{
  "description": "Defines the data structure for the patient profile in the ePA system.",
  "_filename": "StructureDefinition-epa-patient.json",
  "package_name": "de.gematik.epa",
  "date": "2024-07-15",
  "derivation": "constraint",
  "publisher": "gematik GmbH",
  "fhirVersion": "4.0.1",
  "name": "EPAPatient",
  "abstract": false,
  "type": "Patient",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "EPA Patient",
  "package_version": "1.1.0-rc1",
  "status": "active",
  "id": "cbd938bf-0942-4145-bcdf-44f7953500b0",
  "kind": "resource",
  "url": "https://gematik.de/fhir/epa/StructureDefinition/epa-patient",
  "version": "1.1.0-rc1",
  "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://gematik.de/fhir/epa/StructureDefinition/epa-patient",
        "severity": "error",
        "expression": "gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()"
      } ]
    }, {
      "id": "Patient.id",
      "path": "Patient.id",
      "mustSupport": true
    }, {
      "id": "Patient.meta",
      "path": "Patient.meta",
      "mustSupport": true
    }, {
      "id": "Patient.meta.versionId",
      "path": "Patient.meta.versionId",
      "mustSupport": true
    }, {
      "id": "Patient.meta.lastUpdated",
      "path": "Patient.meta.lastUpdated",
      "mustSupport": true
    }, {
      "id": "Patient.identifier",
      "min": 1,
      "path": "Patient.identifier",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Patient.identifier:KVNR",
      "max": "1",
      "min": 1,
      "path": "Patient.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-kvid-10" ]
      } ],
      "sliceName": "KVNR",
      "mustSupport": true
    }, {
      "id": "Patient.active",
      "path": "Patient.active",
      "mustSupport": true
    }, {
      "id": "Patient.name",
      "min": 1,
      "path": "Patient.name",
      "comment": "In order to maintain the differentiations of name parts as given in the VSDM dataset or qualify prefixes as academic titles, vendors can opt to support the extensions specified in the German HumanName Base Profile https://simplifier.net/basisprofil-de-r4/humannamedebasis\r\nThis is however not required within the scope of this specification.",
      "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: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:prefix-qualifier",
      "path": "Patient.name.prefix.extension",
      "sliceName": "prefix-qualifier",
      "mustSupport": true
    }, {
      "id": "Patient.name:Name.prefix.extension:prefix-qualifier.value[x]",
      "path": "Patient.name.prefix.extension.value[x]",
      "fixedCode": "AC"
    }, {
      "id": "Patient.name:Geburtsname",
      "max": "1",
      "min": 0,
      "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: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.suffix",
      "max": "0",
      "path": "Patient.name.suffix"
    }, {
      "id": "Patient.gender.extension:other-amtlich",
      "max": "1",
      "min": 0,
      "path": "Patient.gender.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.de/StructureDefinition/gender-amtlich-de" ]
      } ],
      "sliceName": "other-amtlich"
    }, {
      "id": "Patient.birthDate",
      "min": 1,
      "path": "Patient.birthDate",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient"
}