German Practice Management FHIR Profiles (R4)
0.71.0 - STU1 DE

German Practice Management FHIR Profiles (R4) - Local Development build (v0.71.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Test: PraxisPatientDE extends KBV

Official URL: https://fhir.cognovis.de/praxis/StructureDefinition/test-praxis-patient-de Version: 0.71.0
Draft as of 2026-05-30 Computable Name: TestPraxisPatientDE
Other Identifiers: OID:2.16.840.1.113883.3.7985.42.257

CI test verifying PraxisPatientDE wrapper profile exists.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient C 0..* PraxisPatientDE Information about an individual or animal receiving health care services
Constraints: pat-de-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:klinisches-Geschlecht 0..1 (Complex) Klinischer Geschlechsparameter
URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
.... extension:aiProvenanceApplicable S 0..1 boolean KI-Provenance anwendbar (EU AI Act)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ai-provenance-applicable
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:pid Σ 0..* IdentifierPid(1.6.0-ballot) An identifier for this patient
..... 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 1..1 CodeableConcept Description of identifier
Binding: Identifier Type DeBasis ValueSet (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 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... text 0..1 string Plain text representation of the concept
...... coding Σ 1..1 Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: MR
..... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:versichertenId Σ 0..1 IdentifierKvid10(1.6.0-ballot) An identifier for this patient
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type ΣC 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Kvid DeBasis ValueSet (required): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Constraints: kvid-2
...... coding Σ 1..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
....... code Σ 1..1 code Symbol in syntax defined by the system
..... 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
Constraints: kvid-1
Example General: 123456
.... identifier:versichertennummer_pkv Σ 0..1 IdentifierPkv(1.6.0-ballot) An identifier for this patient
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Fixed Value: secondary
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type DeBasis ValueSet (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 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... text 0..1 string Plain text representation of the concept
...... coding Σ 2..* Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_Base_identifier_type
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: pkv-nr
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... assigner ΣC 1..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... display Σ 1..1 string Text alternative for the resource
.... identifier:reisepassnummer Σ 0..* KBV_PR_Base_Identifier_Reisepassnummer An identifier for this patient
.... identifier:versichertennummer_kvk Σ 0..1 KBV_PR_Base_Identifier_KVK An identifier for this patient
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... Slices for name Σ 1..* HumanName A name associated with the patient
Slice: Unordered, Open by value:use
.... name:name Σ 0..1 KBV_PR_Base_Datatype_Name A name associated with the patient
.... name:geburtsname Σ 0..1 KBV_PR_Base_Datatype_Maiden_Name A name associated with the patient
... birthDate Σ 1..1 date The date of birth for the individual
.... Slices for extension Content/Rules for all slices
..... extension:data-absent-reason 0..1 (Complex) unknown | asked | temp | notasked | masked | unsupported | astext | error
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
...... Slices for value[x] 1..1 code Value of extension
Slice: Unordered, Closed by type:$this
Binding: DataAbsentReason (required)
....... value[x]:valueCode 1..1 code Value of extension
Binding: DataAbsentReason (required)
Fixed Value: unknown
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... Slices for address Σ 0..* Address An address for the individual
Slice: Unordered, Open by value:type
.... address:Strassenanschrift Σ 0..* KBV_PR_Base_Datatype_Street_Address An address for the individual
.... address:Postfach Σ 0..* KBV_PR_Base_Datatype_Post_Office_Box An address for the individual
... 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.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.identifier:pid.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:pid.​type Base extensible Identifier Type DeBasis ValueSet 📦1.6.0-ballot de.basisprofil.r4 v1.6
Patient.identifier:versichertenId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:versichertenId.​type Base required Identifier Type Kvid DeBasis ValueSet 📦1.6.0-ballot de.basisprofil.r4 v1.6
Patient.identifier:versichertennummer_pkv.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:versichertennummer_pkv.​type Base extensible Identifier Type DeBasis ValueSet 📦1.6.0-ballot de.basisprofil.r4 v1.6
Patient.birthDate.extension:data-absent-reason.​value[x] Base required DataAbsentReason 📦4.0.1 FHIR Std.
Patient.birthDate.extension:data-absent-reason.​value[x]:valueCode Base required DataAbsentReason 📦4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
kvid-1 warning Patient.identifier:versichertenId.value Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen matches('^[A-Z][0-9]{9}$')
kvid-2 warning Patient.identifier:versichertenId.type Die type Codes 'GKV' und 'PKV' haben den Status 'retired', daher sollen diese nicht mehr verwendet werden ($this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='GKV') or $this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='PKV')).not()
pat-de-1 error Patient 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()
ref-1 error Patient.identifier:versichertennummer_pkv.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'))

This structure is derived from PraxisPatientDE

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient 0..* PraxisPatientDE Information about an individual or animal receiving health care services

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient C 0..* PraxisPatientDE Information about an individual or animal receiving health care services
Constraints: pat-de-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:klinisches-Geschlecht 0..1 (Complex) Klinischer Geschlechsparameter
URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
.... extension:aiProvenanceApplicable S 0..1 boolean KI-Provenance anwendbar (EU AI Act)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ai-provenance-applicable
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier An identifier for this patient
Slice: Unordered, Open by value:type
.... identifier:pid Σ 0..* IdentifierPid(1.6.0-ballot) An identifier for this patient
..... 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 1..1 CodeableConcept Description of identifier
Binding: Identifier Type DeBasis ValueSet (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 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..1 Coding Code defined by a terminology system

Fixed Value: (Complex)
....... 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 Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: MR
....... display Σ 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
..... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 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
Constraints: per-1
..... assigner ΣC 0..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
.... identifier:versichertenId Σ 0..1 IdentifierKvid10(1.6.0-ballot) An identifier for this patient
..... 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 ΣC 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Kvid DeBasis ValueSet (required): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Constraints: kvid-2
...... 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 Σ 1..* 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 Σ 1..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 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
..... 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
Constraints: kvid-1
Example General: 123456
..... period ΣC 0..1 Period Time period when id is/was valid for use
Constraints: per-1
..... assigner ΣC 0..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
.... identifier:versichertennummer_pkv Σ 0..1 IdentifierPkv(1.6.0-ballot) An identifier for this patient
..... 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 .
Fixed Value: secondary
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type DeBasis ValueSet (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 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 2..* Coding Code defined by a terminology system

Fixed Value: (Complex)
....... 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 Σ 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_Base_identifier_type
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: pkv-nr
....... display Σ 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
..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 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
Constraints: per-1
..... assigner ΣC 1..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
...... identifier Σ 0..1 IdentifierIknr(1.6.0-ballot) An identifier intended for computation
...... display Σ 1..1 string Text alternative for the resource
.... identifier:reisepassnummer Σ 0..* KBV_PR_Base_Identifier_Reisepassnummer An identifier for this patient
.... identifier:versichertennummer_kvk Σ 0..1 KBV_PR_Base_Identifier_KVK An identifier for this patient
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... Slices for name Σ 1..* HumanName A name associated with the patient
Slice: Unordered, Open by value:use
.... name:name Σ 0..1 KBV_PR_Base_Datatype_Name A name associated with the patient
.... name:geburtsname Σ 0..1 KBV_PR_Base_Datatype_Maiden_Name A name associated with the patient
... telecom Σ 0..* KBV_PR_Base_Datatype_Contactpoint A contact detail for the individual
.... 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 ΣC 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
.... value Σ 1..1 string The actual contact point details
.... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
.... rank Σ 0..1 positiveInt Specify preferred order of use (1 = highest)
.... period Σ 0..1 Period Time period when the contact point was/is in use
... gender Σ 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
..... extension:other-amtlich 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/gender-amtlich-de
Binding: GenderOtherDE ValueSet (required)
.... value 0..1 string Primitive value for code
... birthDate Σ 1..1 date The date of birth for the individual
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:data-absent-reason 0..1 (Complex) unknown | asked | temp | notasked | masked | unsupported | astext | error
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
...... Slices for value[x] 1..1 code Value of extension
Slice: Unordered, Closed by type:$this
Binding: DataAbsentReason (required)
....... value[x]:valueCode 1..1 code Value of extension
Binding: DataAbsentReason (required)
Fixed Value: unknown
.... value 0..1 date Primitive value for date
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... Slices for address Σ 0..* Address An address for the individual
Slice: Unordered, Open by value:type
.... address:Strassenanschrift Σ 0..* KBV_PR_Base_Datatype_Street_Address An address for the individual
.... address:Postfach Σ 0..* KBV_PR_Base_Datatype_Post_Office_Box An address for the individual
... maritalStatus 0..1 CodeableConcept Personenstand
Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
.... 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 Σ 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 Σ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 1..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
... 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
Constraints: pat-1
.... 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 0..1 HumanName A name associated with the contact person
.... telecom 0..* ContactPoint A contact detail for the person
.... address 0..1 Address Address for the contact person
..... 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 home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
..... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
..... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
..... line Σ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
..... city Σ 0..1 string Name of city, town etc.
Example General: Erewhon
..... district Σ 0..1 string District name (aka county)
Example General: Madison
..... state Σ 0..1 string Sub-unit of country (abbreviations ok)
..... postalCode Σ 0..1 string Postal code for area
Example General: 9132
..... country Σ 0..1 string Staat
Binding: Land/Wohnsitzländercode (extensible)
..... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
.... 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 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 1..1 CodeableConcept Bevorzugte Sprache
Binding: Bevorzugte Sprache (Includes) (preferred)
.... 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.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.identifier:pid.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:pid.​type Base extensible Identifier Type DeBasis ValueSet 📦1.6.0-ballot de.basisprofil.r4 v1.6
Patient.identifier:versichertenId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:versichertenId.​type Base required Identifier Type Kvid DeBasis ValueSet 📦1.6.0-ballot de.basisprofil.r4 v1.6
Patient.identifier:versichertennummer_pkv.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:versichertennummer_pkv.​type Base extensible Identifier Type DeBasis ValueSet 📦1.6.0-ballot de.basisprofil.r4 v1.6
Patient.identifier:versichertennummer_pkv.​assigner.type Base extensible ResourceType 📦4.0.1 FHIR Std.
Patient.telecom.system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Patient.telecom.use Base required ContactPointUse 📍4.0.1 FHIR Std.
Patient.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.birthDate.extension:data-absent-reason.​value[x] Base required DataAbsentReason 📦4.0.1 FHIR Std.
Patient.birthDate.extension:data-absent-reason.​value[x]:valueCode Base required DataAbsentReason 📦4.0.1 FHIR Std.
Patient.maritalStatus Base extensible MaritalStatus 📍4.0.1 FHIR Std.
Patient.contact.relationship Base extensible Patient Contact Relationship 📍4.0.1 FHIR Std.
Patient.contact.address.​use Base required AddressUse 📍4.0.1 FHIR Std.
Patient.contact.address.​type Base required AddressType 📍4.0.1 FHIR Std.
Patient.contact.address.​country Base extensible Land/Wohnsitzländercode 📦1.8.0 kbv.basis v1.8
Patient.contact.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.communication.​language Base preferred Bevorzugte Sprache (Includes) 📦1.8.0 kbv.basis v1.8
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
kvid-1 warning Patient.identifier:versichertenId.value Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen matches('^[A-Z][0-9]{9}$')
kvid-2 warning Patient.identifier:versichertenId.type Die type Codes 'GKV' und 'PKV' haben den Status 'retired', daher sollen diese nicht mehr verwendet werden ($this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='GKV') or $this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='PKV')).not()
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()
pat-de-1 error Patient 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()
per-1 error Patient.identifier:pid.period, Patient.identifier:versichertenId.period, Patient.identifier:versichertennummer_pkv.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:pid.assigner, Patient.identifier:versichertenId.assigner, Patient.identifier:versichertennummer_pkv.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'))

This structure is derived from PraxisPatientDE

Summary

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient C 0..* PraxisPatientDE Information about an individual or animal receiving health care services
Constraints: pat-de-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:klinisches-Geschlecht 0..1 (Complex) Klinischer Geschlechsparameter
URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
.... extension:aiProvenanceApplicable S 0..1 boolean KI-Provenance anwendbar (EU AI Act)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ai-provenance-applicable
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:pid Σ 0..* IdentifierPid(1.6.0-ballot) An identifier for this patient
..... 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 1..1 CodeableConcept Description of identifier
Binding: Identifier Type DeBasis ValueSet (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 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... text 0..1 string Plain text representation of the concept
...... coding Σ 1..1 Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: MR
..... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:versichertenId Σ 0..1 IdentifierKvid10(1.6.0-ballot) An identifier for this patient
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type ΣC 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Kvid DeBasis ValueSet (required): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Constraints: kvid-2
...... coding Σ 1..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
....... code Σ 1..1 code Symbol in syntax defined by the system
..... 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
Constraints: kvid-1
Example General: 123456
.... identifier:versichertennummer_pkv Σ 0..1 IdentifierPkv(1.6.0-ballot) An identifier for this patient
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Fixed Value: secondary
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type DeBasis ValueSet (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 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... text 0..1 string Plain text representation of the concept
...... coding Σ 2..* Coding Code defined by a terminology system

Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_Base_identifier_type
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: pkv-nr
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... assigner ΣC 1..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... display Σ 1..1 string Text alternative for the resource
.... identifier:reisepassnummer Σ 0..* KBV_PR_Base_Identifier_Reisepassnummer An identifier for this patient
.... identifier:versichertennummer_kvk Σ 0..1 KBV_PR_Base_Identifier_KVK An identifier for this patient
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... Slices for name Σ 1..* HumanName A name associated with the patient
Slice: Unordered, Open by value:use
.... name:name Σ 0..1 KBV_PR_Base_Datatype_Name A name associated with the patient
.... name:geburtsname Σ 0..1 KBV_PR_Base_Datatype_Maiden_Name A name associated with the patient
... birthDate Σ 1..1 date The date of birth for the individual
.... Slices for extension Content/Rules for all slices
..... extension:data-absent-reason 0..1 (Complex) unknown | asked | temp | notasked | masked | unsupported | astext | error
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
...... Slices for value[x] 1..1 code Value of extension
Slice: Unordered, Closed by type:$this
Binding: DataAbsentReason (required)
....... value[x]:valueCode 1..1 code Value of extension
Binding: DataAbsentReason (required)
Fixed Value: unknown
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... Slices for address Σ 0..* Address An address for the individual
Slice: Unordered, Open by value:type
.... address:Strassenanschrift Σ 0..* KBV_PR_Base_Datatype_Street_Address An address for the individual
.... address:Postfach Σ 0..* KBV_PR_Base_Datatype_Post_Office_Box An address for the individual
... 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.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.identifier:pid.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:pid.​type Base extensible Identifier Type DeBasis ValueSet 📦1.6.0-ballot de.basisprofil.r4 v1.6
Patient.identifier:versichertenId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:versichertenId.​type Base required Identifier Type Kvid DeBasis ValueSet 📦1.6.0-ballot de.basisprofil.r4 v1.6
Patient.identifier:versichertennummer_pkv.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:versichertennummer_pkv.​type Base extensible Identifier Type DeBasis ValueSet 📦1.6.0-ballot de.basisprofil.r4 v1.6
Patient.birthDate.extension:data-absent-reason.​value[x] Base required DataAbsentReason 📦4.0.1 FHIR Std.
Patient.birthDate.extension:data-absent-reason.​value[x]:valueCode Base required DataAbsentReason 📦4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
kvid-1 warning Patient.identifier:versichertenId.value Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen matches('^[A-Z][0-9]{9}$')
kvid-2 warning Patient.identifier:versichertenId.type Die type Codes 'GKV' und 'PKV' haben den Status 'retired', daher sollen diese nicht mehr verwendet werden ($this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='GKV') or $this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='PKV')).not()
pat-de-1 error Patient 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()
ref-1 error Patient.identifier:versichertennummer_pkv.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'))

Differential View

This structure is derived from PraxisPatientDE

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient 0..* PraxisPatientDE Information about an individual or animal receiving health care services

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient C 0..* PraxisPatientDE Information about an individual or animal receiving health care services
Constraints: pat-de-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:klinisches-Geschlecht 0..1 (Complex) Klinischer Geschlechsparameter
URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
.... extension:aiProvenanceApplicable S 0..1 boolean KI-Provenance anwendbar (EU AI Act)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ai-provenance-applicable
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier An identifier for this patient
Slice: Unordered, Open by value:type
.... identifier:pid Σ 0..* IdentifierPid(1.6.0-ballot) An identifier for this patient
..... 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 1..1 CodeableConcept Description of identifier
Binding: Identifier Type DeBasis ValueSet (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 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..1 Coding Code defined by a terminology system

Fixed Value: (Complex)
....... 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 Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: MR
....... display Σ 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
..... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 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
Constraints: per-1
..... assigner ΣC 0..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
.... identifier:versichertenId Σ 0..1 IdentifierKvid10(1.6.0-ballot) An identifier for this patient
..... 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 ΣC 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Kvid DeBasis ValueSet (required): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Constraints: kvid-2
...... 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 Σ 1..* 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 Σ 1..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 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
..... 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
Constraints: kvid-1
Example General: 123456
..... period ΣC 0..1 Period Time period when id is/was valid for use
Constraints: per-1
..... assigner ΣC 0..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
.... identifier:versichertennummer_pkv Σ 0..1 IdentifierPkv(1.6.0-ballot) An identifier for this patient
..... 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 .
Fixed Value: secondary
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type DeBasis ValueSet (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 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 2..* Coding Code defined by a terminology system

Fixed Value: (Complex)
....... 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 Σ 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_Base_identifier_type
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: pkv-nr
....... display Σ 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
..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 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
Constraints: per-1
..... assigner ΣC 1..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
...... identifier Σ 0..1 IdentifierIknr(1.6.0-ballot) An identifier intended for computation
...... display Σ 1..1 string Text alternative for the resource
.... identifier:reisepassnummer Σ 0..* KBV_PR_Base_Identifier_Reisepassnummer An identifier for this patient
.... identifier:versichertennummer_kvk Σ 0..1 KBV_PR_Base_Identifier_KVK An identifier for this patient
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... Slices for name Σ 1..* HumanName A name associated with the patient
Slice: Unordered, Open by value:use
.... name:name Σ 0..1 KBV_PR_Base_Datatype_Name A name associated with the patient
.... name:geburtsname Σ 0..1 KBV_PR_Base_Datatype_Maiden_Name A name associated with the patient
... telecom Σ 0..* KBV_PR_Base_Datatype_Contactpoint A contact detail for the individual
.... 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 ΣC 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
.... value Σ 1..1 string The actual contact point details
.... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.
.... rank Σ 0..1 positiveInt Specify preferred order of use (1 = highest)
.... period Σ 0..1 Period Time period when the contact point was/is in use
... gender Σ 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
..... extension:other-amtlich 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/gender-amtlich-de
Binding: GenderOtherDE ValueSet (required)
.... value 0..1 string Primitive value for code
... birthDate Σ 1..1 date The date of birth for the individual
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:data-absent-reason 0..1 (Complex) unknown | asked | temp | notasked | masked | unsupported | astext | error
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
...... Slices for value[x] 1..1 code Value of extension
Slice: Unordered, Closed by type:$this
Binding: DataAbsentReason (required)
....... value[x]:valueCode 1..1 code Value of extension
Binding: DataAbsentReason (required)
Fixed Value: unknown
.... value 0..1 date Primitive value for date
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... Slices for address Σ 0..* Address An address for the individual
Slice: Unordered, Open by value:type
.... address:Strassenanschrift Σ 0..* KBV_PR_Base_Datatype_Street_Address An address for the individual
.... address:Postfach Σ 0..* KBV_PR_Base_Datatype_Post_Office_Box An address for the individual
... maritalStatus 0..1 CodeableConcept Personenstand
Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
.... 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 Σ 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 Σ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 1..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
... 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
Constraints: pat-1
.... 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 0..1 HumanName A name associated with the contact person
.... telecom 0..* ContactPoint A contact detail for the person
.... address 0..1 Address Address for the contact person
..... 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 home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
..... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
..... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
..... line Σ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
..... city Σ 0..1 string Name of city, town etc.
Example General: Erewhon
..... district Σ 0..1 string District name (aka county)
Example General: Madison
..... state Σ 0..1 string Sub-unit of country (abbreviations ok)
..... postalCode Σ 0..1 string Postal code for area
Example General: 9132
..... country Σ 0..1 string Staat
Binding: Land/Wohnsitzländercode (extensible)
..... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
.... 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 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 1..1 CodeableConcept Bevorzugte Sprache
Binding: Bevorzugte Sprache (Includes) (preferred)
.... 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.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.identifier:pid.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:pid.​type Base extensible Identifier Type DeBasis ValueSet 📦1.6.0-ballot de.basisprofil.r4 v1.6
Patient.identifier:versichertenId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:versichertenId.​type Base required Identifier Type Kvid DeBasis ValueSet 📦1.6.0-ballot de.basisprofil.r4 v1.6
Patient.identifier:versichertennummer_pkv.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:versichertennummer_pkv.​type Base extensible Identifier Type DeBasis ValueSet 📦1.6.0-ballot de.basisprofil.r4 v1.6
Patient.identifier:versichertennummer_pkv.​assigner.type Base extensible ResourceType 📦4.0.1 FHIR Std.
Patient.telecom.system Base required ContactPointSystem 📍4.0.1 FHIR Std.
Patient.telecom.use Base required ContactPointUse 📍4.0.1 FHIR Std.
Patient.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.birthDate.extension:data-absent-reason.​value[x] Base required DataAbsentReason 📦4.0.1 FHIR Std.
Patient.birthDate.extension:data-absent-reason.​value[x]:valueCode Base required DataAbsentReason 📦4.0.1 FHIR Std.
Patient.maritalStatus Base extensible MaritalStatus 📍4.0.1 FHIR Std.
Patient.contact.relationship Base extensible Patient Contact Relationship 📍4.0.1 FHIR Std.
Patient.contact.address.​use Base required AddressUse 📍4.0.1 FHIR Std.
Patient.contact.address.​type Base required AddressType 📍4.0.1 FHIR Std.
Patient.contact.address.​country Base extensible Land/Wohnsitzländercode 📦1.8.0 kbv.basis v1.8
Patient.contact.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.communication.​language Base preferred Bevorzugte Sprache (Includes) 📦1.8.0 kbv.basis v1.8
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
kvid-1 warning Patient.identifier:versichertenId.value Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen matches('^[A-Z][0-9]{9}$')
kvid-2 warning Patient.identifier:versichertenId.type Die type Codes 'GKV' und 'PKV' haben den Status 'retired', daher sollen diese nicht mehr verwendet werden ($this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='GKV') or $this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='PKV')).not()
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()
pat-de-1 error Patient 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()
per-1 error Patient.identifier:pid.period, Patient.identifier:versichertenId.period, Patient.identifier:versichertennummer_pkv.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:pid.assigner, Patient.identifier:versichertenId.assigner, Patient.identifier:versichertennummer_pkv.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'))

This structure is derived from PraxisPatientDE

Summary

 

Other representations of profile: CSV, Excel, Schematron