Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	S	0..1	id	Logical id of this artifact
meta	S	0..1	Meta	Metadata about the resource
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
language	S	0..1	code	Language of the resource content
Slices for identifier	S	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:versichertenId_GKV	S	0..1	IdentifierKvid10	An identifier intended for computation Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GKV
value		1..1	string	The value that is unique
identifier:pid	S	0..*	IdentifierPid	An identifier intended for computation Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
identifier:versichertennummer_pkv	S	0..1	IdentifierPkv	An identifier intended for computation Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PKV
Slices for name	S	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by pattern:$this
name:name	S	1..1	HumannameDeBasis	Personenname Required Pattern: At least the following
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
family		0..1	string	Familienname
extension:namenszusatz		0..1	HumannameNamenszusatz	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
extension:vorsatzwort		0..1	own-prefix	Voorvoegsel derived from person's own surname
given		0..*	string	Vorname
prefix		0..*	string	Namensteile vor dem Vornamen
gender	S	0..1	code	male | female | other | unknown
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
other-amtlich	S	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE (required)
birthDate	S	0..1	date	The date of birth for the individual
Slices for address	S	0..*	Address	An address for the individual Slice: Unordered, Open by pattern:$this
address:Strassenanschrift	S	0..*	AddressDeBasis	Eine Adresse gemäß postalischer Konventionen Required Pattern: At least the following
type		1..1	code	postal | physical | both Fixed Value: both
contact
name		0..1	HumannameDeBasis	Personenname
address		0..1	AddressDeBasis	Eine Adresse gemäß postalischer Konventionen
communication	S	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
language	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:versichertenId_GKV	S	0..1	IdentifierKvid10	An identifier intended for computation Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GKV
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value	ΣC	1..1	string	The value that is unique Example General: 123456
identifier:pid	S	0..*	IdentifierPid	An identifier intended for computation Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
identifier:versichertennummer_pkv	S	0..1	IdentifierPkv	An identifier intended for computation Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PKV
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by pattern:$this
name:name	SC	1..1	HumannameDeBasis	Personenname Required Pattern: At least the following
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	Σ	0..1	string	Familienname
namenszusatz		0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
nachname		0..1	string	Nachname ohne Vor- und Zusätze URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
vorsatzwort		0..1	string	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
given	Σ	0..*	string	Vorname This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Namensteile vor dem Vornamen This repeating element order: Prefixes appear in the correct order for presenting the name
prefix-qualifier		0..*	code	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier Binding: EntityNamePartQualifier (required): A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
other-amtlich	S	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE (required)
birthDate	SΣ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
Slices for address	SΣ	0..*	Address	An address for the individual Slice: Unordered, Open by pattern:$this
address:Strassenanschrift	SC	0..*	AddressDeBasis	Eine Adresse gemäß postalischer Konventionen Required Pattern: At least the following
type		1..1	code	postal | physical | both Fixed Value: both
communication	S	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.identifier:versichertenId_GKV.use	required	IdentifierUse
Patient.name:name.use	required	NameUse
Patient.gender	required	AdministrativeGender
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType

Constraints

Id	Grade	Path(s)	Details	Requirements
add-1	error	Patient.address:Strassenanschrift	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 $this.hasValue())
add-2	error	Patient.address:Strassenanschrift	Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue())
add-3	error	Patient.address:Strassenanschrift	Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue())
add-4	warning	Patient.address:Strassenanschrift	Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein. : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty()
add-5	error	Patient.address:Strassenanschrift	Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue())
add-6	warning	Patient.address:Strassenanschrift	Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty()))
add-7	warning	Patient.address:Strassenanschrift	Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein. : extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or line.where(extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').value.ofType(string)=$this).exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
hum-1	error	Patient.name:name	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	error	Patient.name:name	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	error	Patient.name:name	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	error	Patient.name:name	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 $this.hasValue())
kvid-1	warning	Patient.identifier:versichertenId_GKV.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen : matches('^[A-Z][0-9]{9}$')

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:versichertenId_GKV	S	0..1	IdentifierKvid10	An identifier intended for computation Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GKV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GKV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	ΣC	0..1	Period	Time period when id is/was valid for use
assigner	ΣC	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:pid	S	0..*	IdentifierPid	An identifier intended for computation Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:versichertennummer_pkv	S	0..1	IdentifierPkv	An identifier intended for computation Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PKV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by pattern:$this
name:name	SC	1..1	HumannameDeBasis	Personenname Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Familienname
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
namenszusatz		0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
nachname		0..1	string	Nachname ohne Vor- und Zusätze URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
vorsatzwort		0..1	string	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
value		0..1	string	Primitive value for string Max Length: 1048576
given	Σ	0..*	string	Vorname This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Namensteile vor dem Vornamen This repeating element order: Prefixes appear in the correct order for presenting the name
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
prefix-qualifier		0..*	code	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier Binding: EntityNamePartQualifier (required): A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.
value		0..1	string	Primitive value for string Max Length: 1048576
suffix	Σ	0..*	string	Namensteile nach dem Nachnamen This repeating element order: Suffixes appear in the correct order for presenting the name
period	ΣC	0..1	Period	Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
other-amtlich	S	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE (required)
value		0..1	string	Primitive value for code
birthDate	SΣ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
Slices for address	SΣ	0..*	Address	An address for the individual Slice: Unordered, Open by pattern:$this
address:Strassenanschrift	SC	0..*	AddressDeBasis	Eine Adresse gemäß postalischer Konventionen Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	home | work | temp | old | billing - purpose of this address
type		1..1	code	postal | physical | both Fixed Value: both
text		0..1	string	Text representation of the address
line		0..*	string	Street name, number, direction & P.O. Box etc.
city		0..1	string	Name of city, town etc.
district		0..1	string	District name (aka county)
state		0..1	string	Sub-unit of country (abbreviations ok)
postalCode		0..1	string	Postal code for area
country		0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period		0..1	Period	Time period when address was/is in use
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name	C	0..1	HumannameDeBasis	Personenname
telecom		0..*	ContactPoint	A contact detail for the person
address	C	0..1	AddressDeBasis	Eine Adresse gemäß postalischer Konventionen Example Beispiel für einfache Adresse: {"use":"home","type":"postal","line":["Musterweg 42"],"city":"Musterhausen","postalCode":"99999"}
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication	S	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Patient.meta.security	extensible	All Security Labels
Patient.meta.tag	example	CommonTags
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.identifier:versichertenId_GKV.use	required	IdentifierUse
Patient.identifier:versichertenId_GKV.type	extensible	Pattern: GKV
Patient.name:name.use	required	NameUse
Patient.gender	required	AdministrativeGender
Patient.maritalStatus	extensible	Marital Status Codes
Patient.contact.relationship	extensible	PatientContactRelationship
Patient.contact.gender	required	AdministrativeGender
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType

Constraints

Id	Grade	Path(s)	Details	Requirements
add-1	error	Patient.address:Strassenanschrift, Patient.contact.address	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 $this.hasValue())
add-2	error	Patient.address:Strassenanschrift, Patient.contact.address	Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue())
add-3	error	Patient.address:Strassenanschrift, Patient.contact.address	Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue())
add-4	warning	Patient.address:Strassenanschrift, Patient.contact.address	Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein. : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty()
add-5	error	Patient.address:Strassenanschrift, Patient.contact.address	Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue())
add-6	warning	Patient.address:Strassenanschrift, Patient.contact.address	Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty()))
add-7	warning	Patient.address:Strassenanschrift, Patient.contact.address	Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein. : extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or line.where(extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').value.ofType(string)=$this).exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
hum-1	error	Patient.name:name, Patient.contact.name	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	error	Patient.name:name, Patient.contact.name	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	error	Patient.name:name, Patient.contact.name	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	error	Patient.name:name, Patient.contact.name	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 $this.hasValue())
kvid-1	warning	Patient.identifier:versichertenId_GKV.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen : matches('^[A-Z][0-9]{9}$')
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()
per-1	error	Patient.identifier:versichertenId_GKV.period, Patient.name:name.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Patient.identifier:versichertenId_GKV.assigner	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Summary

Mandatory: 3 elements
Must-Support: 21 elements

Structures

This structure refers to these other structures:

• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• Identifier-Profil für die Abbildung einer Patienten-ID (http://fhir.de/StructureDefinition/identifier-pid)
• Identifier-Profil für die Abbildung einer Privatversichertennummer (http://fhir.de/StructureDefinition/identifier-pkv)
• HumanName, deutsches Basisprofil (http://fhir.de/StructureDefinition/humanname-de-basis)
• Adresse, deutsches Basisprofil (http://fhir.de/StructureDefinition/address-de-basis)

Extensions

This structure refers to these extensions:

• http://fhir.de/StructureDefinition/gender-amtlich-de

Slices

This structure defines the following Slices:

• The element Patient.identifier is sliced based on the value of pattern:$this
• The element Patient.name is sliced based on the value of pattern:$this
• The element Patient.address is sliced based on the value of pattern:$this

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	S	0..1	id	Logical id of this artifact
meta	S	0..1	Meta	Metadata about the resource
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
language	S	0..1	code	Language of the resource content
Slices for identifier	S	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:versichertenId_GKV	S	0..1	IdentifierKvid10	An identifier intended for computation Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GKV
value		1..1	string	The value that is unique
identifier:pid	S	0..*	IdentifierPid	An identifier intended for computation Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
identifier:versichertennummer_pkv	S	0..1	IdentifierPkv	An identifier intended for computation Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PKV
Slices for name	S	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by pattern:$this
name:name	S	1..1	HumannameDeBasis	Personenname Required Pattern: At least the following
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
family		0..1	string	Familienname
extension:namenszusatz		0..1	HumannameNamenszusatz	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
extension:vorsatzwort		0..1	own-prefix	Voorvoegsel derived from person's own surname
given		0..*	string	Vorname
prefix		0..*	string	Namensteile vor dem Vornamen
gender	S	0..1	code	male | female | other | unknown
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
other-amtlich	S	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE (required)
birthDate	S	0..1	date	The date of birth for the individual
Slices for address	S	0..*	Address	An address for the individual Slice: Unordered, Open by pattern:$this
address:Strassenanschrift	S	0..*	AddressDeBasis	Eine Adresse gemäß postalischer Konventionen Required Pattern: At least the following
type		1..1	code	postal | physical | both Fixed Value: both
contact
name		0..1	HumannameDeBasis	Personenname
address		0..1	AddressDeBasis	Eine Adresse gemäß postalischer Konventionen
communication	S	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
language	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:versichertenId_GKV	S	0..1	IdentifierKvid10	An identifier intended for computation Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GKV
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value	ΣC	1..1	string	The value that is unique Example General: 123456
identifier:pid	S	0..*	IdentifierPid	An identifier intended for computation Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
identifier:versichertennummer_pkv	S	0..1	IdentifierPkv	An identifier intended for computation Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PKV
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by pattern:$this
name:name	SC	1..1	HumannameDeBasis	Personenname Required Pattern: At least the following
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	Σ	0..1	string	Familienname
namenszusatz		0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
nachname		0..1	string	Nachname ohne Vor- und Zusätze URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
vorsatzwort		0..1	string	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
given	Σ	0..*	string	Vorname This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Namensteile vor dem Vornamen This repeating element order: Prefixes appear in the correct order for presenting the name
prefix-qualifier		0..*	code	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier Binding: EntityNamePartQualifier (required): A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
other-amtlich	S	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE (required)
birthDate	SΣ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
Slices for address	SΣ	0..*	Address	An address for the individual Slice: Unordered, Open by pattern:$this
address:Strassenanschrift	SC	0..*	AddressDeBasis	Eine Adresse gemäß postalischer Konventionen Required Pattern: At least the following
type		1..1	code	postal | physical | both Fixed Value: both
communication	S	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.identifier:versichertenId_GKV.use	required	IdentifierUse
Patient.name:name.use	required	NameUse
Patient.gender	required	AdministrativeGender
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType

Constraints

Id	Grade	Path(s)	Details	Requirements
add-1	error	Patient.address:Strassenanschrift	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 $this.hasValue())
add-2	error	Patient.address:Strassenanschrift	Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue())
add-3	error	Patient.address:Strassenanschrift	Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue())
add-4	warning	Patient.address:Strassenanschrift	Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein. : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty()
add-5	error	Patient.address:Strassenanschrift	Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue())
add-6	warning	Patient.address:Strassenanschrift	Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty()))
add-7	warning	Patient.address:Strassenanschrift	Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein. : extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or line.where(extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').value.ofType(string)=$this).exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
hum-1	error	Patient.name:name	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	error	Patient.name:name	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	error	Patient.name:name	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	error	Patient.name:name	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 $this.hasValue())
kvid-1	warning	Patient.identifier:versichertenId_GKV.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen : matches('^[A-Z][0-9]{9}$')

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:$this
identifier:versichertenId_GKV	S	0..1	IdentifierKvid10	An identifier intended for computation Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GKV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GKV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	ΣC	0..1	Period	Time period when id is/was valid for use
assigner	ΣC	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:pid	S	0..*	IdentifierPid	An identifier intended for computation Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:versichertennummer_pkv	S	0..1	IdentifierPkv	An identifier intended for computation Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PKV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by pattern:$this
name:name	SC	1..1	HumannameDeBasis	Personenname Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
text		0..1	string	Text representation of the full name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
period		0..1	Period	Time period when name was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Familienname
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
namenszusatz		0..1	string	Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") URL: http://fhir.de/StructureDefinition/humanname-namenszusatz
nachname		0..1	string	Nachname ohne Vor- und Zusätze URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
vorsatzwort		0..1	string	Voorvoegsel derived from person's own surname URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
value		0..1	string	Primitive value for string Max Length: 1048576
given	Σ	0..*	string	Vorname This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Namensteile vor dem Vornamen This repeating element order: Prefixes appear in the correct order for presenting the name
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
prefix-qualifier		0..*	code	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier Binding: EntityNamePartQualifier (required): A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.
value		0..1	string	Primitive value for string Max Length: 1048576
suffix	Σ	0..*	string	Namensteile nach dem Nachnamen This repeating element order: Suffixes appear in the correct order for presenting the name
period	ΣC	0..1	Period	Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
other-amtlich	S	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE (required)
value		0..1	string	Primitive value for code
birthDate	SΣ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
Slices for address	SΣ	0..*	Address	An address for the individual Slice: Unordered, Open by pattern:$this
address:Strassenanschrift	SC	0..*	AddressDeBasis	Eine Adresse gemäß postalischer Konventionen Required Pattern: At least the following
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	home | work | temp | old | billing - purpose of this address
type		1..1	code	postal | physical | both Fixed Value: both
text		0..1	string	Text representation of the address
line		0..*	string	Street name, number, direction & P.O. Box etc.
city		0..1	string	Name of city, town etc.
district		0..1	string	District name (aka county)
state		0..1	string	Sub-unit of country (abbreviations ok)
postalCode		0..1	string	Postal code for area
country		0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period		0..1	Period	Time period when address was/is in use
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name	C	0..1	HumannameDeBasis	Personenname
telecom		0..*	ContactPoint	A contact detail for the person
address	C	0..1	AddressDeBasis	Eine Adresse gemäß postalischer Konventionen Example Beispiel für einfache Adresse: {"use":"home","type":"postal","line":["Musterweg 42"],"city":"Musterhausen","postalCode":"99999"}
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication	S	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Patient.meta.security	extensible	All Security Labels
Patient.meta.tag	example	CommonTags
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.identifier:versichertenId_GKV.use	required	IdentifierUse
Patient.identifier:versichertenId_GKV.type	extensible	Pattern: GKV
Patient.name:name.use	required	NameUse
Patient.gender	required	AdministrativeGender
Patient.maritalStatus	extensible	Marital Status Codes
Patient.contact.relationship	extensible	PatientContactRelationship
Patient.contact.gender	required	AdministrativeGender
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType

Constraints

Id	Grade	Path(s)	Details	Requirements
add-1	error	Patient.address:Strassenanschrift, Patient.contact.address	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 $this.hasValue())
add-2	error	Patient.address:Strassenanschrift, Patient.contact.address	Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue())
add-3	error	Patient.address:Strassenanschrift, Patient.contact.address	Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue())
add-4	warning	Patient.address:Strassenanschrift, Patient.contact.address	Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein. : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty()
add-5	error	Patient.address:Strassenanschrift, Patient.contact.address	Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue())
add-6	warning	Patient.address:Strassenanschrift, Patient.contact.address	Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty()))
add-7	warning	Patient.address:Strassenanschrift, Patient.contact.address	Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein. : extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or line.where(extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').value.ofType(string)=$this).exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
hum-1	error	Patient.name:name, Patient.contact.name	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	error	Patient.name:name, Patient.contact.name	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	error	Patient.name:name, Patient.contact.name	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	error	Patient.name:name, Patient.contact.name	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 $this.hasValue())
kvid-1	warning	Patient.identifier:versichertenId_GKV.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen : matches('^[A-Z][0-9]{9}$')
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()
per-1	error	Patient.identifier:versichertenId_GKV.period, Patient.name:name.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Patient.identifier:versichertenId_GKV.assigner	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'))