pract-de-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist (gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists())
                                                    2. Practitioner.id
                                                    Definition

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

                                                    ShortLogical id of this artifact
                                                    Comments

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

                                                    Control1..1
                                                    Typeid
                                                    Summarytrue
                                                    4. Practitioner.meta
                                                    Definition

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

                                                    ShortMetadata about the resource
                                                    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. Practitioner.meta.id
                                                    Definition

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

                                                    ShortUnique id for inter-element referencing
                                                    Control0..1
                                                    Typestring
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    8. Practitioner.meta.extension
                                                    Definition

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

                                                    ShortAdditional content defined by implementations
                                                    Comments

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

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

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

                                                      ShortVersion specific identifier
                                                      Comments

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

                                                      Control0..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. Practitioner.meta.lastUpdated
                                                      Definition

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

                                                      ShortWhen the resource version last changed
                                                      Comments

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

                                                      Control0..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. Practitioner.meta.source
                                                      Definition

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

                                                      ShortIdentifies where the resource comes from
                                                      Comments

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

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

                                                      Control0..0
                                                      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. Practitioner.meta.profile
                                                      Definition

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

                                                      ShortProfiles this resource claims to conform to
                                                      Comments

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

                                                      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 Practitioner.meta.profile. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ $this
                                                      • 18. Practitioner.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_Practitioner|1.0.0-kommentierung
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        20. Practitioner.meta.security
                                                        Definition

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

                                                        ShortSecurity Labels applied to this resource
                                                        Comments

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

                                                        Control0..*
                                                        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. Practitioner.meta.tag
                                                        Definition

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

                                                        ShortTags applied to this resource
                                                        Comments

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

                                                        Control0..*
                                                        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. Practitioner.implicitRules
                                                        Definition

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

                                                        ShortA set of rules under which this content was created
                                                        Comments

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

                                                        Control0..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. Practitioner.language
                                                        Definition

                                                        The base language in which the resource is written.

                                                        ShortLanguage of the resource content
                                                        Comments

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

                                                        Control0..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. Practitioner.text
                                                        Definition

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

                                                        ShortText summary of the resource, for human interpretation
                                                        Comments

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

                                                        Control0..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. Practitioner.contained
                                                        Definition

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

                                                        ShortContained, inline Resources
                                                        Comments

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

                                                        Control0..*
                                                        TypeResource
                                                        Alternate Namesinline resources, anonymous resources, contained resources
                                                        32. Practitioner.extension
                                                        Definition

                                                        An Extension

                                                        ShortExtension
                                                        Control0..*
                                                        This element is affected by the following invariants: ele-1
                                                        TypeExtension
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        SlicingThis element introduces a set of slices on Practitioner.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 34. Practitioner.extension:ergaenzende_Angaben
                                                          Slice Nameergaenzende_Angaben
                                                          Definition

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

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

                                                          In dieser Extension soll eine optionale individuelle Anrede für eine (Brief)Kommunikation ermöglicht werden.

                                                          ShortAnrede
                                                          Control0..*
                                                          This element is affected by the following invariants: ele-1
                                                          TypeExtension(KBV_EX_WEST_Adressbuch_Anrede) (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())
                                                          38. Practitioner.extension:anrede.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. Practitioner.extension:anrede.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 Practitioner.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 42. Practitioner.extension:anrede.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_Adressbuch_Anrede
                                                            44. Practitioner.extension:anrede.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
                                                            Must Supporttrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            SlicingThis element introduces a set of slices on Practitioner.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                            • type @ $this
                                                            • 46. Practitioner.extension:anrede.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).

                                                              ShortAnrede
                                                              Comments

                                                              Eine Anrede fuer einen Adressbucheintrag

                                                              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()))
                                                              48. Practitioner.extension:schlusssatz
                                                              Slice Nameschlusssatz
                                                              Definition

                                                              In dieser Extension soll ein optionaler individueller Schlusssatz für eine (Brief)Kommunikation ermöglicht werden.

                                                              ShortSchlusssatz
                                                              Control0..*
                                                              This element is affected by the following invariants: ele-1
                                                              TypeExtension(KBV_EX_WEST_Adressbuch_Schlusssatz) (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())
                                                              50. Practitioner.extension:schlusssatz.id
                                                              Definition

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

                                                              ShortUnique id for inter-element referencing
                                                              Control0..1
                                                              Typestring
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              52. Practitioner.extension:schlusssatz.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 Practitioner.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • value @ url
                                                              • 54. Practitioner.extension:schlusssatz.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_Adressbuch_Schlusssatz
                                                                56. Practitioner.extension:schlusssatz.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
                                                                Must Supporttrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                SlicingThis element introduces a set of slices on Practitioner.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                • type @ $this
                                                                • 58. Practitioner.extension:schlusssatz.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).

                                                                  ShortSchlusssatz
                                                                  Comments

                                                                  Ein Schlussatz fuer einen Adressbucheintrag

                                                                  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()))
                                                                  60. Practitioner.modifierExtension
                                                                  Definition

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

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

                                                                  ShortExtensions that cannot be ignored
                                                                  Comments

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

                                                                  Control0..*
                                                                  This element is affected by the following invariants: ele-1
                                                                  TypeExtension
                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                                  Standard StatusNormative (from Trial Use)
                                                                  Requirements

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

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

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

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

                                                                    Often, specific identities are assigned for the agent.

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

                                                                      In diesem Element wird die Arztnummer (umgangssprachlich auch Lebenslange Arztnummer „LANR“ genannt) abgebildet. Die Vergabe und Verwendung der Arztnummer bestimmt sich nach dieser Richtlinie, den Bestimmungen des Bundesmantelvertrages-Ärzte sowie der Vereinbarung gemäß § 293 Absätze 4 und 7 SGB V über eine zentrale Arztnummernvergabe (Vereinbarung ANRV) nach https://www.kbv.de/media/sp/Arztnummern_Richtlinie.pdf.

                                                                      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 lebenslangen Arztnummer)
                                                                      Must Supporttrue
                                                                      Summarytrue
                                                                      Requirements

                                                                      Often, specific identities are assigned for the agent.

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

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

                                                                      ShortUnique id for inter-element referencing
                                                                      Control0..1
                                                                      Typestring
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      68. Practitioner.identifier:ANR.extension
                                                                      Definition

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

                                                                      ShortAdditional content defined by implementations
                                                                      Comments

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

                                                                      Control0..*
                                                                      This element is affected by the following invariants: ele-1
                                                                      TypeExtension
                                                                      Standard StatusNormative (from Trial Use)
                                                                      Alternate Namesextensions, user content
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      SlicingThis element introduces a set of slices on Practitioner.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • value @ url
                                                                      • 70. Practitioner.identifier:ANR.use
                                                                        Definition

                                                                        The purpose of this identifier.

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

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

                                                                        Control0..0
                                                                        This element is affected by the following invariants: ele-1
                                                                        BindingThe codes SHALL be taken from IdentifierUse
                                                                        (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                        Identifies the purpose for this identifier, if known .

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

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

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

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

                                                                        ShortDescription of identifier
                                                                        Comments

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

                                                                        Control1..1
                                                                        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" : "LANR"
                                                                          }]
                                                                        }
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        74. Practitioner.identifier:ANR.type.id
                                                                        Definition

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

                                                                        ShortUnique id for inter-element referencing
                                                                        Control0..1
                                                                        Typestring
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        76. Practitioner.identifier:ANR.type.extension
                                                                        Definition

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

                                                                        ShortAdditional content defined by implementations
                                                                        Comments

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

                                                                        Control0..*
                                                                        This element is affected by the following invariants: ele-1
                                                                        TypeExtension
                                                                        Standard StatusNormative (from Trial Use)
                                                                        Alternate Namesextensions, user content
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        SlicingThis element introduces a set of slices on Practitioner.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                        • value @ url
                                                                        • 78. Practitioner.identifier:ANR.type.coding
                                                                          Definition

                                                                          A reference to a code defined by a terminology system.

                                                                          ShortCode defined by a terminology system
                                                                          Comments

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

                                                                          Control1..*
                                                                          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()))
                                                                          80. Practitioner.identifier:ANR.type.coding.id
                                                                          Definition

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

                                                                          ShortUnique id for inter-element referencing
                                                                          Control0..1
                                                                          Typestring
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          82. Practitioner.identifier:ANR.type.coding.extension
                                                                          Definition

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

                                                                          ShortAdditional content defined by implementations
                                                                          Comments

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

                                                                          Control0..*
                                                                          This element is affected by the following invariants: ele-1
                                                                          TypeExtension
                                                                          Standard StatusNormative (from Trial Use)
                                                                          Alternate Namesextensions, user content
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          SlicingThis element introduces a set of slices on Practitioner.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                          • value @ url
                                                                          • 84. Practitioner.identifier:ANR.type.coding.system
                                                                            Definition

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

                                                                            ShortIdentity of the terminology system
                                                                            Comments

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

                                                                            Control1..1
                                                                            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()))
                                                                            86. Practitioner.identifier:ANR.type.coding.version
                                                                            Definition

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

                                                                            ShortVersion of the system - if relevant
                                                                            Comments

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

                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                            Control0..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()))
                                                                            88. Practitioner.identifier:ANR.type.coding.code
                                                                            Definition

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

                                                                            ShortSymbol in syntax defined by the system
                                                                            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()))
                                                                            90. Practitioner.identifier:ANR.type.coding.display
                                                                            Definition

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

                                                                            ShortRepresentation defined by the system
                                                                            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()))
                                                                            92. Practitioner.identifier:ANR.type.coding.userSelected
                                                                            Definition

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

                                                                            ShortIf this coding was chosen directly by the user
                                                                            Comments

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

                                                                            Control0..0
                                                                            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()))
                                                                            94. Practitioner.identifier:ANR.type.text
                                                                            Definition

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

                                                                            ShortPlain text representation of the concept
                                                                            Comments

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

                                                                            Control0..0
                                                                            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()))
                                                                            96. Practitioner.identifier:ANR.system
                                                                            Definition

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

                                                                            ShortThe namespace for the identifier value
                                                                            Comments

                                                                            Identifier.system is always case sensitive.

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

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

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

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

                                                                            ShortThe value that is unique
                                                                            Comments

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

                                                                            Control1..1
                                                                            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()))
                                                                            lanr-1: Eine LANR muss neunstellig numerisch sein (matches('^[0-9]{9}$'))
                                                                            100. Practitioner.identifier:ANR.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))
                                                                            102. Practitioner.identifier:ANR.assigner
                                                                            Definition

                                                                            Organization that issued/manages the identifier.

                                                                            ShortOrganization that issued id (may be just text)
                                                                            Comments

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

                                                                            Control0..0
                                                                            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')))
                                                                            118. Practitioner.identifier:EFN
                                                                            Slice NameEFN
                                                                            Definition

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

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

                                                                            Often, specific identities are assigned for the agent.

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

                                                                            In diesem Element wird die Zahnarztnummer analog zur ANR abgebildet.

                                                                            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 lebenslangen Zahnarztnummer)
                                                                            Must Supporttrue
                                                                            Summarytrue
                                                                            Requirements

                                                                            Often, specific identities are assigned for the agent.

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

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

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            157. Practitioner.identifier:ZANR.extension
                                                                            Definition

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

                                                                            ShortAdditional content defined by implementations
                                                                            Comments

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

                                                                            Control0..*
                                                                            This element is affected by the following invariants: ele-1
                                                                            TypeExtension
                                                                            Standard StatusNormative (from Trial Use)
                                                                            Alternate Namesextensions, user content
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            SlicingThis element introduces a set of slices on Practitioner.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 159. Practitioner.identifier:ZANR.use
                                                                              Definition

                                                                              The purpose of this identifier.

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

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

                                                                              Control0..0
                                                                              This element is affected by the following invariants: ele-1
                                                                              BindingThe codes SHALL be taken from IdentifierUse
                                                                              (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                              Identifies the purpose for this identifier, if known .

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

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

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

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

                                                                              ShortDescription of identifier
                                                                              Comments

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

                                                                              Control1..1
                                                                              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" : "ZANR"
                                                                                }]
                                                                              }
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              163. Practitioner.identifier:ZANR.type.id
                                                                              Definition

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

                                                                              ShortUnique id for inter-element referencing
                                                                              Control0..1
                                                                              Typestring
                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                              165. Practitioner.identifier:ZANR.type.extension
                                                                              Definition

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

                                                                              ShortAdditional content defined by implementations
                                                                              Comments

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

                                                                              Control0..*
                                                                              This element is affected by the following invariants: ele-1
                                                                              TypeExtension
                                                                              Standard StatusNormative (from Trial Use)
                                                                              Alternate Namesextensions, user content
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              SlicingThis element introduces a set of slices on Practitioner.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                              • value @ url
                                                                              • 167. Practitioner.identifier:ZANR.type.coding
                                                                                Definition

                                                                                A reference to a code defined by a terminology system.

                                                                                ShortCode defined by a terminology system
                                                                                Comments

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

                                                                                Control1..*
                                                                                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()))
                                                                                169. Practitioner.identifier:ZANR.type.coding.id
                                                                                Definition

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

                                                                                ShortUnique id for inter-element referencing
                                                                                Control0..1
                                                                                Typestring
                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                171. Practitioner.identifier:ZANR.type.coding.extension
                                                                                Definition

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

                                                                                ShortAdditional content defined by implementations
                                                                                Comments

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

                                                                                Control0..*
                                                                                This element is affected by the following invariants: ele-1
                                                                                TypeExtension
                                                                                Standard StatusNormative (from Trial Use)
                                                                                Alternate Namesextensions, user content
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                SlicingThis element introduces a set of slices on Practitioner.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                • value @ url
                                                                                • 173. Practitioner.identifier:ZANR.type.coding.system
                                                                                  Definition

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

                                                                                  ShortIdentity of the terminology system
                                                                                  Comments

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

                                                                                  Control1..1
                                                                                  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()))
                                                                                  175. Practitioner.identifier:ZANR.type.coding.version
                                                                                  Definition

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

                                                                                  ShortVersion of the system - if relevant
                                                                                  Comments

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

                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                  Control0..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()))
                                                                                  177. Practitioner.identifier:ZANR.type.coding.code
                                                                                  Definition

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

                                                                                  ShortSymbol in syntax defined by the system
                                                                                  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()))
                                                                                  179. Practitioner.identifier:ZANR.type.coding.display
                                                                                  Definition

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

                                                                                  ShortRepresentation defined by the system
                                                                                  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()))
                                                                                  181. Practitioner.identifier:ZANR.type.coding.userSelected
                                                                                  Definition

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

                                                                                  ShortIf this coding was chosen directly by the user
                                                                                  Comments

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

                                                                                  Control0..0
                                                                                  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()))
                                                                                  183. Practitioner.identifier:ZANR.type.text
                                                                                  Definition

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

                                                                                  ShortPlain text representation of the concept
                                                                                  Comments

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

                                                                                  Control0..0
                                                                                  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()))
                                                                                  185. Practitioner.identifier:ZANR.system
                                                                                  Definition

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

                                                                                  ShortThe namespace for the identifier value
                                                                                  Comments

                                                                                  Identifier.system is always case sensitive.

                                                                                  Control1..1
                                                                                  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/kzbv/zahnarztnummer
                                                                                  ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  187. Practitioner.identifier:ZANR.value
                                                                                  Definition

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

                                                                                  ShortThe value that is unique
                                                                                  Comments

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

                                                                                  Control1..1
                                                                                  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()))
                                                                                  zanr-1: Die ZANR bestehend aus 7-stelliger Zahnarztnummer + 2-stelliger Fachbezeichnung muss 9-stellig numerisch sein (matches('^[0-9]{9}$'))
                                                                                  189. Practitioner.identifier:ZANR.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))
                                                                                  191. Practitioner.identifier:ZANR.assigner
                                                                                  Definition

                                                                                  Organization that issued/manages the identifier.

                                                                                  ShortOrganization that issued id (may be just text)
                                                                                  Comments

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

                                                                                  Control0..0
                                                                                  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')))
                                                                                  207. Practitioner.identifier:Telematik-ID
                                                                                  Slice NameTelematik-ID
                                                                                  Definition

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

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

                                                                                  Often, specific identities are assigned for the agent.

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

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

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

                                                                                  Often, specific identities are assigned for the agent.

                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  249. Practitioner.identifier:Vertragspartner-ID
                                                                                  Slice NameVertragspartner-ID
                                                                                  Definition

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

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

                                                                                  Often, specific identities are assigned for the agent.

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

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

                                                                                  ShortUnique id for inter-element referencing
                                                                                  Control0..1
                                                                                  Typestring
                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                  253. Practitioner.identifier:Vertragspartner-ID.extension
                                                                                  Definition

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

                                                                                  ShortAdditional content defined by implementations
                                                                                  Comments

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

                                                                                  Control0..*
                                                                                  This element is affected by the following invariants: ele-1
                                                                                  TypeExtension
                                                                                  Standard StatusNormative (from Trial Use)
                                                                                  Alternate Namesextensions, user content
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                  SlicingThis element introduces a set of slices on Practitioner.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                  • value @ url
                                                                                  • 255. Practitioner.identifier:Vertragspartner-ID.use
                                                                                    Definition

                                                                                    The purpose of this identifier.

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

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

                                                                                    Control0..0
                                                                                    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()))
                                                                                    257. Practitioner.identifier:Vertragspartner-ID.type
                                                                                    Definition

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

                                                                                    ShortDescription of identifier
                                                                                    Comments

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

                                                                                    Control1..1
                                                                                    This element is affected by the following invariants: ele-1
                                                                                    BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                                    (extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

                                                                                    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_WEST_Identifier",
                                                                                        "version" : "1.0.0-kommentierung",
                                                                                        "code" : "VPID"
                                                                                      }]
                                                                                    }
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    259. Practitioner.identifier:Vertragspartner-ID.type.id
                                                                                    Definition

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

                                                                                    ShortUnique id for inter-element referencing
                                                                                    Control0..1
                                                                                    Typestring
                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                    261. Practitioner.identifier:Vertragspartner-ID.type.extension
                                                                                    Definition

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

                                                                                    ShortAdditional content defined by implementations
                                                                                    Comments

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

                                                                                    Control0..*
                                                                                    This element is affected by the following invariants: ele-1
                                                                                    TypeExtension
                                                                                    Standard StatusNormative (from Trial Use)
                                                                                    Alternate Namesextensions, user content
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                    SlicingThis element introduces a set of slices on Practitioner.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                    • value @ url
                                                                                    • 263. Practitioner.identifier:Vertragspartner-ID.type.coding
                                                                                      Definition

                                                                                      A reference to a code defined by a terminology system.

                                                                                      ShortCode defined by a terminology system
                                                                                      Comments

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

                                                                                      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()))
                                                                                      265. Practitioner.identifier:Vertragspartner-ID.type.coding.id
                                                                                      Definition

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

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control0..1
                                                                                      Typestring
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      267. Practitioner.identifier:Vertragspartner-ID.type.coding.extension
                                                                                      Definition

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

                                                                                      ShortAdditional content defined by implementations
                                                                                      Comments

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

                                                                                      Control0..*
                                                                                      This element is affected by the following invariants: ele-1
                                                                                      TypeExtension
                                                                                      Standard StatusNormative (from Trial Use)
                                                                                      Alternate Namesextensions, user content
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      SlicingThis element introduces a set of slices on Practitioner.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                      • value @ url
                                                                                      • 269. Practitioner.identifier:Vertragspartner-ID.type.coding.system
                                                                                        Definition

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

                                                                                        ShortIdentity of the terminology system
                                                                                        Comments

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

                                                                                        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()))
                                                                                        271. Practitioner.identifier:Vertragspartner-ID.type.coding.version
                                                                                        Definition

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

                                                                                        ShortVersion of the system - if relevant
                                                                                        Comments

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

                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                        Control0..0
                                                                                        This element is affected by the following invariants: ele-1
                                                                                        Typestring
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        273. Practitioner.identifier:Vertragspartner-ID.type.coding.code
                                                                                        Definition

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

                                                                                        ShortSymbol in syntax defined by the system
                                                                                        Comments

                                                                                        Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                                        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()))
                                                                                        275. Practitioner.identifier:Vertragspartner-ID.type.coding.display
                                                                                        Definition

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

                                                                                        ShortRepresentation defined by the system
                                                                                        Comments

                                                                                        Note that FHIR strings SHALL NOT exceed 1MB in size

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

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

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

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

                                                                                        ShortIf this coding was chosen directly by the user
                                                                                        Comments

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

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

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

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

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

                                                                                        ShortPlain text representation of the concept
                                                                                        Comments

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

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

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

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

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

                                                                                        ShortThe namespace for the identifier value
                                                                                        Comments

                                                                                        Identifier.system is always case sensitive.

                                                                                        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
                                                                                        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()))
                                                                                        283. Practitioner.identifier:Vertragspartner-ID.value
                                                                                        Definition

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

                                                                                        ShortThe value that is unique
                                                                                        Comments

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

                                                                                        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
                                                                                        ExampleGeneral: 123456
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        285. Practitioner.identifier:Vertragspartner-ID.period
                                                                                        Definition

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

                                                                                        ShortTime period when id is/was valid for use
                                                                                        Comments

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

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

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

                                                                                        Organization that issued/manages the identifier.

                                                                                        ShortOrganization that issued id (may be just text)
                                                                                        Comments

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

                                                                                        Control0..0
                                                                                        This element is affected by the following invariants: ele-1
                                                                                        TypeReference(Organization)
                                                                                        Summarytrue
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                                                                                        289. Practitioner.active
                                                                                        Definition

                                                                                        Whether this practitioner's record is in active use.

                                                                                        ShortWhether this practitioner's record is in active use
                                                                                        Comments

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

                                                                                        Control0..0
                                                                                        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

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

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

                                                                                        Dieses Element beschreibt den vollständigen Namen der behandelnden Person.

                                                                                        ShortThe name(s) associated with the practitioner
                                                                                        Comments

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

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

                                                                                        1. There is more than 1 name
                                                                                        2. Use = usual
                                                                                        3. Period is current to the date of the usage
                                                                                        4. Use = official
                                                                                        5. Other order as decided by internal business rules.
                                                                                        Control1..*
                                                                                        This element is affected by the following invariants: ele-1
                                                                                        TypeHumanName
                                                                                        Standard StatusNormative (from Trial Use)
                                                                                        Summarytrue
                                                                                        Requirements

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

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

                                                                                          Dieses Element beschreibt diverse Namensbestandteile der behandelnden Person.

                                                                                          ShortPersonenname
                                                                                          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.

                                                                                          Control1..1
                                                                                          This element is affected by the following invariants: ele-1
                                                                                          TypeHumanName(KBV_PR_Base_Datatype_Name)
                                                                                          Must Supporttrue
                                                                                          Summarytrue
                                                                                          Requirements

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

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

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

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

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

                                                                                          ShortAdditional content defined by implementations
                                                                                          Comments

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

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

                                                                                            Identifies the purpose for this name.

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

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

                                                                                            Control1..1
                                                                                            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
                                                                                            Must Supporttrue
                                                                                            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()))
                                                                                            301. Practitioner.name:name.text
                                                                                            Definition

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

                                                                                            ShortVollständiger Name
                                                                                            Comments

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

                                                                                            Control0..1
                                                                                            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()))
                                                                                            303. Practitioner.name:name.family
                                                                                            Definition

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

                                                                                            ShortFamilienname
                                                                                            Comments

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

                                                                                            Control1..1
                                                                                            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()))
                                                                                            305. Practitioner.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.
                                                                                            307. Practitioner.name:name.family.extension
                                                                                            Definition

                                                                                            An Extension

                                                                                            ShortExtension
                                                                                            Control1..*
                                                                                            This element is affected by the following invariants: ele-1
                                                                                            TypeExtension
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                            SlicingThis element introduces a set of slices on Practitioner.name.family.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                            • value @ url
                                                                                            • 309. Practitioner.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())
                                                                                              311. Practitioner.name:name.family.extension:namenszusatz.id
                                                                                              Definition

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

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

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

                                                                                              ShortAdditional content defined by implementations
                                                                                              Comments

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

                                                                                              Control0..0
                                                                                              This element is affected by the following invariants: ele-1
                                                                                              TypeExtension
                                                                                              Standard StatusNormative (from Trial Use)
                                                                                              Alternate Namesextensions, user content
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                              SlicingThis element introduces a set of slices on Practitioner.name.family.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                              • value @ url
                                                                                              • 315. Practitioner.name:name.family.extension:namenszusatz.url
                                                                                                Definition

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

                                                                                                Shortidentifies the meaning of the extension
                                                                                                Comments

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

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

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

                                                                                                ShortNamenszusatz
                                                                                                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()))
                                                                                                319. Practitioner.name:name.family.extension:nachname
                                                                                                Slice Namenachname
                                                                                                Definition

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

                                                                                                ShortPortion derived from person's own surname
                                                                                                Comments

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

                                                                                                Control1..1
                                                                                                This element is affected by the following invariants: ele-1
                                                                                                TypeExtension(Own Name) (Extension Type: string)
                                                                                                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())
                                                                                                321. Practitioner.name:name.family.extension:nachname.id
                                                                                                Definition

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

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

                                                                                                An Extension

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

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

                                                                                                  Shortidentifies the meaning of the extension
                                                                                                  Comments

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

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

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

                                                                                                  ShortValue of extension
                                                                                                  Control1..1
                                                                                                  Typestring
                                                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Must Supporttrue
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  329. Practitioner.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. Practitioner.name:name.family.extension:vorsatzwort.id
                                                                                                  Definition

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

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

                                                                                                  An Extension

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

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

                                                                                                    Shortidentifies the meaning of the extension
                                                                                                    Comments

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

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

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

                                                                                                    ShortValue of extension
                                                                                                    Control1..1
                                                                                                    Typestring
                                                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Must Supporttrue
                                                                                                    Summaryfalse
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    339. Practitioner.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
                                                                                                    341. Practitioner.name:name.given
                                                                                                    Definition

                                                                                                    Vorname der Person

                                                                                                    ShortVorname
                                                                                                    Comments

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

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

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

                                                                                                      ShortUnique id for inter-element referencing
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                      353. Practitioner.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 Trial Use)
                                                                                                      Alternate Namesextensions, user content
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                      SlicingThis element introduces a set of slices on Practitioner.name.prefix.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                      • value @ url
                                                                                                      • 355. Practitioner.name:name.prefix.extension:prefix-qualifier.url
                                                                                                        Definition

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

                                                                                                        Shortidentifies the meaning of the extension
                                                                                                        Comments

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

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

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

                                                                                                        ShortValue of extension
                                                                                                        Control1..1
                                                                                                        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 Trial Use)
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        SlicingThis element introduces a set of slices on Practitioner.name.prefix.extension.value[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                        • type @ $this
                                                                                                        • 359. Practitioner.name:name.prefix.extension:prefix-qualifier.value[x]:valueCode
                                                                                                          Slice NamevalueCode
                                                                                                          Definition

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

                                                                                                          ShortValue of extension
                                                                                                          Control1..1
                                                                                                          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 Trial Use)
                                                                                                          Fixed ValueAC
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          361. Practitioner.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
                                                                                                          363. Practitioner.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()))
                                                                                                          365. Practitioner.name:name.period
                                                                                                          Definition

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

                                                                                                          ShortTime period when name was/is in use
                                                                                                          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))
                                                                                                          367. Practitioner.name:geburtsname
                                                                                                          Slice Namegeburtsname
                                                                                                          Definition

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

                                                                                                          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

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

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

                                                                                                          Dieses Element beschreibt die vorhandenen Kontaktmöglichkeiten.

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

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

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

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

                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                                                                                                          390. Practitioner.telecom.id
                                                                                                          Definition

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

                                                                                                          ShortUnique id for inter-element referencing
                                                                                                          Control0..1
                                                                                                          Typestring
                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                          392. Practitioner.telecom.extension
                                                                                                          Definition

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

                                                                                                          ShortAdditional content defined by implementations
                                                                                                          Comments

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

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

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

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

                                                                                                            Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                                                            Control1..1
                                                                                                            This element is affected by the following invariants: ele-1, cpt-2
                                                                                                            BindingThe codes SHALL be taken from ContactPointSystem
                                                                                                            (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                                                                                                            Telecommunications form for contact point.

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

                                                                                                            Identifies the purpose for the contact point.

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

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

                                                                                                            Control0..0
                                                                                                            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()))
                                                                                                            400. Practitioner.telecom.rank
                                                                                                            Definition

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

                                                                                                            ShortSpecify preferred order of use (1 = highest)
                                                                                                            Comments

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

                                                                                                            Control0..0
                                                                                                            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()))
                                                                                                            402. Practitioner.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))
                                                                                                            404. Practitioner.address
                                                                                                            Definition

                                                                                                            Dieses Element beschreibt die Anschrift der behandelnden Person.

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

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

                                                                                                            Control0..*
                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                            TypeAddress
                                                                                                            Standard StatusNormative (from Trial Use)
                                                                                                            Summarytrue
                                                                                                            Requirements

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

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

                                                                                                              Hier werden Angaben zur Straßenanschrift gemacht.

                                                                                                              ShortEine Straßenadresse gemäß postalischer Konventionen
                                                                                                              Comments

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

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

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

                                                                                                              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)))
                                                                                                              408. Practitioner.address:Strassenanschrift.id
                                                                                                              Definition

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

                                                                                                              ShortUnique id for inter-element referencing
                                                                                                              Control0..1
                                                                                                              Typestring
                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                              410. Practitioner.address:Strassenanschrift.extension
                                                                                                              Definition

                                                                                                              An Extension

                                                                                                              ShortExtension
                                                                                                              Control0..*
                                                                                                              This element is affected by the following invariants: ele-1
                                                                                                              TypeExtension
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              SlicingThis element introduces a set of slices on Practitioner.address.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                              • value @ url
                                                                                                              • 412. Practitioner.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())
                                                                                                                414. Practitioner.address:Strassenanschrift.use
                                                                                                                Definition

                                                                                                                The purpose of this address.

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

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

                                                                                                                Control0..0
                                                                                                                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()))
                                                                                                                416. Practitioner.address:Strassenanschrift.type
                                                                                                                Definition

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

                                                                                                                Shortpostal | physical | both
                                                                                                                Comments

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

                                                                                                                Control1..1
                                                                                                                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()))
                                                                                                                418. Practitioner.address:Strassenanschrift.text
                                                                                                                Definition

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

                                                                                                                ShortText representation of the address
                                                                                                                Comments

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

                                                                                                                Control0..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()))
                                                                                                                420. Practitioner.address:Strassenanschrift.line
                                                                                                                Definition

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

                                                                                                                ShortStraßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung
                                                                                                                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()))
                                                                                                                422. Practitioner.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.
                                                                                                                424. Practitioner.address:Strassenanschrift.line.extension
                                                                                                                Definition

                                                                                                                An Extension

                                                                                                                ShortExtension
                                                                                                                Control0..*
                                                                                                                This element is affected by the following invariants: ele-1
                                                                                                                TypeExtension
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                SlicingThis element introduces a set of slices on Practitioner.address.line.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                • value @ url
                                                                                                                • 426. Practitioner.address:Strassenanschrift.line.extension:Strasse
                                                                                                                  Slice NameStrasse
                                                                                                                  Definition

                                                                                                                  streetName.

                                                                                                                  ShortstreetName
                                                                                                                  Control0..1
                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                  TypeExtension(ADXP Street Name) (Extension Type: string)
                                                                                                                  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())
                                                                                                                  428. Practitioner.address:Strassenanschrift.line.extension:Hausnummer
                                                                                                                  Slice NameHausnummer
                                                                                                                  Definition

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

                                                                                                                  ShorthouseNumber
                                                                                                                  Control0..1
                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                  TypeExtension(ADXP House Number) (Extension Type: string)
                                                                                                                  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())
                                                                                                                  430. Practitioner.address:Strassenanschrift.line.extension:Adresszusatz
                                                                                                                  Slice NameAdresszusatz
                                                                                                                  Definition

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

                                                                                                                  ShortadditionalLocator
                                                                                                                  Control0..0
                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                  TypeExtension(ADXP Additional Locator) (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())
                                                                                                                  432. Practitioner.address:Strassenanschrift.line.extension:Postfach
                                                                                                                  Slice NamePostfach
                                                                                                                  Definition

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

                                                                                                                  ShortPostfach
                                                                                                                  Comments

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

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

                                                                                                                  The name of the administrative area (county).

                                                                                                                  ShortDistrict name (aka county)
                                                                                                                  Comments

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

                                                                                                                  Control0..0
                                                                                                                  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()))
                                                                                                                  440. Practitioner.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()))
                                                                                                                  442. Practitioner.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()))
                                                                                                                  444. Practitioner.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()))
                                                                                                                  446. Practitioner.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))
                                                                                                                  448. Practitioner.address:Postfach
                                                                                                                  Slice NamePostfach
                                                                                                                  Definition

                                                                                                                  Hier werden Angaben zu einem Postfach gemacht.

                                                                                                                  ShortHier können Angaben zu einem Postfach gemacht werden.
                                                                                                                  Comments

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

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

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

                                                                                                                  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)
                                                                                                                  450. Practitioner.gender
                                                                                                                  Definition

                                                                                                                  Hier wird die Geschlechtsdefinition der behandelnden Person angegeben.

                                                                                                                  Shortmale | female | other | unknown
                                                                                                                  Comments

                                                                                                                  Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                                                                  Control0..1
                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                  BindingThe codes 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 to address the person correctly.

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

                                                                                                                    Optional Extension Element - found in all resources.

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

                                                                                                                    The date of birth for the practitioner.

                                                                                                                    ShortThe date on which the practitioner was born
                                                                                                                    Control0..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

                                                                                                                    Needed for identification.

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

                                                                                                                    Image of the person.

                                                                                                                    ShortImage of the person
                                                                                                                    Comments

                                                                                                                    When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent".

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

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

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

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

                                                                                                                    ShortCertification, licenses, or training pertaining to the provision of care
                                                                                                                    Control0..0
                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                    TypeBackboneElement
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    473. Practitioner.communication
                                                                                                                    Definition

                                                                                                                    A language the practitioner can use in patient communication.

                                                                                                                    ShortA language the practitioner can use in patient communication
                                                                                                                    Comments

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

                                                                                                                    Control0..0
                                                                                                                    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
                                                                                                                    TypeCodeableConcept
                                                                                                                    Requirements

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

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