{
  "description": null,
  "_filename": "KBV_PR_FOR_Practitioner.json",
  "package_name": "kbv.ita.for",
  "date": "2025-11-06",
  "derivation": "constraint",
  "publisher": "Kassenärztliche Bundesvereinigung (KBV)",
  "fhirVersion": "4.0.1",
  "name": "KBV_PR_FOR_Practitioner",
  "abstract": false,
  "type": "Practitioner",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.3.0",
  "status": "active",
  "id": "5f4a1de7-e65a-46b8-9bd7-6b9bf50fbef7",
  "kind": "resource",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner",
  "version": "1.3.0",
  "differential": {
    "element": [ {
      "id": "Practitioner",
      "path": "Practitioner",
      "constraint": [ {
        "key": "-for-angabeArztnummerPflicht",
        "human": "In einer Ressource vom Typ Practitioner ist die Arztnummer der ausstellenden oder verschreibenden oder verantwortlichen Person nicht vorhanden, diese ist aber eine Pflichtangabe, wenn ein Identifikator existiert und es sich um einen Arzt, Arzt in Weiterbildung oder Arzt als Vertreter handelt.",
        "severity": "error",
        "expression": "qualification.code.coding.where(system='https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type').all($this.code='00' or $this.code='03' or $this.code='04') and identifier.exists() implies identifier.where(type.coding.code='LANR').exists()"
      }, {
        "key": "-for-angabeZahnarztnummerPflicht",
        "human": "In einer Ressource vom Typ Practitioner ist die Zahnarztnummer der ausstellenden oder verschreibenden oder verantwortlichen Person nicht vorhanden, diese ist aber eine Pflichtangabe, wenn ein Identifikator existiert und wenn es sich um einen Zahnarzt handelt.",
        "severity": "error",
        "expression": "qualification.code.coding.where(system='https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type').all($this.code='01') and identifier.exists() implies identifier.where(type.coding.code='ZANR').exists()"
      }, {
        "key": "-for-angabeIdentifikatorAusstellende-VerantwortlichePersonVerbot",
        "human": "In einer Ressource vom Typ Practitioner ist ein Identifikator der ausstellenden oder verschreibenden oder verantwortlichen Person vorhanden, dieser darf aber nicht angegeben werden, wenn es sich um eine Hebamme handelt.",
        "severity": "error",
        "expression": "qualification.code.coding.where(system='https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type').all($this.code='02') implies identifier.exists().not()"
      }, {
        "key": "-for-anzahlIdentifikatorAusstellende-VerantwortlichePerson",
        "human": "Falls ein Identifikator existiert, muss entweder eine lebenslange Arztnummer oder lebenslange Zahnarztnummer vorhanden sein.",
        "severity": "error",
        "expression": "identifier.exists() implies (identifier.where(type.coding.code='LANR').count()+identifier.where(type.coding.code='ZANR').count()=1)"
      } ]
    }, {
      "id": "Practitioner.id",
      "min": 1,
      "path": "Practitioner.id",
      "mustSupport": true
    }, {
      "id": "Practitioner.meta",
      "min": 1,
      "path": "Practitioner.meta",
      "mustSupport": true
    }, {
      "id": "Practitioner.meta.versionId",
      "max": "1",
      "min": 1,
      "path": "Practitioner.meta.versionId",
      "mustSupport": true
    }, {
      "id": "Practitioner.meta.lastUpdated",
      "max": "0",
      "path": "Practitioner.meta.lastUpdated"
    }, {
      "id": "Practitioner.meta.source",
      "max": "0",
      "path": "Practitioner.meta.source"
    }, {
      "id": "Practitioner.meta.profile",
      "min": 1,
      "path": "Practitioner.meta.profile",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Practitioner.meta.profile:forProfile",
      "max": "1",
      "min": 1,
      "path": "Practitioner.meta.profile",
      "sliceName": "forProfile",
      "mustSupport": true,
      "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner|1.3"
    }, {
      "id": "Practitioner.meta.security",
      "max": "0",
      "path": "Practitioner.meta.security"
    }, {
      "id": "Practitioner.meta.tag",
      "max": "0",
      "path": "Practitioner.meta.tag"
    }, {
      "id": "Practitioner.implicitRules",
      "max": "0",
      "path": "Practitioner.implicitRules"
    }, {
      "id": "Practitioner.language",
      "max": "0",
      "path": "Practitioner.language"
    }, {
      "id": "Practitioner.text",
      "max": "0",
      "path": "Practitioner.text"
    }, {
      "id": "Practitioner.contained",
      "max": "0",
      "path": "Practitioner.contained"
    }, {
      "id": "Practitioner.extension",
      "max": "0",
      "path": "Practitioner.extension",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Practitioner.extension:ergaenzende_Angaben",
      "max": "0",
      "path": "Practitioner.extension",
      "sliceName": "ergaenzende_Angaben"
    }, {
      "id": "Practitioner.identifier",
      "max": "2",
      "path": "Practitioner.identifier",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "type",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ANR",
      "max": "1",
      "path": "Practitioner.identifier",
      "sliceName": "ANR",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ANR.type",
      "path": "Practitioner.identifier.type",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ANR.type.coding",
      "path": "Practitioner.identifier.type.coding",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ANR.type.coding.system",
      "path": "Practitioner.identifier.type.coding.system",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ANR.type.coding.version",
      "max": "0",
      "path": "Practitioner.identifier.type.coding.version"
    }, {
      "id": "Practitioner.identifier:ANR.type.coding.code",
      "path": "Practitioner.identifier.type.coding.code",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ANR.type.coding.display",
      "max": "0",
      "path": "Practitioner.identifier.type.coding.display",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ANR.type.coding.userSelected",
      "max": "0",
      "path": "Practitioner.identifier.type.coding.userSelected"
    }, {
      "id": "Practitioner.identifier:ANR.type.text",
      "max": "0",
      "path": "Practitioner.identifier.type.text"
    }, {
      "id": "Practitioner.identifier:ANR.system",
      "path": "Practitioner.identifier.system",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ANR.value",
      "path": "Practitioner.identifier.value",
      "constraint": [ {
        "key": "-for-laengeLANR",
        "human": "Eine LANR muss neunstellig numerisch sein.",
        "severity": "error",
        "expression": "matches('^[0-9]{9}$')"
      } ],
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ANR.period",
      "max": "0",
      "path": "Practitioner.identifier.period"
    }, {
      "id": "Practitioner.identifier:ANR.assigner",
      "max": "0",
      "path": "Practitioner.identifier.assigner"
    }, {
      "id": "Practitioner.identifier:EFN",
      "max": "0",
      "path": "Practitioner.identifier",
      "sliceName": "EFN"
    }, {
      "id": "Practitioner.identifier:ZANR",
      "max": "1",
      "path": "Practitioner.identifier",
      "sliceName": "ZANR",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ZANR.type",
      "path": "Practitioner.identifier.type",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ZANR.type.coding",
      "path": "Practitioner.identifier.type.coding",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ZANR.type.coding.system",
      "path": "Practitioner.identifier.type.coding.system",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ZANR.type.coding.version",
      "max": "0",
      "path": "Practitioner.identifier.type.coding.version"
    }, {
      "id": "Practitioner.identifier:ZANR.type.coding.code",
      "path": "Practitioner.identifier.type.coding.code",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ZANR.type.coding.display",
      "max": "0",
      "path": "Practitioner.identifier.type.coding.display",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ZANR.type.coding.userSelected",
      "max": "0",
      "path": "Practitioner.identifier.type.coding.userSelected"
    }, {
      "id": "Practitioner.identifier:ZANR.type.text",
      "max": "0",
      "path": "Practitioner.identifier.type.text"
    }, {
      "id": "Practitioner.identifier:ZANR.system",
      "path": "Practitioner.identifier.system",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ZANR.value",
      "path": "Practitioner.identifier.value",
      "constraint": [ {
        "key": "-for-laengeZANR",
        "human": "Die ZANR bestehend aus 7-stelliger Zahnarztnummer + 2-stelliger Fachbezeichnung muss 9-stellig numerisch sein.",
        "severity": "error",
        "expression": "matches('^[0-9]{9}$')"
      } ],
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:ZANR.period",
      "max": "0",
      "path": "Practitioner.identifier.period"
    }, {
      "id": "Practitioner.identifier:ZANR.assigner",
      "max": "0",
      "path": "Practitioner.identifier.assigner"
    }, {
      "id": "Practitioner.identifier:Telematik-ID",
      "max": "1",
      "path": "Practitioner.identifier",
      "sliceName": "Telematik-ID",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:Telematik-ID.type",
      "path": "Practitioner.identifier.type",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:Telematik-ID.type.coding",
      "path": "Practitioner.identifier.type.coding",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:Telematik-ID.type.coding.system",
      "path": "Practitioner.identifier.type.coding.system",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:Telematik-ID.type.coding.version",
      "max": "0",
      "path": "Practitioner.identifier.type.coding.version"
    }, {
      "id": "Practitioner.identifier:Telematik-ID.type.coding.code",
      "path": "Practitioner.identifier.type.coding.code",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:Telematik-ID.type.coding.display",
      "max": "0",
      "path": "Practitioner.identifier.type.coding.display"
    }, {
      "id": "Practitioner.identifier:Telematik-ID.type.coding.userSelected",
      "max": "0",
      "path": "Practitioner.identifier.type.coding.userSelected"
    }, {
      "id": "Practitioner.identifier:Telematik-ID.type.text",
      "max": "0",
      "path": "Practitioner.identifier.type.text"
    }, {
      "id": "Practitioner.identifier:Telematik-ID.system",
      "path": "Practitioner.identifier.system",
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:Telematik-ID.value",
      "path": "Practitioner.identifier.value",
      "maxLength": 128,
      "mustSupport": true
    }, {
      "id": "Practitioner.identifier:Telematik-ID.period",
      "max": "0",
      "path": "Practitioner.identifier.period"
    }, {
      "id": "Practitioner.identifier:Telematik-ID.assigner",
      "max": "0",
      "path": "Practitioner.identifier.assigner"
    }, {
      "id": "Practitioner.active",
      "max": "0",
      "path": "Practitioner.active"
    }, {
      "id": "Practitioner.name",
      "max": "1",
      "path": "Practitioner.name",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "use",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name",
      "min": 1,
      "path": "Practitioner.name",
      "sliceName": "name",
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.use",
      "path": "Practitioner.name.use",
      "fixedCode": "official",
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.text",
      "max": "0",
      "path": "Practitioner.name.text"
    }, {
      "id": "Practitioner.name:name.family",
      "path": "Practitioner.name.family",
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.family.extension",
      "max": "3",
      "min": 1,
      "path": "Practitioner.name.family.extension",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Practitioner.name:name.family.extension:namenszusatz",
      "path": "Practitioner.name.family.extension",
      "sliceName": "namenszusatz",
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.family.extension:namenszusatz.value[x]",
      "min": 1,
      "path": "Practitioner.name.family.extension.value[x]",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.family.extension:namenszusatz.value[x]:valueString",
      "path": "Practitioner.name.family.extension.value[x]",
      "maxLength": 20,
      "sliceName": "valueString",
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.family.extension:nachname",
      "min": 1,
      "path": "Practitioner.name.family.extension",
      "sliceName": "nachname",
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.family.extension:nachname.value[x]",
      "path": "Practitioner.name.family.extension.value[x]",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.family.extension:nachname.value[x]:valueString",
      "path": "Practitioner.name.family.extension.value[x]",
      "maxLength": 45,
      "sliceName": "valueString",
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.family.extension:vorsatzwort",
      "path": "Practitioner.name.family.extension",
      "sliceName": "vorsatzwort",
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.family.extension:vorsatzwort.value[x]",
      "path": "Practitioner.name.family.extension.value[x]",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.family.extension:vorsatzwort.value[x]:valueString",
      "path": "Practitioner.name.family.extension.value[x]",
      "maxLength": 20,
      "sliceName": "valueString",
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.given",
      "min": 1,
      "path": "Practitioner.name.given",
      "maxLength": 45,
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.prefix",
      "max": "1",
      "path": "Practitioner.name.prefix",
      "maxLength": 100,
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.prefix.extension",
      "max": "1",
      "path": "Practitioner.name.prefix.extension",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Practitioner.name:name.prefix.extension:prefix-qualifier",
      "path": "Practitioner.name.prefix.extension",
      "sliceName": "prefix-qualifier",
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.prefix.extension:prefix-qualifier.value[x]",
      "path": "Practitioner.name.prefix.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.prefix.extension:prefix-qualifier.value[x]:valueCode",
      "path": "Practitioner.name.prefix.extension.value[x]",
      "sliceName": "valueCode",
      "mustSupport": true
    }, {
      "id": "Practitioner.name:name.suffix",
      "max": "0",
      "path": "Practitioner.name.suffix"
    }, {
      "id": "Practitioner.name:name.period",
      "max": "0",
      "path": "Practitioner.name.period"
    }, {
      "id": "Practitioner.name:geburtsname",
      "max": "0",
      "path": "Practitioner.name",
      "sliceName": "geburtsname"
    }, {
      "id": "Practitioner.telecom",
      "max": "0",
      "path": "Practitioner.telecom"
    }, {
      "id": "Practitioner.address",
      "max": "0",
      "path": "Practitioner.address"
    }, {
      "id": "Practitioner.address:Strassenanschrift",
      "max": "0",
      "path": "Practitioner.address",
      "sliceName": "Strassenanschrift"
    }, {
      "id": "Practitioner.address:Postfach",
      "max": "0",
      "path": "Practitioner.address",
      "sliceName": "Postfach"
    }, {
      "id": "Practitioner.gender",
      "max": "0",
      "path": "Practitioner.gender"
    }, {
      "id": "Practitioner.birthDate",
      "max": "0",
      "path": "Practitioner.birthDate"
    }, {
      "id": "Practitioner.photo",
      "max": "0",
      "path": "Practitioner.photo"
    }, {
      "id": "Practitioner.qualification",
      "max": "3",
      "min": 2,
      "path": "Practitioner.qualification",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "code.coding.system",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Practitioner.qualification:Typ",
      "max": "1",
      "min": 1,
      "path": "Practitioner.qualification",
      "short": "Dieses Feld enthält einen Typ zur Kennzeichnung der verschreibenden Person",
      "sliceName": "Typ",
      "definition": "Dieses Feld enthält einen Typ zur Kennzeichnung der verschreibenden Person, z.B. Arzt, Arzt in Weiterbildung.",
      "mustSupport": true
    }, {
      "id": "Practitioner.qualification:Typ.identifier",
      "max": "0",
      "path": "Practitioner.qualification.identifier"
    }, {
      "id": "Practitioner.qualification:Typ.code",
      "path": "Practitioner.qualification.code",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_FOR_Qualification_Type"
      },
      "mustSupport": true
    }, {
      "id": "Practitioner.qualification:Typ.code.coding",
      "max": "1",
      "min": 1,
      "path": "Practitioner.qualification.code.coding",
      "mustSupport": true
    }, {
      "id": "Practitioner.qualification:Typ.code.coding.system",
      "min": 1,
      "path": "Practitioner.qualification.code.coding.system",
      "fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type",
      "mustSupport": true
    }, {
      "id": "Practitioner.qualification:Typ.code.coding.version",
      "max": "0",
      "path": "Practitioner.qualification.code.coding.version"
    }, {
      "id": "Practitioner.qualification:Typ.code.coding.code",
      "min": 1,
      "path": "Practitioner.qualification.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Practitioner.qualification:Typ.code.coding.display",
      "max": "0",
      "path": "Practitioner.qualification.code.coding.display"
    }, {
      "id": "Practitioner.qualification:Typ.code.coding.userSelected",
      "max": "0",
      "path": "Practitioner.qualification.code.coding.userSelected"
    }, {
      "id": "Practitioner.qualification:Typ.code.text",
      "max": "0",
      "path": "Practitioner.qualification.code.text"
    }, {
      "id": "Practitioner.qualification:Typ.period",
      "max": "0",
      "path": "Practitioner.qualification.period"
    }, {
      "id": "Practitioner.qualification:Typ.issuer",
      "max": "0",
      "path": "Practitioner.qualification.issuer"
    }, {
      "id": "Practitioner.qualification:Berufsbezeichnung",
      "max": "1",
      "min": 1,
      "path": "Practitioner.qualification",
      "short": "Berufsbezeichnung",
      "sliceName": "Berufsbezeichnung",
      "definition": "Dieses Feld enthält die Berufsbezeichnung der Person.",
      "mustSupport": true
    }, {
      "id": "Practitioner.qualification:Berufsbezeichnung.identifier",
      "max": "0",
      "path": "Practitioner.qualification.identifier"
    }, {
      "id": "Practitioner.qualification:Berufsbezeichnung.code",
      "path": "Practitioner.qualification.code",
      "mustSupport": true
    }, {
      "id": "Practitioner.qualification:Berufsbezeichnung.code.coding",
      "max": "1",
      "min": 1,
      "path": "Practitioner.qualification.code.coding",
      "mustSupport": true
    }, {
      "id": "Practitioner.qualification:Berufsbezeichnung.code.coding.system",
      "min": 1,
      "path": "Practitioner.qualification.code.coding.system",
      "fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Berufsbezeichnung",
      "mustSupport": true
    }, {
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