{
  "description": "Dieses Profil beschreibt eine PatientIn in der Medizininformatik-Initiative.",
  "_filename": "Patient.StructureDefinition.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.person",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "ProfilePatientPatientIn",
  "abstract": false,
  "type": "Patient",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "Profile - Patient - PatientIn",
  "package_version": "1.0.17",
  "status": "active",
  "id": "291996ec-1473-4f7e-b9d9-c0f9f1e7f258",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient",
  "version": "1.0.17",
  "differential": {
    "element": [ {
      "id": "Patient",
      "path": "Patient",
      "constraint": [ {
        "key": "pat-de-1",
        "human": "Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist",
        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient",
        "severity": "error",
        "expression": "gender='other' or gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').empty()"
      } ]
    }, {
      "id": "Patient.id",
      "path": "Patient.id",
      "mustSupport": true
    }, {
      "id": "Patient.meta",
      "path": "Patient.meta",
      "mustSupport": true
    }, {
      "id": "Patient.meta.source",
      "path": "Patient.meta.source",
      "mustSupport": true
    }, {
      "id": "Patient.meta.profile",
      "path": "Patient.meta.profile",
      "mustSupport": true
    }, {
      "id": "Patient.identifier",
      "min": 1,
      "path": "Patient.identifier",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Patient.identifier:versichertenId_GKV",
      "max": "1",
      "path": "Patient.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-kvid-10" ]
      } ],
      "sliceName": "versichertenId_GKV",
      "mustSupport": true,
      "patternIdentifier": {
        "type": {
          "coding": [ {
            "code": "GKV",
            "system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
          } ]
        }
      }
    }, {
      "id": "Patient.identifier:versichertenId_GKV.type",
      "path": "Patient.identifier.type",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:versichertenId_GKV.system",
      "path": "Patient.identifier.system",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:versichertenId_GKV.value",
      "path": "Patient.identifier.value",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:versichertenId_GKV.assigner",
      "min": 1,
      "path": "Patient.identifier.assigner",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:versichertenId_GKV.assigner.identifier",
      "min": 1,
      "path": "Patient.identifier.assigner.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-iknr" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.type",
      "path": "Patient.identifier.assigner.identifier.type",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.system",
      "path": "Patient.identifier.assigner.identifier.system",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.value",
      "path": "Patient.identifier.assigner.identifier.value",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:pid",
      "path": "Patient.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-pid" ]
      } ],
      "sliceName": "pid",
      "mustSupport": true,
      "patternIdentifier": {
        "type": {
          "coding": [ {
            "code": "MR",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
          } ]
        }
      }
    }, {
      "id": "Patient.identifier:pid.type",
      "path": "Patient.identifier.type",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:pid.system",
      "path": "Patient.identifier.system",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:pid.value",
      "path": "Patient.identifier.value",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:pid.assigner",
      "path": "Patient.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Patient.identifier:pid.assigner.identifier.type",
      "path": "Patient.identifier.assigner.identifier.type",
      "mustSupport": true,
      "patternCodeableConcept": {
        "coding": [ {
          "code": "XX",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
        } ]
      }
    }, {
      "id": "Patient.identifier:pid.assigner.identifier.system",
      "path": "Patient.identifier.assigner.identifier.system",
      "constraint": [ {
        "key": "mii-pat-1",
        "human": "Entweder IKNR oder MII Core Location Identifier soll verwendet werden",
        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient",
        "severity": "error",
        "expression": "$this = 'http://fhir.de/NamingSystem/arge-ik/iknr' or $this = 'https://www.medizininformatik-initiative.de/fhir/core/CodeSystem/core-location-identifier'"
      } ]
    }, {
      "id": "Patient.identifier:versichertennummer_pkv",
      "max": "1",
      "path": "Patient.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-pkv" ]
      } ],
      "sliceName": "versichertennummer_pkv",
      "mustSupport": true,
      "patternIdentifier": {
        "type": {
          "coding": [ {
            "code": "PKV",
            "system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
          } ]
        }
      }
    }, {
      "id": "Patient.identifier:versichertennummer_pkv.use",
      "path": "Patient.identifier.use",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:versichertennummer_pkv.type",
      "path": "Patient.identifier.type",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:versichertennummer_pkv.value",
      "path": "Patient.identifier.value",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:versichertennummer_pkv.assigner",
      "path": "Patient.identifier.assigner",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:versichertennummer_pkv.assigner.identifier.type",
      "path": "Patient.identifier.assigner.identifier.type",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:versichertennummer_pkv.assigner.identifier.system",
      "path": "Patient.identifier.assigner.identifier.system",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:versichertennummer_pkv.assigner.identifier.value",
      "path": "Patient.identifier.assigner.identifier.value",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:versichertennummer_pkv.assigner.display",
      "path": "Patient.identifier.assigner.display",
      "mustSupport": true
    }, {
      "id": "Patient.name",
      "min": 1,
      "path": "Patient.name",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Patient.name:name",
      "max": "1",
      "min": 1,
      "path": "Patient.name",
      "type": [ {
        "code": "HumanName",
        "profile": [ "http://fhir.de/StructureDefinition/humanname-de-basis" ]
      } ],
      "sliceName": "name",
      "mustSupport": true,
      "patternHumanName": {
        "use": "official"
      }
    }, {
      "id": "Patient.name:name.use",
      "min": 1,
      "path": "Patient.name.use",
      "mustSupport": true
    }, {
      "id": "Patient.name:name.family",
      "min": 1,
      "path": "Patient.name.family",
      "mustSupport": true
    }, {
      "id": "Patient.name:name.family.extension",
      "path": "Patient.name.family.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.name:name.family.extension:namenszusatz",
      "path": "Patient.name.family.extension",
      "sliceName": "namenszusatz",
      "mustSupport": true
    }, {
      "id": "Patient.name:name.family.extension:nachname",
      "path": "Patient.name.family.extension",
      "sliceName": "nachname",
      "mustSupport": true
    }, {
      "id": "Patient.name:name.family.extension:vorsatzwort",
      "path": "Patient.name.family.extension",
      "sliceName": "vorsatzwort",
      "mustSupport": true
    }, {
      "id": "Patient.name:name.given",
      "min": 1,
      "path": "Patient.name.given",
      "mustSupport": true
    }, {
      "id": "Patient.name:name.prefix",
      "path": "Patient.name.prefix",
      "mustSupport": true
    }, {
      "id": "Patient.name:name.prefix.extension",
      "path": "Patient.name.prefix.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.name:name.prefix.extension:prefix-qualifier",
      "max": "1",
      "path": "Patient.name.prefix.extension",
      "sliceName": "prefix-qualifier",
      "mustSupport": true
    }, {
      "id": "Patient.name:geburtsname",
      "max": "1",
      "path": "Patient.name",
      "type": [ {
        "code": "HumanName",
        "profile": [ "http://fhir.de/StructureDefinition/humanname-de-basis" ]
      } ],
      "sliceName": "geburtsname",
      "mustSupport": true,
      "patternHumanName": {
        "use": "maiden"
      }
    }, {
      "id": "Patient.name:geburtsname.use",
      "min": 1,
      "path": "Patient.name.use",
      "mustSupport": true
    }, {
      "id": "Patient.name:geburtsname.family",
      "min": 1,
      "path": "Patient.name.family",
      "mustSupport": true
    }, {
      "id": "Patient.name:geburtsname.family.extension",
      "path": "Patient.name.family.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.name:geburtsname.family.extension:namenszusatz",
      "path": "Patient.name.family.extension",
      "sliceName": "namenszusatz",
      "mustSupport": true
    }, {
      "id": "Patient.name:geburtsname.family.extension:nachname",
      "path": "Patient.name.family.extension",
      "sliceName": "nachname",
      "mustSupport": true
    }, {
      "id": "Patient.name:geburtsname.family.extension:vorsatzwort",
      "path": "Patient.name.family.extension",
      "sliceName": "vorsatzwort",
      "mustSupport": true
    }, {
      "id": "Patient.name:geburtsname.given",
      "max": "0",
      "path": "Patient.name.given"
    }, {
      "id": "Patient.name:geburtsname.prefix",
      "max": "0",
      "path": "Patient.name.prefix"
    }, {
      "id": "Patient.name:geburtsname.prefix.extension",
      "path": "Patient.name.prefix.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.name:geburtsname.prefix.extension:prefix-qualifier",
      "max": "1",
      "path": "Patient.name.prefix.extension",
      "sliceName": "prefix-qualifier",
      "mustSupport": true
    }, {
      "id": "Patient.gender",
      "min": 1,
      "path": "Patient.gender",
      "mustSupport": true
    }, {
      "id": "Patient.gender.extension",
      "path": "Patient.gender.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.gender.extension:other-amtlich",
      "max": "1",
      "path": "Patient.gender.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.de/StructureDefinition/gender-amtlich-de" ]
      } ],
      "sliceName": "other-amtlich",
      "mustSupport": true
    }, {
      "id": "Patient.birthDate",
      "min": 1,
      "path": "Patient.birthDate",
      "mustSupport": true
    }, {
      "id": "Patient.birthDate.extension",
      "path": "Patient.birthDate.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.birthDate.extension:data-absent-reason",
      "path": "Patient.birthDate.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/data-absent-reason" ]
      } ],
      "sliceName": "data-absent-reason",
      "mustSupport": true
    }, {
      "id": "Patient.deceased[x]",
      "path": "Patient.deceased[x]",
      "mustSupport": true
    }, {
      "id": "Patient.address",
      "min": 1,
      "path": "Patient.address",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift",
      "path": "Patient.address",
      "type": [ {
        "code": "Address",
        "profile": [ "http://fhir.de/StructureDefinition/address-de-basis" ]
      } ],
      "sliceName": "Strassenanschrift",
      "mustSupport": true,
      "patternAddress": {
        "type": "both"
      }
    }, {
      "id": "Patient.address:Strassenanschrift.extension",
      "path": "Patient.address.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.address:Strassenanschrift.extension:Stadtteil",
      "path": "Patient.address.extension",
      "sliceName": "Stadtteil",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.type",
      "min": 1,
      "path": "Patient.address.type",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.line",
      "max": "3",
      "min": 1,
      "path": "Patient.address.line",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.line.extension",
      "path": "Patient.address.line.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.address:Strassenanschrift.line.extension:Strasse",
      "path": "Patient.address.line.extension",
      "sliceName": "Strasse",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.line.extension:Hausnummer",
      "path": "Patient.address.line.extension",
      "sliceName": "Hausnummer",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.line.extension:Adresszusatz",
      "path": "Patient.address.line.extension",
      "sliceName": "Adresszusatz",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.line.extension:Postfach",
      "max": "0",
      "path": "Patient.address.line.extension",
      "sliceName": "Postfach"
    }, {
      "id": "Patient.address:Strassenanschrift.city",
      "min": 1,
      "path": "Patient.address.city",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.city.extension",
      "path": "Patient.address.city.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.address:Strassenanschrift.city.extension:gemeindeschluessel",
      "max": "1",
      "path": "Patient.address.city.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.de/StructureDefinition/destatis/ags" ]
      } ],
      "sliceName": "gemeindeschluessel",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.postalCode",
      "min": 1,
      "path": "Patient.address.postalCode",
      "mustSupport": true
    }, {
      "id": "Patient.address:Strassenanschrift.country",
      "min": 1,
      "path": "Patient.address.country",
      "constraint": [ {
        "key": "pat-cnt-2or3-char",
        "human": "The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.",
        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient",
        "severity": "warning",
        "expression": "country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))"
      } ],
      "mustSupport": true
    }, {
      "id": "Patient.address:Postfach",
      "path": "Patient.address",
      "type": [ {
        "code": "Address",
        "profile": [ "http://fhir.de/StructureDefinition/address-de-basis" ]
      } ],
      "sliceName": "Postfach",
      "mustSupport": true,
      "patternAddress": {
        "type": "postal"
      }
    }, {
      "id": "Patient.address:Postfach.extension",
      "path": "Patient.address.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.address:Postfach.extension:Stadtteil",
      "path": "Patient.address.extension",
      "sliceName": "Stadtteil",
      "mustSupport": true
    }, {
      "id": "Patient.address:Postfach.type",
      "min": 1,
      "path": "Patient.address.type",
      "mustSupport": true
    }, {
      "id": "Patient.address:Postfach.line",
      "max": "3",
      "min": 1,
      "path": "Patient.address.line",
      "mustSupport": true
    }, {
      "id": "Patient.address:Postfach.line.extension",
      "path": "Patient.address.line.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.address:Postfach.line.extension:Strasse",
      "max": "0",
      "path": "Patient.address.line.extension",
      "sliceName": "Strasse"
    }, {
      "id": "Patient.address:Postfach.line.extension:Hausnummer",
      "max": "0",
      "path": "Patient.address.line.extension",
      "sliceName": "Hausnummer"
    }, {
      "id": "Patient.address:Postfach.line.extension:Adresszusatz",
      "max": "0",
      "path": "Patient.address.line.extension",
      "sliceName": "Adresszusatz"
    }, {
      "id": "Patient.address:Postfach.line.extension:Postfach",
      "path": "Patient.address.line.extension",
      "sliceName": "Postfach",
      "mustSupport": true
    }, {
      "id": "Patient.address:Postfach.city",
      "min": 1,
      "path": "Patient.address.city",
      "mustSupport": true
    }, {
      "id": "Patient.address:Postfach.city.extension",
      "path": "Patient.address.city.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.address:Postfach.city.extension:gemeindeschluessel",
      "max": "1",
      "path": "Patient.address.city.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.de/StructureDefinition/destatis/ags" ]
      } ],
      "sliceName": "gemeindeschluessel",
      "mustSupport": true
    }, {
      "id": "Patient.address:Postfach.postalCode",
      "min": 1,
      "path": "Patient.address.postalCode",
      "mustSupport": true
    }, {
      "id": "Patient.address:Postfach.country",
      "min": 1,
      "path": "Patient.address.country",
      "constraint": [ {
        "key": "pat-cnt-2or3-char",
        "human": "The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.",
        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient",
        "severity": "warning",
        "expression": "country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))"
      } ],
      "mustSupport": true
    }, {
      "id": "Patient.link",
      "path": "Patient.link",
      "mustSupport": true
    }, {
      "id": "Patient.link.other",
      "path": "Patient.link.other",
      "type": [ {
        "code": "Reference",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Patient.link.type",
      "path": "Patient.link.type",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient"
}