onconnect-pr-tb-patient
type: StructureDefinition
node role: treeRoot
id:
  v: onconnect-pr-tb-patient
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition onconnect-pr-tb-patient Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Patient 0..* MII_PR_Person_Patient Information about an individual or animal receiving health care services #xD; identifier 2..* Identifier Identifier #xD; Slices for identifier Content/Rules for all slices #xD; identifier:versichertenId 1..1 IdentifierKvid10(1.5.4) Health insurance number #xD; identifier:pid 1..* IdentifierPid(1.5.4) Organization-internal patient identifier #xD; name 1..* HumanName Name #xD; Slices for name Content/Rules for all slices #xD; name:name 1..1 HumannameDeBasis(1.5.4) Person's name #xD; birthDate 1..1 date Date of birth #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
extension:
  url:
    v: https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable
    l: mii-ex-meta-license-codeable
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/spdx-license
        l: spdx-license
      code:
        v: CC-BY-4.0
      display:
        v: Creative Commons Attribution 4.0 International
url:
  v: https://tumorboards-ig.app.ccc-onconnect.de/StructureDefinition/onconnect-pr-tb-patient
  l: onconnect-pr-tb-patient
version:
  v: 0.2.0
name:
  v: ONCOnnect_PR_TB_Patient
title:
  v: Patient (Profile)
status:
  v: draft
date:
  v: 2025-12-18T14:53:01+00:00
publisher:
  v: ONCOnnect
contact:
  name:
    v: ONCOnnect
  telecom:
    system:
      v: url
    value:
      v: https://ccc-onconnect.de/
description:
  v: Captures the basic information about a patient.
fhir version:
  v: 4.0.1
kind:
  v: resource
abstract:
  v: false
type:
  v: Patient
  l: Patient
base definition:
  v: https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient
  l: Patient
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 2025.0.0
  element:
    id:
      v: Patient
    path:
      v: Patient
    short:
      v: Information about an individual or animal receiving health care services
    definition:
      v: Demographics and other administrative information about an individual or animal receiving care or other health-related services.
    alias:
      v: SubjectOfCare Client Resident
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Patient
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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
      expression:
        v: 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()
      xpath:
        v: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      extension:
        value: Boolean
      extension:
        value: Markdown
      key:
        v: dom-6
      severity:
        v: warning
      human:
        v: A resource should have narrative for robust management
      expression:
        v: text.`div`.exists()
      xpath:
        v: exists(f:text/h:div)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:security))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: mii-pat-1
      severity:
        v: error
      human:
        v: Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden
      expression:
        v: gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
      source:
        v: https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient
        l: Patient
    mapping:
      identity:
        v: rim
      map:
        v: Entity. Role, or Act
    mapping:
      identity:
        v: rim
      map:
        v: Patient[classCode=PAT]
    mapping:
      identity:
        v: cda
      map:
        v: ClinicalDocument.recordTarget.patientRole
  element:
    id:
      v: Patient.id
    path:
      v: Patient.id
    short:
      v: Logical id of this artifact
    definition:
      v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
    comment:
      v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Boolean
v: true

Markdown
v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

v: 0

v: 1

path:
  v: Resource.id
min:
  v: 0
max:
  v: 1

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    l: structuredefinition-fhir-type
  value: Url
    v: id
    l: id
code:
  v: http://hl7.org/fhirpath/System.String
  l: System.String

v: true

v: true

id:
  v: Patient.meta
path:
  v: Patient.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.meta.id
path:
  v: Patient.meta.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.meta.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.meta.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.meta.versionId
path:
  v: Patient.meta.versionId
short:
  v: Version specific identifier
definition:
  v: The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
comment:
  v: The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Meta.versionId
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
    l: id
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.meta.lastUpdated
path:
  v: Patient.meta.lastUpdated
short:
  v: When the resource version last changed
definition:
  v: When the resource last changed - e.g. when the version changed.
comment:
  v: This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Meta.lastUpdated
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: instant
    l: instant
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.meta.source
path:
  v: Patient.meta.source
short:
  v: Identifies where the resource comes from
definition:
  v: A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
comment:
  v: In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Meta.source
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.meta.profile
path:
  v: Patient.meta.profile
short:
  v: Profiles this resource claims to conform to
definition:
  v: A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).
comment:
  v: It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Meta.profile
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: canonical
    l: canonical
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/StructureDefinition
    l: StructureDefinition
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.meta.security
path:
  v: Patient.meta.security
short:
  v: Security Labels applied to this resource
definition:
  v: Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
comment:
  v: The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Meta.security
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: SecurityLabels
  strength:
    v: extensible
  description:
    v: Security Labels from the Healthcare Privacy and Security Classification System.
  value set:
    v: http://hl7.org/fhir/ValueSet/security-labels
    l: security-labels
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
mapping:
  identity:
    v: rim
  map:
    v: CV
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding rdfs:subClassOf dt:CDCoding

id:
  v: Patient.meta.tag
path:
  v: Patient.meta.tag
short:
  v: Tags applied to this resource
definition:
  v: Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
comment:
  v: The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Meta.tag
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Tags
  strength:
    v: example
  description:
    v: Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
  value set:
    v: http://hl7.org/fhir/ValueSet/common-tags
    l: common-tags
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
mapping:
  identity:
    v: rim
  map:
    v: CV
mapping:
  identity:
    v: orim
  map:
    v: fhir:Coding rdfs:subClassOf dt:CDCoding

id:
  v: Patient.implicitRules
path:
  v: Patient.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.language
path:
  v: Patient.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Canonical
      v: http://hl7.org/fhir/ValueSet/all-languages
      l: all-languages
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: preferred
  description:
    v: A human language.
  value set:
    v: http://hl7.org/fhir/ValueSet/languages
    l: languages
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.text
path:
  v: Patient.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: Patient.contained
path:
  v: Patient.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
mapping:
  identity:
    v: rim
  map:
    v: Entity. Role, or Act
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.modifierExtension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.modifierExtension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.identifier
path:
  v: Patient.identifier
slicing:
  discriminator:
    type:
      v: pattern
    path:
      v: $this
  rules:
    v: open
short:
  v: Patienten-Identifikator
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Identifikator
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Identifier
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Ein Identifikator für den/die Patient*in
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Ein Identifikator für den/die Patient*in
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: An identifier for this patient
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
requirements:
  v: Patients are almost always assigned specific numerical identifiers.
min:
  v: 2
max:
  v: *
base:
  path:
    v: Patient.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CX / EI (occasionally, more often EI maps to a resource id or a URL)
mapping:
  identity:
    v: rim
  map:
    v: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
mapping:
  identity:
    v: servd
  map:
    v: Identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: v2
  map:
    v: PID-3
mapping:
  identity:
    v: rim
  map:
    v: id
mapping:
  identity:
    v: cda
  map:
    v: .id

id:
  v: Patient.identifier:versichertenId
path:
  v: Patient.identifier
slice name:
  v: versichertenId
short:
  v: Krankenversichertennummer
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Krankenversichertennummer
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Health insurance number
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Krankenversichertennummer, unabhängig, ob GKV, PKV oder Sonderkostenträger
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: 10-stellige KVID
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: 10-digit health insurance number
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
requirements:
  v: Patients are almost always assigned specific numerical identifiers.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Patient.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
  profile:
    v: http://fhir.de/StructureDefinition/identifier-kvid-10
    l: identifier-kvid-10
pattern: Identifier
  type:
    coding:
      system:
        v: http://fhir.de/CodeSystem/identifier-type-de-basis
        l: identifier-type-de-basis
      code:
        v: KVZ10
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CX / EI (occasionally, more often EI maps to a resource id or a URL)
mapping:
  identity:
    v: rim
  map:
    v: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
mapping:
  identity:
    v: servd
  map:
    v: Identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: v2
  map:
    v: PID-3
mapping:
  identity:
    v: rim
  map:
    v: id
mapping:
  identity:
    v: cda
  map:
    v: .id

id:
  v: Patient.identifier:versichertenId.id
path:
  v: Patient.identifier.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.identifier:versichertenId.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.identifier.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.identifier:versichertenId.use
path:
  v: Patient.identifier.use
short:
  v: usual | official | temp | secondary | old (If known)
definition:
  v: The purpose of this identifier.
comment:
  v: Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
requirements:
  v: Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.use
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierUse
  strength:
    v: required
  description:
    v: Identifies the purpose for this identifier, if known .
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    l: http://hl7.org/fhir/ValueSet/identifier-use
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: Patient.identifier:versichertenId.type
path:
  v: Patient.identifier.type
short:
  v: Description of identifier
definition:
  v: A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
comment:
  v: This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
requirements:
  v: Allows users to make use of identifiers when the identifier system is not known.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
pattern: CodeableConcept
  coding:
    system:
      v: http://fhir.de/CodeSystem/identifier-type-de-basis
      l: identifier-type-de-basis
    code:
      v: KVZ10
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: kvid-2
  severity:
    v: warning
  human:
    v: Als Type sollte der Code 'KVZ10' verwendet werden, die Codes 'GKV' und 'PKV' haben den Status 'retired'
  expression:
    v: ($this.identifier.type.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='GKV') or $this.identifier.type.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='PKV')).not()
  source:
    v: http://fhir.de/StructureDefinition/identifier-kvid-10
    l: identifier-kvid-10
must support:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierType
  strength:
    v: extensible
  description:
    v: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
  value set:
    v: http://fhir.de/ValueSet/identifier-type-de-basis
    l: identifier-type-de-basis
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE
mapping:
  identity:
    v: rim
  map:
    v: CD
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept rdfs:subClassOf dt:CD
mapping:
  identity:
    v: v2
  map:
    v: CX.5
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: Patient.identifier:versichertenId.system
path:
  v: Patient.identifier.system
short:
  v: The namespace for the identifier value
definition:
  v: Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
comment:
  v: Identifier.system is always case sensitive.
requirements:
  v: There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
fixed: Uri
  v: http://fhir.de/sid/gkv/kvid-10
  l: kvid-10
example:
  label:
    v: General
  value: Uri
    v: http://www.acme.com/identifiers/patient
    l: patient
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / EI-2-4
mapping:
  identity:
    v: rim
  map:
    v: II.root or Role.id.root
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierType

id:
  v: Patient.identifier:versichertenId.value
path:
  v: Patient.identifier.value
short:
  v: The value that is unique
definition:
  v: The portion of the identifier typically relevant to the user and which is unique within the context of the system.
comment:
  v: If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.value
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
example:
  label:
    v: General
  value: String
    v: 123456
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: kvid-1
  severity:
    v: warning
  human:
    v: Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen
  expression:
    v: matches('^[A-Z][0-9]{9}$')
  source:
    v: http://fhir.de/StructureDefinition/identifier-kvid-10
    l: identifier-kvid-10
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CX.1 / EI.1
mapping:
  identity:
    v: rim
  map:
    v: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
mapping:
  identity:
    v: servd
  map:
    v: ./Value

id:
  v: Patient.identifier:versichertenId.period
path:
  v: Patient.identifier.period
short:
  v: Time period when id is/was valid for use
definition:
  v: Time period during which identifier is/was valid for use.
comment:
  v: A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: per-1
  severity:
    v: error
  human:
    v: If present, start SHALL have a lower value than end
  expression:
    v: start.hasValue().not() or end.hasValue().not() or (start <= end)
  xpath:
    v: not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Period
    l: Period
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: DR
mapping:
  identity:
    v: rim
  map:
    v: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
mapping:
  identity:
    v: v2
  map:
    v: CX.7 + CX.8
mapping:
  identity:
    v: rim
  map:
    v: Role.effectiveTime or implied by context
mapping:
  identity:
    v: servd
  map:
    v: ./StartDate and ./EndDate

id:
  v: Patient.identifier:versichertenId.assigner
path:
  v: Patient.identifier.assigner
short:
  v: Organization that issued id (may be just text)
definition:
  v: Organization that issued/manages the identifier.
comment:
  v: The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.assigner
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ref-1
  severity:
    v: error
  human:
    v: SHALL have a contained resource if a local reference is provided
  expression:
    v: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  xpath:
    v: not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Reference
    l: Reference
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / (CX.4,CX.9,CX.10)
mapping:
  identity:
    v: rim
  map:
    v: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierIssuingAuthority

id:
  v: Patient.identifier:versichertenId.assigner.id
path:
  v: Patient.identifier.assigner.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.identifier:versichertenId.assigner.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.identifier.assigner.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.identifier:versichertenId.assigner.reference
path:
  v: Patient.identifier.assigner.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
condition:
  v: ref-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.identifier:versichertenId.assigner.type
path:
  v: Patient.identifier.assigner.type
short:
  v: Type the reference refers to (e.g. "Patient")
definition:
  v: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
comment:
  v: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: FHIRResourceTypeExt
  strength:
    v: extensible
  description:
    v: Aa resource (or, for logical models, the URI of the logical model).
  value set:
    v: http://hl7.org/fhir/ValueSet/resource-types
    l: resource-types
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.identifier:versichertenId.assigner.identifier
path:
  v: Patient.identifier.assigner.identifier
short:
  v: An identifier intended for computation
definition:
  v: An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
  profile:
    v: http://fhir.de/StructureDefinition/identifier-iknr
    l: identifier-iknr
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CX / EI (occasionally, more often EI maps to a resource id or a URL)
mapping:
  identity:
    v: rim
  map:
    v: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
mapping:
  identity:
    v: servd
  map:
    v: Identifier
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Patient.identifier:versichertenId.assigner.identifier.id
path:
  v: Patient.identifier.assigner.identifier.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.identifier:versichertenId.assigner.identifier.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.identifier.assigner.identifier.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.identifier:versichertenId.assigner.identifier.use
path:
  v: Patient.identifier.assigner.identifier.use
short:
  v: usual | official | temp | secondary | old (If known)
definition:
  v: The purpose of this identifier.
comment:
  v: Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
requirements:
  v: Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.use
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierUse
  strength:
    v: required
  description:
    v: Identifies the purpose for this identifier, if known .
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    l: http://hl7.org/fhir/ValueSet/identifier-use
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: Patient.identifier:versichertenId.assigner.identifier.type
path:
  v: Patient.identifier.assigner.identifier.type
short:
  v: Description of identifier
definition:
  v: A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
comment:
  v: This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
requirements:
  v: Allows users to make use of identifiers when the identifier system is not known.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
pattern: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0203
      l: v2-0203
    code:
      v: XX
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierType
  strength:
    v: extensible
  description:
    v: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
  value set:
    v: http://fhir.de/ValueSet/identifier-type-de-basis
    l: identifier-type-de-basis
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE
mapping:
  identity:
    v: rim
  map:
    v: CD
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept rdfs:subClassOf dt:CD
mapping:
  identity:
    v: v2
  map:
    v: CX.5
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: Patient.identifier:versichertenId.assigner.identifier.system
path:
  v: Patient.identifier.assigner.identifier.system
short:
  v: The namespace for the identifier value
definition:
  v: Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
comment:
  v: Identifier.system is always case sensitive.
requirements:
  v: There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
fixed: Uri
  v: http://fhir.de/sid/arge-ik/iknr
  l: iknr
example:
  label:
    v: General
  value: Uri
    v: http://www.acme.com/identifiers/patient
    l: patient
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / EI-2-4
mapping:
  identity:
    v: rim
  map:
    v: II.root or Role.id.root
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierType

id:
  v: Patient.identifier:versichertenId.assigner.identifier.value
path:
  v: Patient.identifier.assigner.identifier.value
short:
  v: The value that is unique
definition:
  v: The portion of the identifier typically relevant to the user and which is unique within the context of the system.
comment:
  v: If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.value
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
example:
  label:
    v: General
  value: String
    v: 123456
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ik-1
  severity:
    v: warning
  human:
    v: Eine IK muss eine numerische 9-stellige Zeichenkette (mit Prüfziffer) sein
  expression:
    v: matches('^[0-9]{9}$')
  source:
    v: http://fhir.de/StructureDefinition/identifier-iknr
    l: identifier-iknr
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CX.1 / EI.1
mapping:
  identity:
    v: rim
  map:
    v: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
mapping:
  identity:
    v: servd
  map:
    v: ./Value

id:
  v: Patient.identifier:versichertenId.assigner.identifier.period
path:
  v: Patient.identifier.assigner.identifier.period
short:
  v: Time period when id is/was valid for use
definition:
  v: Time period during which identifier is/was valid for use.
comment:
  v: A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: per-1
  severity:
    v: error
  human:
    v: If present, start SHALL have a lower value than end
  expression:
    v: start.hasValue().not() or end.hasValue().not() or (start <= end)
  xpath:
    v: not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Period
    l: Period
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: DR
mapping:
  identity:
    v: rim
  map:
    v: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
mapping:
  identity:
    v: v2
  map:
    v: CX.7 + CX.8
mapping:
  identity:
    v: rim
  map:
    v: Role.effectiveTime or implied by context
mapping:
  identity:
    v: servd
  map:
    v: ./StartDate and ./EndDate

id:
  v: Patient.identifier:versichertenId.assigner.identifier.assigner
path:
  v: Patient.identifier.assigner.identifier.assigner
short:
  v: Organization that issued id (may be just text)
definition:
  v: Organization that issued/manages the identifier.
comment:
  v: The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.assigner
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ref-1
  severity:
    v: error
  human:
    v: SHALL have a contained resource if a local reference is provided
  expression:
    v: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  xpath:
    v: not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Reference
    l: Reference
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / (CX.4,CX.9,CX.10)
mapping:
  identity:
    v: rim
  map:
    v: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierIssuingAuthority

id:
  v: Patient.identifier:versichertenId.assigner.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Patient.identifier.assigner.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.identifier:pid
path:
  v: Patient.identifier
slice name:
  v: pid
short:
  v: Patientenidentifikation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Organisationsinterner Patienten-Identifikator
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Organization-internal patient identifier
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Patientenidentifikator innerhalb einer Organisation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Führende ID der Patient*in in der Organisation
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Medical record number of the patient in the organization
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
requirements:
  v: Patients are almost always assigned specific numerical identifiers.
min:
  v: 1
max:
  v: *
base:
  path:
    v: Patient.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
  profile:
    v: http://fhir.de/StructureDefinition/identifier-pid
    l: identifier-pid
pattern: Identifier
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: MR
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CX / EI (occasionally, more often EI maps to a resource id or a URL)
mapping:
  identity:
    v: rim
  map:
    v: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
mapping:
  identity:
    v: servd
  map:
    v: Identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: v2
  map:
    v: PID-3
mapping:
  identity:
    v: rim
  map:
    v: id
mapping:
  identity:
    v: cda
  map:
    v: .id

id:
  v: Patient.identifier:pid.id
path:
  v: Patient.identifier.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.identifier:pid.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.identifier.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.identifier:pid.use
path:
  v: Patient.identifier.use
short:
  v: usual | official | temp | secondary | old (If known)
definition:
  v: The purpose of this identifier.
comment:
  v: Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
requirements:
  v: Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.use
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierUse
  strength:
    v: required
  description:
    v: Identifies the purpose for this identifier, if known .
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    l: http://hl7.org/fhir/ValueSet/identifier-use
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: Patient.identifier:pid.type
path:
  v: Patient.identifier.type
short:
  v: Description of identifier
definition:
  v: A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
comment:
  v: This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
requirements:
  v: Allows users to make use of identifiers when the identifier system is not known.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
pattern: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0203
      l: v2-0203
    code:
      v: MR
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierType
  strength:
    v: extensible
  description:
    v: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
  value set:
    v: http://fhir.de/ValueSet/identifier-type-de-basis
    l: identifier-type-de-basis
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE
mapping:
  identity:
    v: rim
  map:
    v: CD
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept rdfs:subClassOf dt:CD
mapping:
  identity:
    v: v2
  map:
    v: CX.5
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: Patient.identifier:pid.system
path:
  v: Patient.identifier.system
short:
  v: The namespace for the identifier value
definition:
  v: Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
comment:
  v: Identifier.system is always case sensitive.
requirements:
  v: There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
example:
  label:
    v: General
  value: Uri
    v: http://www.acme.com/identifiers/patient
    l: patient
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / EI-2-4
mapping:
  identity:
    v: rim
  map:
    v: II.root or Role.id.root
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierType

id:
  v: Patient.identifier:pid.value
path:
  v: Patient.identifier.value
short:
  v: The value that is unique
definition:
  v: The portion of the identifier typically relevant to the user and which is unique within the context of the system.
comment:
  v: If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.value
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
example:
  label:
    v: General
  value: String
    v: 123456
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CX.1 / EI.1
mapping:
  identity:
    v: rim
  map:
    v: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
mapping:
  identity:
    v: servd
  map:
    v: ./Value

id:
  v: Patient.identifier:pid.period
path:
  v: Patient.identifier.period
short:
  v: Time period when id is/was valid for use
definition:
  v: Time period during which identifier is/was valid for use.
comment:
  v: A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: per-1
  severity:
    v: error
  human:
    v: If present, start SHALL have a lower value than end
  expression:
    v: start.hasValue().not() or end.hasValue().not() or (start <= end)
  xpath:
    v: not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Period
    l: Period
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: DR
mapping:
  identity:
    v: rim
  map:
    v: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
mapping:
  identity:
    v: v2
  map:
    v: CX.7 + CX.8
mapping:
  identity:
    v: rim
  map:
    v: Role.effectiveTime or implied by context
mapping:
  identity:
    v: servd
  map:
    v: ./StartDate and ./EndDate

id:
  v: Patient.identifier:pid.assigner
path:
  v: Patient.identifier.assigner
short:
  v: Organization that issued id (may be just text)
definition:
  v: Organization that issued/manages the identifier.
comment:
  v: The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.assigner
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ref-1
  severity:
    v: error
  human:
    v: SHALL have a contained resource if a local reference is provided
  expression:
    v: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  xpath:
    v: not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Reference
    l: Reference
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / (CX.4,CX.9,CX.10)
mapping:
  identity:
    v: rim
  map:
    v: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierIssuingAuthority

id:
  v: Patient.identifier:pid.assigner.id
path:
  v: Patient.identifier.assigner.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.identifier:pid.assigner.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.identifier.assigner.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.identifier:pid.assigner.reference
path:
  v: Patient.identifier.assigner.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
condition:
  v: ref-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.identifier:pid.assigner.type
path:
  v: Patient.identifier.assigner.type
short:
  v: Type the reference refers to (e.g. "Patient")
definition:
  v: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
comment:
  v: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: FHIRResourceTypeExt
  strength:
    v: extensible
  description:
    v: Aa resource (or, for logical models, the URI of the logical model).
  value set:
    v: http://hl7.org/fhir/ValueSet/resource-types
    l: resource-types
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.identifier:pid.assigner.identifier
path:
  v: Patient.identifier.assigner.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CX / EI (occasionally, more often EI maps to a resource id or a URL)
mapping:
  identity:
    v: rim
  map:
    v: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
mapping:
  identity:
    v: servd
  map:
    v: Identifier
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Patient.identifier:pid.assigner.identifier.id
path:
  v: Patient.identifier.assigner.identifier.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.identifier:pid.assigner.identifier.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.identifier.assigner.identifier.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.identifier:pid.assigner.identifier.use
path:
  v: Patient.identifier.assigner.identifier.use
short:
  v: usual | official | temp | secondary | old (If known)
definition:
  v: The purpose of this identifier.
comment:
  v: Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
requirements:
  v: Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.use
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierUse
  strength:
    v: required
  description:
    v: Identifies the purpose for this identifier, if known .
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    l: http://hl7.org/fhir/ValueSet/identifier-use
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: Patient.identifier:pid.assigner.identifier.type
path:
  v: Patient.identifier.assigner.identifier.type
short:
  v: Description of identifier
definition:
  v: A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
comment:
  v: This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
requirements:
  v: Allows users to make use of identifiers when the identifier system is not known.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
pattern: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0203
      l: v2-0203
    code:
      v: XX
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierType
  strength:
    v: extensible
  description:
    v: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-type
    l: identifier-type
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CE/CNE/CWE
mapping:
  identity:
    v: rim
  map:
    v: CD
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept rdfs:subClassOf dt:CD
mapping:
  identity:
    v: v2
  map:
    v: CX.5
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: Patient.identifier:pid.assigner.identifier.system
path:
  v: Patient.identifier.assigner.identifier.system
short:
  v: The namespace for the identifier value
definition:
  v: Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
comment:
  v: Identifier.system is always case sensitive.
requirements:
  v: There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
example:
  label:
    v: General
  value: Uri
    v: http://www.acme.com/identifiers/patient
    l: patient
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: mii-pat-2
  severity:
    v: error
  human:
    v: Entweder IKNR oder MII Core Location Identifier muss verwendet werden
  expression:
    v: $this = 'http://fhir.de/sid/arge-ik/iknr' or $this = 'https://www.medizininformatik-initiative.de/fhir/core/CodeSystem/core-location-identifier'
  source:
    v: https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient
    l: Patient
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / EI-2-4
mapping:
  identity:
    v: rim
  map:
    v: II.root or Role.id.root
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierType

id:
  v: Patient.identifier:pid.assigner.identifier.value
path:
  v: Patient.identifier.assigner.identifier.value
short:
  v: The value that is unique
definition:
  v: The portion of the identifier typically relevant to the user and which is unique within the context of the system.
comment:
  v: If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.value
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
example:
  label:
    v: General
  value: String
    v: 123456
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: CX.1 / EI.1
mapping:
  identity:
    v: rim
  map:
    v: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
mapping:
  identity:
    v: servd
  map:
    v: ./Value

id:
  v: Patient.identifier:pid.assigner.identifier.period
path:
  v: Patient.identifier.assigner.identifier.period
short:
  v: Time period when id is/was valid for use
definition:
  v: Time period during which identifier is/was valid for use.
comment:
  v: A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: per-1
  severity:
    v: error
  human:
    v: If present, start SHALL have a lower value than end
  expression:
    v: start.hasValue().not() or end.hasValue().not() or (start <= end)
  xpath:
    v: not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Period
    l: Period
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: DR
mapping:
  identity:
    v: rim
  map:
    v: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
mapping:
  identity:
    v: v2
  map:
    v: CX.7 + CX.8
mapping:
  identity:
    v: rim
  map:
    v: Role.effectiveTime or implied by context
mapping:
  identity:
    v: servd
  map:
    v: ./StartDate and ./EndDate

id:
  v: Patient.identifier:pid.assigner.identifier.assigner
path:
  v: Patient.identifier.assigner.identifier.assigner
short:
  v: Organization that issued id (may be just text)
definition:
  v: Organization that issued/manages the identifier.
comment:
  v: The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.assigner
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ref-1
  severity:
    v: error
  human:
    v: SHALL have a contained resource if a local reference is provided
  expression:
    v: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  xpath:
    v: not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Reference
    l: Reference
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / (CX.4,CX.9,CX.10)
mapping:
  identity:
    v: rim
  map:
    v: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierIssuingAuthority

id:
  v: Patient.identifier:pid.assigner.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Patient.identifier.assigner.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.active
path:
  v: Patient.active
short:
  v: Whether this patient's record is in active use
definition:
  v: Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.
comment:
  v: If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.
requirements:
  v: Need to be able to mark a patient record as not to be used because it was created in error.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Patient.active
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
meaning when missing:
  v: This resource is generally assumed to be active if no value is provided for the active element
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: rim
  map:
    v: statusCode
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Patient.name
path:
  v: Patient.name
slicing:
  discriminator:
    type:
      v: pattern
    path:
      v: $this
  rules:
    v: open
short:
  v: Name
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Name
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Name
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Name der Patientin oder des Patienten
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Name der Patientin oder des Patienten
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: A name associated with the patient
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
requirements:
  v: Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
min:
  v: 1
max:
  v: *
base:
  path:
    v: Patient.name
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: HumanName
    l: HumanName
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: XPN
mapping:
  identity:
    v: rim
  map:
    v: EN (actually, PN)
mapping:
  identity:
    v: servd
  map:
    v: ProviderName
mapping:
  identity:
    v: v2
  map:
    v: PID-5, PID-9
mapping:
  identity:
    v: rim
  map:
    v: name
mapping:
  identity:
    v: cda
  map:
    v: .patient.name

id:
  v: Patient.name:name
path:
  v: Patient.name
slice name:
  v: name
short:
  v: Personenname
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Personenname
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Person's name
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Personenname mit in Deutschland üblichen Namensbestandteilen
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Personenname mit in Deutschland üblichen Namensbestandteilen
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: A person's name with components typically used in Germany
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.
requirements:
  v: Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Patient.name
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: HumanName
    l: HumanName
  profile:
    v: http://fhir.de/StructureDefinition/humanname-de-basis
    l: humanname-de-basis
pattern: HumanName
  use:
    v: official
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: hum-1
  severity:
    v: error
  human:
    v: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
  expression:
    v: family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()
  source:
    v: http://fhir.de/StructureDefinition/humanname-de-basis
    l: humanname-de-basis
constraint:
  key:
    v: hum-2
  severity:
    v: error
  human:
    v: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
  expression:
    v: family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()
  source:
    v: http://fhir.de/StructureDefinition/humanname-de-basis
    l: humanname-de-basis
constraint:
  key:
    v: hum-3
  severity:
    v: error
  human:
    v: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
  expression:
    v: family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()
  source:
    v: http://fhir.de/StructureDefinition/humanname-de-basis
    l: humanname-de-basis
constraint:
  key:
    v: hum-4
  severity:
    v: error
  human:
    v: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden
  expression:
    v: prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())
  source:
    v: http://fhir.de/StructureDefinition/humanname-de-basis
    l: humanname-de-basis
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: XPN
mapping:
  identity:
    v: rim
  map:
    v: EN (actually, PN)
mapping:
  identity:
    v: servd
  map:
    v: ProviderName
mapping:
  identity:
    v: v2
  map:
    v: PID-5, PID-9
mapping:
  identity:
    v: rim
  map:
    v: name
mapping:
  identity:
    v: cda
  map:
    v: .patient.name

id:
  v: Patient.name:name.id
path:
  v: Patient.name.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.name:name.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.name.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.name:name.use
path:
  v: Patient.name.use
short:
  v: usual | official | temp | nickname | anonymous | old | maiden
definition:
  v: Identifies the purpose for this name.
comment:
  v: Applications can assume that a name is current unless it explicitly says that it is temporary or old.
requirements:
  v: Allows the appropriate name for a particular context of use to be selected from among a set of names.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: HumanName.use
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: true
is modifier reason:
  v: This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: NameUse
  strength:
    v: required
  description:
    v: The use of a human name.
  value set:
    v: http://hl7.org/fhir/ValueSet/name-use|4.0.1
    l: http://hl7.org/fhir/ValueSet/name-use
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: XPN.7, but often indicated by which field contains the name
mapping:
  identity:
    v: rim
  map:
    v: unique(./use)
mapping:
  identity:
    v: servd
  map:
    v: ./NamePurpose

id:
  v: Patient.name:name.text
path:
  v: Patient.name.text
short:
  v: Text representation of the full name
definition:
  v: Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.
comment:
  v: Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
requirements:
  v: A renderable, unencoded form.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: HumanName.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: implied by XPN.11
mapping:
  identity:
    v: rim
  map:
    v: ./formatted

id:
  v: Patient.name:name.family
path:
  v: Patient.name.family
short:
  v: Familienname
definition:
  v: Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.
comment:
  v: Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
alias:
  v: surname
min:
  v: 1
max:
  v: 1
base:
  path:
    v: HumanName.family
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: XPN.1/FN.1
mapping:
  identity:
    v: rim
  map:
    v: ./part[partType = FAM]
mapping:
  identity:
    v: servd
  map:
    v: ./FamilyName

id:
  v: Patient.name:name.family.id
path:
  v: Patient.name.family.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.name:name.family.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.name.family.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.name:name.family.extension:namenszusatz
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.name.family.extension
slice name:
  v: namenszusatz
short:
  v: Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
definition:
  v: Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst
comment:
  v: Die Extension wurde erstellt aufgrund der Anforderung, die auf der eGK vorhandenen Patientenstammdaten in FHIR abbilden zu können. Auf der eGK werden die Namensbestandteile "Namenszusatz" und "Vorsatzwort" getrennt vom Nachnamen gespeichert. Anhand der Liste der zulässigen Namenszusätze ist deutlich erkennbar, dass es sich hierbei sinngemäß um Adelstitel handelt. Das Vorsatzwort kann durch die Core-Extension own-prefix (Canonical: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix) abgebildet werden, für den Namenszusatz ergibt sich jedoch die Notwendikeit einer nationalen Extension, da in andern Ländern Adelstitel entweder gar nicht oder als reguläres Namenspräfix erfasst werden.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://fhir.de/StructureDefinition/humanname-namenszusatz
    l: humanname-namenszusatz
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.name:name.family.extension:nachname
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.name.family.extension
slice name:
  v: nachname
short:
  v: Nachname ohne Vor- und Zusätze
definition:
  v: Nachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens.
comment:
  v: If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's "maiden name".
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/humanname-own-name
    l: humanname-own-name
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A
mapping:
  identity:
    v: v2
  map:
    v: FN.3
mapping:
  identity:
    v: rim
  map:
    v: ENXP where Qualifiers = (BR)

id:
  v: Patient.name:name.family.extension:vorsatzwort
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.name.family.extension
slice name:
  v: vorsatzwort
short:
  v: Vorsatzwort
definition:
  v: Vorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK")
comment:
  v: An example of a voorvoegsel is the "van" in "Ludwig van Beethoven". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
    l: humanname-own-prefix
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A
mapping:
  identity:
    v: v2
  map:
    v: FN.2
mapping:
  identity:
    v: rim
  map:
    v: ENXP where Qualifiers = (VV, R)

id:
  v: Patient.name:name.family.value
path:
  v: Patient.name.family.value
representation:
  v: xmlAttr
short:
  v: Primitive value for string
definition:
  v: Primitive value for string
min:
  v: 0
max:
  v: 1
base:
  path:
    v: string.value
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/regex
      l: regex
    value: String
      v: [ \r\n\t\S]+
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
max length:
  v: 1048576

id:
  v: Patient.name:name.given
path:
  v: Patient.name.given
short:
  v: Vorname
definition:
  v: Vorname der Person
comment:
  v: If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
alias:
  v: first name
alias:
  v: middle name
min:
  v: 1
max:
  v: *
base:
  path:
    v: HumanName.given
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: string
    l: string
order meaning:
  v: Given Names appear in the correct order for presenting the name
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: XPN.2 + XPN.3
mapping:
  identity:
    v: rim
  map:
    v: ./part[partType = GIV]
mapping:
  identity:
    v: servd
  map:
    v: ./GivenNames

id:
  v: Patient.name:name.prefix
path:
  v: Patient.name.prefix
short:
  v: Namensteile vor dem Vornamen
definition:
  v: Namensteile vor dem Vornamen, z.B. akademischer Titel.
comment:
  v: Note that FHIR strings SHALL NOT exceed 1MB in size
min:
  v: 0
max:
  v: *
base:
  path:
    v: HumanName.prefix
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: string
    l: string
order meaning:
  v: Prefixes appear in the correct order for presenting the name
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: XPN.5
mapping:
  identity:
    v: rim
  map:
    v: ./part[partType = PFX]
mapping:
  identity:
    v: servd
  map:
    v: ./TitleCode

id:
  v: Patient.name:name.prefix.id
path:
  v: Patient.name.prefix.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.name:name.prefix.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.name.prefix.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.name:name.prefix.extension:prefix-qualifier
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.name.prefix.extension
slice name:
  v: prefix-qualifier
short:
  v: LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
definition:
  v: Spezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel
comment:
  v: Used to indicate additional information about the name part and how it should be used.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
    l: iso21090-EN-qualifier
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: true
is modifier:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: ENXP.qualifier

id:
  v: Patient.name:name.prefix.value
path:
  v: Patient.name.prefix.value
representation:
  v: xmlAttr
short:
  v: Primitive value for string
definition:
  v: Primitive value for string
min:
  v: 0
max:
  v: 1
base:
  path:
    v: string.value
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/regex
      l: regex
    value: String
      v: [ \r\n\t\S]+
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
max length:
  v: 1048576

id:
  v: Patient.name:name.suffix
path:
  v: Patient.name.suffix
short:
  v: Namensteile nach dem Nachnamen
definition:
  v: Namensteile nach dem Nachnamen
comment:
  v: Note that FHIR strings SHALL NOT exceed 1MB in size
min:
  v: 0
max:
  v: *
base:
  path:
    v: HumanName.suffix
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: string
    l: string
order meaning:
  v: Suffixes appear in the correct order for presenting the name
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: XPN/4
mapping:
  identity:
    v: rim
  map:
    v: ./part[partType = SFX]

id:
  v: Patient.name:name.period
path:
  v: Patient.name.period
short:
  v: Time period when name was/is in use
definition:
  v: Indicates the period of time when this name was valid for the named person.
comment:
  v: A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).
requirements:
  v: Allows names to be placed in historical context.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: HumanName.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: per-1
  severity:
    v: error
  human:
    v: If present, start SHALL have a lower value than end
  expression:
    v: start.hasValue().not() or end.hasValue().not() or (start <= end)
  xpath:
    v: not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Period
    l: Period
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: DR
mapping:
  identity:
    v: rim
  map:
    v: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
mapping:
  identity:
    v: v2
  map:
    v: XPN.13 + XPN.14
mapping:
  identity:
    v: rim
  map:
    v: ./usablePeriod[type="IVL<TS>"]
mapping:
  identity:
    v: servd
  map:
    v: ./StartDate and ./EndDate

id:
  v: Patient.name:geburtsname
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.name
slice name:
  v: geburtsname
short:
  v: Geburtsname
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Geburtsname
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Maiden name
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Name, der vor einer Namensänderung aufgrund von Heirat verwendet wurde
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Name, der vor einer Namensänderung aufgrund von Heirat verwendet wurde.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: A name used prior to changing name because of marriage.
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.
requirements:
  v: Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Patient.name
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: HumanName
    l: HumanName
  profile:
    v: http://fhir.de/StructureDefinition/humanname-de-basis
    l: humanname-de-basis
pattern: HumanName
  use:
    v: maiden
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: hum-1
  severity:
    v: error
  human:
    v: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
  expression:
    v: family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()
  source:
    v: http://fhir.de/StructureDefinition/humanname-de-basis
    l: humanname-de-basis
constraint:
  key:
    v: hum-2
  severity:
    v: error
  human:
    v: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
  expression:
    v: family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()
  source:
    v: http://fhir.de/StructureDefinition/humanname-de-basis
    l: humanname-de-basis
constraint:
  key:
    v: hum-3
  severity:
    v: error
  human:
    v: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
  expression:
    v: family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()
  source:
    v: http://fhir.de/StructureDefinition/humanname-de-basis
    l: humanname-de-basis
constraint:
  key:
    v: hum-4
  severity:
    v: error
  human:
    v: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden
  expression:
    v: prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())
  source:
    v: http://fhir.de/StructureDefinition/humanname-de-basis
    l: humanname-de-basis
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: XPN
mapping:
  identity:
    v: rim
  map:
    v: EN (actually, PN)
mapping:
  identity:
    v: servd
  map:
    v: ProviderName
mapping:
  identity:
    v: v2

v: PID-5, PID-9

identity:
  v: rim
map:
  v: name

identity:
  v: cda
map:
  v: .patient.name

id:
  v: Patient.name:geburtsname.id
path:
  v: Patient.name.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.name:geburtsname.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.name.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.name:geburtsname.use
path:
  v: Patient.name.use
short:
  v: usual | official | temp | nickname | anonymous | old | maiden
definition:
  v: Identifies the purpose for this name.
comment:
  v: Applications can assume that a name is current unless it explicitly says that it is temporary or old.
requirements:
  v: Allows the appropriate name for a particular context of use to be selected from among a set of names.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: HumanName.use
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: true
is modifier reason:
  v: This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: NameUse
  strength:
    v: required
  description:
    v: The use of a human name.
  value set:
    v: http://hl7.org/fhir/ValueSet/name-use|4.0.1
    l: http://hl7.org/fhir/ValueSet/name-use
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: XPN.7, but often indicated by which field contains the name
mapping:
  identity:
    v: rim
  map:
    v: unique(./use)
mapping:
  identity:
    v: servd
  map:
    v: ./NamePurpose

id:
  v: Patient.name:geburtsname.text
path:
  v: Patient.name.text
short:
  v: Text representation of the full name
definition:
  v: Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.
comment:
  v: Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
requirements:
  v: A renderable, unencoded form.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: HumanName.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: implied by XPN.11
mapping:
  identity:
    v: rim
  map:
    v: ./formatted

id:
  v: Patient.name:geburtsname.family
path:
  v: Patient.name.family
short:
  v: Familienname
definition:
  v: Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.
comment:
  v: Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
alias:
  v: surname
min:
  v: 1
max:
  v: 1
base:
  path:
    v: HumanName.family
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: XPN.1/FN.1
mapping:
  identity:
    v: rim
  map:
    v: ./part[partType = FAM]
mapping:
  identity:
    v: servd
  map:
    v: ./FamilyName

id:
  v: Patient.name:geburtsname.family.id
path:
  v: Patient.name.family.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.name:geburtsname.family.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.name.family.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.name:geburtsname.family.extension:namenszusatz
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.name.family.extension
slice name:
  v: namenszusatz
short:
  v: Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
definition:
  v: Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst
comment:
  v: Die Extension wurde erstellt aufgrund der Anforderung, die auf der eGK vorhandenen Patientenstammdaten in FHIR abbilden zu können. Auf der eGK werden die Namensbestandteile "Namenszusatz" und "Vorsatzwort" getrennt vom Nachnamen gespeichert. Anhand der Liste der zulässigen Namenszusätze ist deutlich erkennbar, dass es sich hierbei sinngemäß um Adelstitel handelt. Das Vorsatzwort kann durch die Core-Extension own-prefix (Canonical: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix) abgebildet werden, für den Namenszusatz ergibt sich jedoch die Notwendikeit einer nationalen Extension, da in andern Ländern Adelstitel entweder gar nicht oder als reguläres Namenspräfix erfasst werden.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://fhir.de/StructureDefinition/humanname-namenszusatz
    l: humanname-namenszusatz
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.name:geburtsname.family.extension:nachname
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.name.family.extension
slice name:
  v: nachname
short:
  v: Nachname ohne Vor- und Zusätze
definition:
  v: Nachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens.
comment:
  v: If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's "maiden name".
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/humanname-own-name
    l: humanname-own-name
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A
mapping:
  identity:
    v: v2
  map:
    v: FN.3
mapping:
  identity:
    v: rim
  map:
    v: ENXP where Qualifiers = (BR)

id:
  v: Patient.name:geburtsname.family.extension:vorsatzwort
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.name.family.extension
slice name:
  v: vorsatzwort
short:
  v: Vorsatzwort
definition:
  v: Vorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK")
comment:
  v: An example of a voorvoegsel is the "van" in "Ludwig van Beethoven". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
    l: humanname-own-prefix
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A
mapping:
  identity:
    v: v2
  map:
    v: FN.2
mapping:
  identity:
    v: rim
  map:
    v: ENXP where Qualifiers = (VV, R)

id:
  v: Patient.name:geburtsname.family.value
path:
  v: Patient.name.family.value
representation:
  v: xmlAttr
short:
  v: Primitive value for string
definition:
  v: Primitive value for string
min:
  v: 0
max:
  v: 1
base:
  path:
    v: string.value
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/regex
      l: regex
    value: String
      v: [ \r\n\t\S]+
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
max length:
  v: 1048576

id:
  v: Patient.name:geburtsname.given
path:
  v: Patient.name.given
short:
  v: Vorname
definition:
  v: Vorname der Person
comment:
  v: If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
alias:
  v: first name
alias:
  v: middle name
min:
  v: 0
max:
  v: 0
base:
  path:
    v: HumanName.given
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: string
    l: string
order meaning:
  v: Given Names appear in the correct order for presenting the name
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: XPN.2 + XPN.3
mapping:
  identity:
    v: rim
  map:
    v: ./part[partType = GIV]
mapping:
  identity:
    v: servd
  map:
    v: ./GivenNames

id:
  v: Patient.name:geburtsname.prefix
path:
  v: Patient.name.prefix
short:
  v: Namensteile vor dem Vornamen
definition:
  v: Namensteile vor dem Vornamen, z.B. akademischer Titel.
comment:
  v: Note that FHIR strings SHALL NOT exceed 1MB in size
min:
  v: 0
max:
  v: 0
base:
  path:
    v: HumanName.prefix
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: string
    l: string
order meaning:
  v: Prefixes appear in the correct order for presenting the name
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: XPN.5
mapping:
  identity:
    v: rim
  map:
    v: ./part[partType = PFX]
mapping:
  identity:
    v: servd
  map:
    v: ./TitleCode

id:
  v: Patient.name:geburtsname.prefix.id
path:
  v: Patient.name.prefix.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.name:geburtsname.prefix.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.name.prefix.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.name:geburtsname.prefix.extension:prefix-qualifier
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.name.prefix.extension
slice name:
  v: prefix-qualifier
short:
  v: LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
definition:
  v: Spezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel
comment:
  v: Used to indicate additional information about the name part and how it should be used.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
    l: iso21090-EN-qualifier
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: true
is modifier:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: ENXP.qualifier

id:
  v: Patient.name:geburtsname.prefix.value
path:
  v: Patient.name.prefix.value
representation:
  v: xmlAttr
short:
  v: Primitive value for string
definition:
  v: Primitive value for string
min:
  v: 0
max:
  v: 1
base:
  path:
    v: string.value
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/regex
      l: regex
    value: String
      v: [ \r\n\t\S]+
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
max length:
  v: 1048576

id:
  v: Patient.name:geburtsname.suffix
path:
  v: Patient.name.suffix
short:
  v: Namensteile nach dem Nachnamen
definition:
  v: Namensteile nach dem Nachnamen
comment:
  v: Note that FHIR strings SHALL NOT exceed 1MB in size
min:
  v: 0
max:
  v: *
base:
  path:
    v: HumanName.suffix
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: string
    l: string
order meaning:
  v: Suffixes appear in the correct order for presenting the name
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: XPN/4
mapping:
  identity:
    v: rim
  map:
    v: ./part[partType = SFX]

id:
  v: Patient.name:geburtsname.period
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.name.period
short:
  v: Time period when name was/is in use
definition:
  v: Indicates the period of time when this name was valid for the named person.
comment:
  v: A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).
requirements:
  v: Allows names to be placed in historical context.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: HumanName.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: per-1
  severity:
    v: error
  human:
    v: If present, start SHALL have a lower value than end
  expression:
    v: start.hasValue().not() or end.hasValue().not() or (start <= end)
  xpath:
    v: not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Period
    l: Period
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: DR
mapping:
  identity:
    v: rim
  map:
    v: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
mapping:
  identity:
    v: v2
  map:
    v: XPN.13 + XPN.14
mapping:
  identity:
    v: rim
  map:
    v: ./usablePeriod[type="IVL<TS>"]
mapping:
  identity:
    v: servd
  map:
    v: ./StartDate and ./EndDate

id:
  v: Patient.telecom
path:
  v: Patient.telecom
short:
  v: A contact detail for the individual
definition:
  v: A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.
comment:
  v: A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).
requirements:
  v: People have (primary) ways to contact them in some way such as phone, email.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Patient.telecom
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: ContactPoint
    l: ContactPoint
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: cpt-2
  severity:
    v: error
  human:
    v: A system is required if a value is provided.
  expression:
    v: value.empty() or system.exists()
  xpath:
    v: not(exists(f:value)) or exists(f:system)
  source:
    v: http://hl7.org/fhir/StructureDefinition/ContactPoint
    l: ContactPoint
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: XTN
mapping:
  identity:
    v: rim
  map:
    v: TEL
mapping:
  identity:
    v: servd
  map:
    v: ContactPoint
mapping:
  identity:
    v: v2
  map:
    v: PID-13, PID-14, PID-40
mapping:
  identity:
    v: rim
  map:
    v: telecom
mapping:
  identity:
    v: cda
  map:
    v: .telecom

id:
  v: Patient.gender
path:
  v: Patient.gender
short:
  v: Administratives Geschlecht
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Administratives Geschlecht
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Administrative gender
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: männlich | weiblich | andere | unbekannt | unbestimmt | divers
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: männlich | weiblich | andere | unbekannt | unbestimmt | divers
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: male | female | other | unknown | undetermined | diverse
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.
requirements:
  v: Needed for identification of the individual, in combination with (at least) name and birth date.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Patient.gender
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: AdministrativeGender
  strength:
    v: required
  description:
    v: The gender of a person used for administrative purposes.
  value set:
    v: http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
    l: http://hl7.org/fhir/ValueSet/administrative-gender
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: PID-8
mapping:
  identity:
    v: rim
  map:
    v: player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
mapping:
  identity:
    v: cda
  map:
    v: .patient.administrativeGenderCode

id:
  v: Patient.gender.id
path:
  v: Patient.gender.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.gender.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.gender.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.gender.extension:other-amtlich
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.gender.extension
slice name:
  v: other-amtlich
short:
  v: Extension Administratives Geschlecht
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Extension Administratives Geschlecht
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Extension administrative gender
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Extension zur genaueren Differenzierung des administrativen Geschlechts
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Extension zur genaueren Differenzierung des administrativen Geschlechts
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Extension for detailed differentiation of administrative gender
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://fhir.de/StructureDefinition/gender-amtlich-de
    l: gender-amtlich-de
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.gender.value
path:
  v: Patient.gender.value
representation:
  v: xmlAttr
short:
  v: Primitive value for code
definition:
  v: Primitive value for code
min:
  v: 0
max:
  v: 1
base:
  path:
    v: string.value
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: code
      l: code
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/regex
      l: regex
    value: String
      v: [^\s]+(\s[^\s]+)*
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
max length:
  v: 1048576

id:
  v: Patient.birthDate
path:
  v: Patient.birthDate
short:
  v: Geburtsdatum
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Geburtsdatum
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Date of birth
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Das Geburtsdatum der Patientin oder des Patienten
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Das Geburtsdatum der Patientin oder des Patienten
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: The date of birth for the individual
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
comment:
  v: At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).
requirements:
  v: Age of the individual drives many clinical processes.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Patient.birthDate
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: date
    l: date
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: v2
  map:
    v: PID-7
mapping:
  identity:
    v: rim
  map:
    v: player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime
mapping:
  identity:
    v: cda
  map:
    v: .patient.birthTime
mapping:
  identity:
    v: loinc
  map:
    v: 21112-8

id:
  v: Patient.birthDate.id
path:
  v: Patient.birthDate.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Patient.birthDate.extension
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.birthDate.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Patient.birthDate.extension:data-absent-reason
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: normative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version
    l: structuredefinition-normative-version
  value: Code
    v: 4.0.0
path:
  v: Patient.birthDate.extension
slice name:
  v: data-absent-reason
short:
  v: unknown | asked | temp | notasked | masked | unsupported | astext | error
definition:
  v: Provides a reason why the expected value or elements in the element that is extended are missing.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
    l: data-absent-reason
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: n/a
mapping:
  identity:
    v: rim
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: ANY.nullFlavor

id:
  v: Patient.birthDate.value
path:
  v: Patient.birthDate.value
representation:
  v: xmlAttr
short:
  v: Primitive value for date
definition:
  v: Primitive value for date
min:
  v: 0
max:
  v: 1
base:
  path:
    v: date.value
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: date
      l: date
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/regex
      l: regex
    value: String
      v: ([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)(-(0[1-9]|1[0-2])(-(0[1-9]|[1-2][0-9]|3[0-1]))?)?
  code:
    v: http://hl7.org/fhirpath/System.Date
    l: System.Date

id:
  v: Patient.deceased[x]
path:
  v: Patient.deceased[x]
short:
  v: Verstorben
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: de-DE
    extension:
      url:
        v: content
        l: content
      value: String
        v: Verstorben
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
  extension:
    extension:
      url:
        v: lang
        l: lang
      value: Code
        v: en-US
    extension:
      url:
        v: content
        l: content
      value: String
        v: Deceased
    url:
      v: http://hl7.org/fhir/StructureDefinition/translation
      l: translation
definition:
  v: Gibt an, ob die Person verstorben ist oder nicht