PFLIP HL7 FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Resource Profile: PFLIP_Patient

Patient profile derived from KBV_PR_MIO_ULB_Patient to ensure pseudonymized implementation

Usage:

• Examples for this Resource Profile: Patient/Patient-1 and Patient/Patient-2

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from KBV_PR_MIO_ULB_Patient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	KBV_PR_MIO_ULB_Patient	Information about an individual or animal receiving health care services
Slices for extension				Content/Rules for all slices
extension:konfession_religion		0..0
extension:dolmetscher_erforderlich		0..0
extension:weitere_hinweise_zur_kommunikation		0..0
Slices for identifier				Content/Rules for all slices
identifier:versichertenId_GKV		0..0
identifier:versichertennummer_pkv		0..0
identifier:versichertennummer_kvk		0..0
identifier:versichertenId_PKV		0..0
name		1..1	HumanName	A name associated with the patient
Slices for name				Content/Rules for all slices
name:name		0..1	KBV_PR_Base_Datatype_Name(1.3.0)	Personenname
text		0..0
family		1..1	string	Familienname
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:namenszusatz		0..0
Slices for extension				Content/Rules for all slices
extension:nachname		0..0
Slices for extension				Content/Rules for all slices
extension:vorsatzwort		0..0
Slices for extension				Content/Rules for all slices
data-absent-reason	S	1..1	(Complex)	masked for pseudonymization URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value[x]		1..1	code	Value of extension Required Pattern: masked
value		0..0
given		0..0
prefix		0..0
Slices for name				Content/Rules for all slices
name:geburtsname		0..0
telecom		0..0
birthDate
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url
birth-date-mm-yyyy	S	1..1	string	BirthDate (MM-YYYY) URL: http://pflipdemo.com/fhir/StructureDefinition/birthDate-mm-yyyy
address		0..0
Slices for address				Content/Rules for all slices
address:Strassenanschrift		0..0
Slices for address				Content/Rules for all slices
address:Postfach		0..0
maritalStatus		0..0
communication		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	KBV_PR_MIO_ULB_Patient	Information about an individual or animal receiving health care services pat-de-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist
meta	Σ	1..1	Meta	Metadata about the resource
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_ULB_Patient|1.0.0
Slices for extension				Content/Rules for all slices
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣN	0..*	Identifier	An identifier for this patient Slice: Unordered, Closed by pattern:type, exists:assigner
identifier:pid	SΣN	0..*	IdentifierPid(1.3.2)	An identifier intended for computation
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
coding	ΣN	1..1	Coding	Code defined by a terminology system
system	ΣN	1..1	uri	Identity of the terminology system
code	ΣN	1..1	code	Symbol in syntax defined by the system
display	ΣN	1..1	string	Representation defined by the system Required Pattern: Medical record number
system	SΣN	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣN	1..1	string	The value that is unique Example General: 123456
Slices for name	SΣ	1..1	HumanName	A name associated with the patient Slice: Unordered, Closed by value:use
name:name	SΣC	0..1	KBV_PR_Base_Datatype_Name(1.3.0)	Personenname hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: official
family	SΣ	1..1	string	Familienname
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
data-absent-reason	S	1..1	(Complex)	masked for pseudonymization URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Required Pattern: masked
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Slices for extension				Content/Rules for all slices
other-amtlich	SN	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de
url		1..1	uri	"http://fhir.de/StructureDefinition/gender-amtlich-de"
Slices for value[x]	SCN	1..1	Coding	Value of extension Slice: Unordered, Closed by type:$this Binding: GenderOtherDE (required) gender-amtlich-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist
value[x]:valueCoding	SCN	1..1	Coding	Value of extension Binding: GenderOtherDE (required) gender-amtlich-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist
birthDate	SΣ	1..1	date	The date of birth for the individual
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url
data-absent-reason	SN	0..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension	N	0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
Slices for value[x]	SN	1..1	code	Value of extension Slice: Unordered, Closed by type:$this Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
value[x]:valueCode	SN	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: unknown
birth-date-mm-yyyy	S	1..1	string	BirthDate (MM-YYYY) URL: http://pflipdemo.com/fhir/StructureDefinition/birthDate-mm-yyyy
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier:pid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:pid.type	extensible	Pattern: MR http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertenId_GKV.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:versichertenId_GKV.type	extensible	Pattern: GKV http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertennummer_pkv.use	required	Fixed Value: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:versichertennummer_pkv.type	extensible	Pattern: PKV http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:reisepassnummer.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:reisepassnummer.type	extensible	Pattern: PPN http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertennummer_kvk.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:versichertennummer_kvk.type	extensible	Pattern: kvk http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertenId_PKV.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:versichertenId_PKV.type	extensible	Pattern: PKV http://fhir.de/ValueSet/identifier-type-de-basis
Patient.name:name.use	required	Pattern: official http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.name:name.family.extension:data-absent-reason.value[x]	required	Pattern: masked http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Patient.name:name.prefix.extension:prefix-qualifier.value[x]	required	EntityNamePartQualifier http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1 from the FHIR Standard
Patient.name:name.prefix.extension:prefix-qualifier.value[x]:valueCode	required	Fixed Value: AC http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1 from the FHIR Standard
Patient.name:geburtsname.use	required	Pattern: maiden http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.name:geburtsname.prefix.extension:prefix-qualifier.value[x]	required	EntityNamePartQualifier http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1 from the FHIR Standard
Patient.name:geburtsname.prefix.extension:prefix-qualifier.value[x]:valueCode	required	Fixed Value: AC http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1 from the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.gender.extension:other-amtlich.value[x]	required	GenderOtherDE http://fhir.de/ValueSet/gender-other-de
Patient.gender.extension:other-amtlich.value[x]:valueCoding	required	GenderOtherDE http://fhir.de/ValueSet/gender-other-de
Patient.birthDate.extension:data-absent-reason.value[x]	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1 from the FHIR Standard
Patient.birthDate.extension:data-absent-reason.value[x]:valueCode	required	Fixed Value: unknown http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.type	required	Pattern: both http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address:Postfach.type	required	Pattern: postal http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
gender-amtlich-1	error	Patient.gender.extension:other-amtlich.value[x], Patient.gender.extension:other-amtlich.value[x]:valueCoding	Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist : %resource.where(gender='other').exists()
hum-1	error	Patient.name:name	Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden : family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()
hum-2	error	Patient.name:name	Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden : family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()
hum-3	error	Patient.name:name	Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden : family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()
hum-4	error	Patient.name:name	Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden : prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())
kvk-1	error	Patient.identifier:versichertennummer_kvk.value	Die Krankenversichertenkartenummer muss numerisch und 6- bis 12-stellig sein. : matches('^[0-9]{6,12}$')
kvid-1	warning	Patient.identifier:versichertenId_GKV.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen : matches('^[A-Z][0-9]{9}$')
pat-de-1	error	Patient	Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist : gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
pkvid-1	warning	Patient.identifier:versichertenId_PKV.value	Der unveränderliche Teil der PKVID muss 10-stellig sein und mit einem Großbuchstaben anfangen : matches('^[A-Z][0-9]{9}$')
ref-1	error	Patient.identifier:versichertennummer_pkv.assigner, Patient.contact.organization, Patient.link.other	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'))

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	KBV_PR_MIO_ULB_Patient	Information about an individual or animal receiving health care services pat-de-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_ULB_Patient|1.0.0
text		0..1	Narrative	Text summary of the resource, for human interpretation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status		1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative. Required Pattern: extensions
div	C	1..1	xhtml	Limited xhtml content txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes txt-2: The narrative SHALL have some non-whitespace content
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣN	0..*	Identifier	An identifier for this patient Slice: Unordered, Closed by pattern:type, exists:assigner
identifier:pid	SΣN	0..*	IdentifierPid(1.3.2)	An identifier intended for computation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	ΣN	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣN	1..1	uri	Identity of the terminology system
version	ΣN	0..1	string	Version of the system - if relevant
code	ΣN	1..1	code	Symbol in syntax defined by the system
display	ΣN	1..1	string	Representation defined by the system Required Pattern: Medical record number
system	SΣN	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣN	1..1	string	The value that is unique Example General: 123456
Slices for name	SΣ	1..1	HumanName	A name associated with the patient Slice: Unordered, Closed by value:use
name:name	SΣC	0..1	KBV_PR_Base_Datatype_Name(1.3.0)	Personenname hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: official
family	SΣ	1..1	string	Familienname
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
data-absent-reason	S	1..1	(Complex)	masked for pseudonymization URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Required Pattern: masked
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
other-amtlich	SN	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/gender-amtlich-de"
Slices for value[x]	SCN	1..1	Coding	Value of extension Slice: Unordered, Closed by type:$this Binding: GenderOtherDE (required) gender-amtlich-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist
value[x]:valueCoding	SCN	1..1	Coding	Value of extension Binding: GenderOtherDE (required) gender-amtlich-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣN	0..1	uri	Identity of the terminology system
version	ΣN	0..1	string	Version of the system - if relevant
code	ΣN	0..1	code	Symbol in syntax defined by the system
display	ΣN	0..1	string	Representation defined by the system
value		0..1	code	Primitive value for code Max Length: 1048576
birthDate	SΣ	1..1	date	The date of birth for the individual
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url
data-absent-reason	SN	0..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	string	Unique id for inter-element referencing
extension	N	0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
Slices for value[x]	SN	1..1	code	Value of extension Slice: Unordered, Closed by type:$this Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
value[x]:valueCode	SN	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: unknown
birth-date-mm-yyyy	S	1..1	string	BirthDate (MM-YYYY) URL: http://pflipdemo.com/fhir/StructureDefinition/birthDate-mm-yyyy
value		0..1	date	Primitive value for date
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.text.status	required	Pattern: extensions http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 from the FHIR Standard
Patient.identifier:pid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:pid.type	extensible	Pattern: MR http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertenId_GKV.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:versichertenId_GKV.type	extensible	Pattern: GKV http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertennummer_pkv.use	required	Fixed Value: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:versichertennummer_pkv.type	extensible	Pattern: PKV http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertennummer_pkv.assigner.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Patient.identifier:reisepassnummer.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:reisepassnummer.type	extensible	Pattern: PPN http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertennummer_kvk.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:versichertennummer_kvk.type	extensible	Pattern: kvk http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertenId_PKV.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:versichertenId_PKV.type	extensible	Pattern: PKV http://fhir.de/ValueSet/identifier-type-de-basis
Patient.name:name.use	required	Pattern: official http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.name:name.family.extension:data-absent-reason.value[x]	required	Pattern: masked http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Patient.name:name.prefix.extension:prefix-qualifier.value[x]	required	EntityNamePartQualifier http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1 from the FHIR Standard
Patient.name:name.prefix.extension:prefix-qualifier.value[x]:valueCode	required	Fixed Value: AC http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1 from the FHIR Standard
Patient.name:geburtsname.use	required	Pattern: maiden http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.name:geburtsname.prefix.extension:prefix-qualifier.value[x]	required	EntityNamePartQualifier http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1 from the FHIR Standard
Patient.name:geburtsname.prefix.extension:prefix-qualifier.value[x]:valueCode	required	Fixed Value: AC http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1 from the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.gender.extension:other-amtlich.value[x]	required	GenderOtherDE http://fhir.de/ValueSet/gender-other-de
Patient.gender.extension:other-amtlich.value[x]:valueCoding	required	GenderOtherDE http://fhir.de/ValueSet/gender-other-de
Patient.birthDate.extension:data-absent-reason.value[x]	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1 from the FHIR Standard
Patient.birthDate.extension:data-absent-reason.value[x]:valueCode	required	Fixed Value: unknown http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.type	required	Pattern: both http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address:Postfach.type	required	Pattern: postal http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.contact.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.contact.address.country	extensible	KBV_VS_Base_Deuev_Anlage_8 https://fhir.kbv.de/ValueSet/KBV_VS_Base_Deuev_Anlage_8
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cpt-2	error	Patient.contact.telecom	A system is required if a value is provided. : value.empty() or system.exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
gender-amtlich-1	error	Patient.gender.extension:other-amtlich.value[x], Patient.gender.extension:other-amtlich.value[x]:valueCoding	Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist : %resource.where(gender='other').exists()
hum-1	error	Patient.name:name	Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden : family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()
hum-2	error	Patient.name:name	Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden : family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()
hum-3	error	Patient.name:name	Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden : family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()
hum-4	error	Patient.name:name	Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden : prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())
kvk-1	error	Patient.identifier:versichertennummer_kvk.value	Die Krankenversichertenkartenummer muss numerisch und 6- bis 12-stellig sein. : matches('^[0-9]{6,12}$')
kvid-1	warning	Patient.identifier:versichertenId_GKV.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen : matches('^[A-Z][0-9]{9}$')
pat-de-1	error	Patient	Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist : gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
per-1	error	Patient.identifier:reisepassnummer.period, Patient.contact.address.period, Patient.contact.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
pkvid-1	warning	Patient.identifier:versichertenId_PKV.value	Der unveränderliche Teil der PKVID muss 10-stellig sein und mit einem Großbuchstaben anfangen : matches('^[A-Z][0-9]{9}$')
ref-1	error	Patient.identifier:versichertennummer_pkv.assigner, Patient.contact.organization, Patient.link.other	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'))
txt-1	error	Patient.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	Patient.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

This structure is derived from KBV_PR_MIO_ULB_Patient

Summary

Mandatory: 2 elements(2 nested mandatory elements)
Must-Support: 2 elements
Prohibited: 32 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/data-absent-reason
• http://pflipdemo.com/fhir/StructureDefinition/birthDate-mm-yyyy

Differential View

This structure is derived from KBV_PR_MIO_ULB_Patient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	KBV_PR_MIO_ULB_Patient	Information about an individual or animal receiving health care services
Slices for extension				Content/Rules for all slices
extension:konfession_religion		0..0
extension:dolmetscher_erforderlich		0..0
extension:weitere_hinweise_zur_kommunikation		0..0
Slices for identifier				Content/Rules for all slices
identifier:versichertenId_GKV		0..0
identifier:versichertennummer_pkv		0..0
identifier:versichertennummer_kvk		0..0
identifier:versichertenId_PKV		0..0
name		1..1	HumanName	A name associated with the patient
Slices for name				Content/Rules for all slices
name:name		0..1	KBV_PR_Base_Datatype_Name(1.3.0)	Personenname
text		0..0
family		1..1	string	Familienname
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:namenszusatz		0..0
Slices for extension				Content/Rules for all slices
extension:nachname		0..0
Slices for extension				Content/Rules for all slices
extension:vorsatzwort		0..0
Slices for extension				Content/Rules for all slices
data-absent-reason	S	1..1	(Complex)	masked for pseudonymization URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value[x]		1..1	code	Value of extension Required Pattern: masked
value		0..0
given		0..0
prefix		0..0
Slices for name				Content/Rules for all slices
name:geburtsname		0..0
telecom		0..0
birthDate
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url
birth-date-mm-yyyy	S	1..1	string	BirthDate (MM-YYYY) URL: http://pflipdemo.com/fhir/StructureDefinition/birthDate-mm-yyyy
address		0..0
Slices for address				Content/Rules for all slices
address:Strassenanschrift		0..0
Slices for address				Content/Rules for all slices
address:Postfach		0..0
maritalStatus		0..0
communication		0..0
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	KBV_PR_MIO_ULB_Patient	Information about an individual or animal receiving health care services pat-de-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist
meta	Σ	1..1	Meta	Metadata about the resource
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_ULB_Patient|1.0.0
Slices for extension				Content/Rules for all slices
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣN	0..*	Identifier	An identifier for this patient Slice: Unordered, Closed by pattern:type, exists:assigner
identifier:pid	SΣN	0..*	IdentifierPid(1.3.2)	An identifier intended for computation
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
coding	ΣN	1..1	Coding	Code defined by a terminology system
system	ΣN	1..1	uri	Identity of the terminology system
code	ΣN	1..1	code	Symbol in syntax defined by the system
display	ΣN	1..1	string	Representation defined by the system Required Pattern: Medical record number
system	SΣN	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣN	1..1	string	The value that is unique Example General: 123456
Slices for name	SΣ	1..1	HumanName	A name associated with the patient Slice: Unordered, Closed by value:use
name:name	SΣC	0..1	KBV_PR_Base_Datatype_Name(1.3.0)	Personenname hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: official
family	SΣ	1..1	string	Familienname
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
data-absent-reason	S	1..1	(Complex)	masked for pseudonymization URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Required Pattern: masked
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Slices for extension				Content/Rules for all slices
other-amtlich	SN	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de
url		1..1	uri	"http://fhir.de/StructureDefinition/gender-amtlich-de"
Slices for value[x]	SCN	1..1	Coding	Value of extension Slice: Unordered, Closed by type:$this Binding: GenderOtherDE (required) gender-amtlich-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist
value[x]:valueCoding	SCN	1..1	Coding	Value of extension Binding: GenderOtherDE (required) gender-amtlich-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist
birthDate	SΣ	1..1	date	The date of birth for the individual
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url
data-absent-reason	SN	0..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension	N	0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
Slices for value[x]	SN	1..1	code	Value of extension Slice: Unordered, Closed by type:$this Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
value[x]:valueCode	SN	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: unknown
birth-date-mm-yyyy	S	1..1	string	BirthDate (MM-YYYY) URL: http://pflipdemo.com/fhir/StructureDefinition/birthDate-mm-yyyy
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier:pid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:pid.type	extensible	Pattern: MR http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertenId_GKV.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:versichertenId_GKV.type	extensible	Pattern: GKV http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertennummer_pkv.use	required	Fixed Value: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:versichertennummer_pkv.type	extensible	Pattern: PKV http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:reisepassnummer.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:reisepassnummer.type	extensible	Pattern: PPN http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertennummer_kvk.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:versichertennummer_kvk.type	extensible	Pattern: kvk http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertenId_PKV.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:versichertenId_PKV.type	extensible	Pattern: PKV http://fhir.de/ValueSet/identifier-type-de-basis
Patient.name:name.use	required	Pattern: official http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.name:name.family.extension:data-absent-reason.value[x]	required	Pattern: masked http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Patient.name:name.prefix.extension:prefix-qualifier.value[x]	required	EntityNamePartQualifier http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1 from the FHIR Standard
Patient.name:name.prefix.extension:prefix-qualifier.value[x]:valueCode	required	Fixed Value: AC http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1 from the FHIR Standard
Patient.name:geburtsname.use	required	Pattern: maiden http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.name:geburtsname.prefix.extension:prefix-qualifier.value[x]	required	EntityNamePartQualifier http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1 from the FHIR Standard
Patient.name:geburtsname.prefix.extension:prefix-qualifier.value[x]:valueCode	required	Fixed Value: AC http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1 from the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.gender.extension:other-amtlich.value[x]	required	GenderOtherDE http://fhir.de/ValueSet/gender-other-de
Patient.gender.extension:other-amtlich.value[x]:valueCoding	required	GenderOtherDE http://fhir.de/ValueSet/gender-other-de
Patient.birthDate.extension:data-absent-reason.value[x]	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1 from the FHIR Standard
Patient.birthDate.extension:data-absent-reason.value[x]:valueCode	required	Fixed Value: unknown http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.type	required	Pattern: both http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address:Postfach.type	required	Pattern: postal http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
gender-amtlich-1	error	Patient.gender.extension:other-amtlich.value[x], Patient.gender.extension:other-amtlich.value[x]:valueCoding	Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist : %resource.where(gender='other').exists()
hum-1	error	Patient.name:name	Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden : family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()
hum-2	error	Patient.name:name	Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden : family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()
hum-3	error	Patient.name:name	Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden : family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()
hum-4	error	Patient.name:name	Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden : prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())
kvk-1	error	Patient.identifier:versichertennummer_kvk.value	Die Krankenversichertenkartenummer muss numerisch und 6- bis 12-stellig sein. : matches('^[0-9]{6,12}$')
kvid-1	warning	Patient.identifier:versichertenId_GKV.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen : matches('^[A-Z][0-9]{9}$')
pat-de-1	error	Patient	Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist : gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
pkvid-1	warning	Patient.identifier:versichertenId_PKV.value	Der unveränderliche Teil der PKVID muss 10-stellig sein und mit einem Großbuchstaben anfangen : matches('^[A-Z][0-9]{9}$')
ref-1	error	Patient.identifier:versichertennummer_pkv.assigner, Patient.contact.organization, Patient.link.other	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'))

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	KBV_PR_MIO_ULB_Patient	Information about an individual or animal receiving health care services pat-de-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_ULB_Patient|1.0.0
text		0..1	Narrative	Text summary of the resource, for human interpretation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status		1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative. Required Pattern: extensions
div	C	1..1	xhtml	Limited xhtml content txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes txt-2: The narrative SHALL have some non-whitespace content
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣN	0..*	Identifier	An identifier for this patient Slice: Unordered, Closed by pattern:type, exists:assigner
identifier:pid	SΣN	0..*	IdentifierPid(1.3.2)	An identifier intended for computation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	ΣN	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣN	1..1	uri	Identity of the terminology system
version	ΣN	0..1	string	Version of the system - if relevant
code	ΣN	1..1	code	Symbol in syntax defined by the system
display	ΣN	1..1	string	Representation defined by the system Required Pattern: Medical record number
system	SΣN	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣN	1..1	string	The value that is unique Example General: 123456
Slices for name	SΣ	1..1	HumanName	A name associated with the patient Slice: Unordered, Closed by value:use
name:name	SΣC	0..1	KBV_PR_Base_Datatype_Name(1.3.0)	Personenname hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: official
family	SΣ	1..1	string	Familienname
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
data-absent-reason	S	1..1	(Complex)	masked for pseudonymization URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Required Pattern: masked
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
other-amtlich	SN	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/gender-amtlich-de
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/gender-amtlich-de"
Slices for value[x]	SCN	1..1	Coding	Value of extension Slice: Unordered, Closed by type:$this Binding: GenderOtherDE (required) gender-amtlich-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist
value[x]:valueCoding	SCN	1..1	Coding	Value of extension Binding: GenderOtherDE (required) gender-amtlich-1: Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣN	0..1	uri	Identity of the terminology system
version	ΣN	0..1	string	Version of the system - if relevant
code	ΣN	0..1	code	Symbol in syntax defined by the system
display	ΣN	0..1	string	Representation defined by the system
value		0..1	code	Primitive value for code Max Length: 1048576
birthDate	SΣ	1..1	date	The date of birth for the individual
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url
data-absent-reason	SN	0..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	string	Unique id for inter-element referencing
extension	N	0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
Slices for value[x]	SN	1..1	code	Value of extension Slice: Unordered, Closed by type:$this Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
value[x]:valueCode	SN	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: unknown
birth-date-mm-yyyy	S	1..1	string	BirthDate (MM-YYYY) URL: http://pflipdemo.com/fhir/StructureDefinition/birthDate-mm-yyyy
value		0..1	date	Primitive value for date
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.text.status	required	Pattern: extensions http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 from the FHIR Standard
Patient.identifier:pid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:pid.type	extensible	Pattern: MR http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertenId_GKV.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:versichertenId_GKV.type	extensible	Pattern: GKV http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertennummer_pkv.use	required	Fixed Value: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:versichertennummer_pkv.type	extensible	Pattern: PKV http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertennummer_pkv.assigner.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Patient.identifier:reisepassnummer.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:reisepassnummer.type	extensible	Pattern: PPN http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertennummer_kvk.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:versichertennummer_kvk.type	extensible	Pattern: kvk http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:versichertenId_PKV.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:versichertenId_PKV.type	extensible	Pattern: PKV http://fhir.de/ValueSet/identifier-type-de-basis
Patient.name:name.use	required	Pattern: official http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.name:name.family.extension:data-absent-reason.value[x]	required	Pattern: masked http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Patient.name:name.prefix.extension:prefix-qualifier.value[x]	required	EntityNamePartQualifier http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1 from the FHIR Standard
Patient.name:name.prefix.extension:prefix-qualifier.value[x]:valueCode	required	Fixed Value: AC http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1 from the FHIR Standard
Patient.name:geburtsname.use	required	Pattern: maiden http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.name:geburtsname.prefix.extension:prefix-qualifier.value[x]	required	EntityNamePartQualifier http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1 from the FHIR Standard
Patient.name:geburtsname.prefix.extension:prefix-qualifier.value[x]:valueCode	required	Fixed Value: AC http://hl7.org/fhir/ValueSet/name-part-qualifier|4.0.1 from the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.gender.extension:other-amtlich.value[x]	required	GenderOtherDE http://fhir.de/ValueSet/gender-other-de
Patient.gender.extension:other-amtlich.value[x]:valueCoding	required	GenderOtherDE http://fhir.de/ValueSet/gender-other-de
Patient.birthDate.extension:data-absent-reason.value[x]	required	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1 from the FHIR Standard
Patient.birthDate.extension:data-absent-reason.value[x]:valueCode	required	Fixed Value: unknown http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.type	required	Pattern: both http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address:Postfach.type	required	Pattern: postal http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.contact.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.contact.address.country	extensible	KBV_VS_Base_Deuev_Anlage_8 https://fhir.kbv.de/ValueSet/KBV_VS_Base_Deuev_Anlage_8
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cpt-2	error	Patient.contact.telecom	A system is required if a value is provided. : value.empty() or system.exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
gender-amtlich-1	error	Patient.gender.extension:other-amtlich.value[x], Patient.gender.extension:other-amtlich.value[x]:valueCoding	Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist : %resource.where(gender='other').exists()
hum-1	error	Patient.name:name	Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden : family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()
hum-2	error	Patient.name:name	Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden : family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()
hum-3	error	Patient.name:name	Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden : family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()
hum-4	error	Patient.name:name	Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden : prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())
kvk-1	error	Patient.identifier:versichertennummer_kvk.value	Die Krankenversichertenkartenummer muss numerisch und 6- bis 12-stellig sein. : matches('^[0-9]{6,12}$')
kvid-1	warning	Patient.identifier:versichertenId_GKV.value	Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen : matches('^[A-Z][0-9]{9}$')
pat-de-1	error	Patient	Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist : gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
per-1	error	Patient.identifier:reisepassnummer.period, Patient.contact.address.period, Patient.contact.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
pkvid-1	warning	Patient.identifier:versichertenId_PKV.value	Der unveränderliche Teil der PKVID muss 10-stellig sein und mit einem Großbuchstaben anfangen : matches('^[A-Z][0-9]{9}$')
ref-1	error	Patient.identifier:versichertennummer_pkv.assigner, Patient.contact.organization, Patient.link.other	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'))
txt-1	error	Patient.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	Patient.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

This structure is derived from KBV_PR_MIO_ULB_Patient

Summary

Mandatory: 2 elements(2 nested mandatory elements)
Must-Support: 2 elements
Prohibited: 32 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/data-absent-reason
• http://pflipdemo.com/fhir/StructureDefinition/birthDate-mm-yyyy