MII_IG_Person - Local Development build (v2025.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: MII PR Person Patient (Pseudonymisiert)

Dieses Profil beschreibt einen pseudonymisierten Patient*in in der Medizininformatik-Initiative.

Usage:

• Examples for this Resource Profile: Patient/mii-exa-person-patient-pseudonymisiert
• CapabilityStatements using this Resource Profile: MII CPS Person CapabilityStatement

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: 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 dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label mii-pat-1: Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣ	1..*	Identifier	Identifier Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
identifier:PseudonymisierterIdentifier	SΣ	0..*	Identifier	Pseudonymisierter Identifikator ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PSEUDED
identifier:AnonymisierterIdentifier	SΣ	0..*	Identifier	Anonymisierter Identifikator ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ANONYED
active	?!SΣ	0..1	boolean	Active ele-1: All FHIR elements must have a @value or children
gender	SΣ	0..1	code	Administrative gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:other-amtlich	S	0..1	Coding	Extension administrative gender URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
birthDate	SΣC	0..1	date	Date of birth ele-1: All FHIR elements must have a @value or children pat-pseuded-1: Das Geburtsdatum MUSS auf Quartal und Jahr vergröbert werden. Das Jahr SOLLTE NICHT verändert werden. Wenn vorhanden, MUSS der Monat auf den ersten Monat des Quartals abgerundet werden. Die Angabe des Tags ist OPTIONAL. Wenn vorhanden, MUSS der Tag auf den ersten des Monats abgerundet werden. Die Datumsangabe MUSS entweder vierstellig, siebenstellig oder zehnstellig sein.
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
deceasedBoolean			boolean
deceasedDateTime			dateTime
Slices for address	SΣ	0..*	Address	Address Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
address:Strassenanschrift	SΣC	0..*	AddressDeBasis	Street address ele-1: All FHIR elements must have a @value or children pat-cnt-2or3-char: The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. Required Pattern: At least the following
type		1..1	code	postal | physical | both Fixed Value: both
Slices for extension				Content/Rules for all slices
extension:Stadtteil	N	0..1	string	Stadt- oder Ortsteil URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
type	SΣ	1..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). ele-1: All FHIR elements must have a @value or children Example General: both
line	Σ	0..3	string	Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung ele-1: All FHIR elements must have a @value or children This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street Example Beipiel für Adresszeile mit Extensions für Straße und Hausnummer: Musterweg 42
Slices for extension				Content/Rules for all slices
extension:Strasse	N	0..1	string	Strassenname (ohne Hausnummer) URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:Hausnummer	N	0..1	string	Hausnummer URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:Adresszusatz	N	0..1	string	Adresszusatz URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:Postfach	N	0..1	string	Postfach URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
city	Σ	0..1	string	Name of city, town etc. ele-1: All FHIR elements must have a @value or children Example General: Erewhon
Slices for extension				Content/Rules for all slices
extension:gemeindeschluessel	S	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/destatis/ags ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
postalCode	SΣC	1..1	string	Postleitzahl ele-1: All FHIR elements must have a @value or children pat-pseuded-2: Die Postleitzahl MUSS auf die ersten beiden Ziffern vergröbert werden. Example General: 9132
country	SΣ	1..1	string	Staat Binding: Iso3166-1-2 (preferred) ele-1: All FHIR elements must have a @value or children
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
other	ΣC	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.country	preferred	Iso3166-1-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mii-pat-1	error	Patient	Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden : gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
pat-cnt-2or3-char	warning	Patient.address:Strassenanschrift	The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. : country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
pat-pseuded-1	error	Patient.birthDate	Das Geburtsdatum MUSS auf Quartal und Jahr vergröbert werden. Das Jahr SOLLTE NICHT verändert werden. Wenn vorhanden, MUSS der Monat auf den ersten Monat des Quartals abgerundet werden. Die Angabe des Tags ist OPTIONAL. Wenn vorhanden, MUSS der Tag auf den ersten des Monats abgerundet werden. Die Datumsangabe MUSS entweder vierstellig, siebenstellig oder zehnstellig sein. : toString().matches('^\\d{4}(-(01|04|07|10)(-01)?)?$')
pat-pseuded-2	error	Patient.address:Strassenanschrift.postalCode	Die Postleitzahl MUSS auf die ersten beiden Ziffern vergröbert werden. : length() = 2
ref-1	error	Patient.link.other	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services mii-pat-1: Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden
id	S	0..1	id	Logical id of this artifact
meta	S	0..1	Meta	Metadata about the resource
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Slices for identifier	S	1..*	Identifier	Identifier Slice: Unordered, Open by pattern:$this
identifier:PseudonymisierterIdentifier	S	0..*	Identifier	Pseudonymisierter Identifikator Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PSEUDED
identifier:AnonymisierterIdentifier	S	0..*	Identifier	Anonymisierter Identifikator Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ANONYED
active	S	0..1	boolean	Active
gender	S	0..1	code	Administrative gender
Slices for extension				Content/Rules for all slices
extension:other-amtlich	S	0..1	Coding	Extension administrative gender URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required)
birthDate	SC	0..1	date	Date of birth pat-pseuded-1: Das Geburtsdatum MUSS auf Quartal und Jahr vergröbert werden. Das Jahr SOLLTE NICHT verändert werden. Wenn vorhanden, MUSS der Monat auf den ersten Monat des Quartals abgerundet werden. Die Angabe des Tags ist OPTIONAL. Wenn vorhanden, MUSS der Tag auf den ersten des Monats abgerundet werden. Die Datumsangabe MUSS entweder vierstellig, siebenstellig oder zehnstellig sein.
Slices for address	S	0..*	Address	Address Slice: Unordered, Open by pattern:$this
address:Strassenanschrift	SC	0..*	AddressDeBasis	Street address pat-cnt-2or3-char: The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. Required Pattern: At least the following
type		1..1	code	postal | physical | both Fixed Value: both
type	S	1..1	code	postal | physical | both
city
Slices for extension				Content/Rules for all slices
extension:gemeindeschluessel	S	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/destatis/ags
postalCode	SC	1..1	string	Postleitzahl pat-pseuded-2: Die Postleitzahl MUSS auf die ersten beiden Ziffern vergröbert werden.
country	S	1..1	string	Staat
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
mii-pat-1	error	Patient	Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden : gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
pat-cnt-2or3-char	warning	Patient.address:Strassenanschrift	The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. : country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
pat-pseuded-1	error	Patient.birthDate	Das Geburtsdatum MUSS auf Quartal und Jahr vergröbert werden. Das Jahr SOLLTE NICHT verändert werden. Wenn vorhanden, MUSS der Monat auf den ersten Monat des Quartals abgerundet werden. Die Angabe des Tags ist OPTIONAL. Wenn vorhanden, MUSS der Tag auf den ersten des Monats abgerundet werden. Die Datumsangabe MUSS entweder vierstellig, siebenstellig oder zehnstellig sein. : toString().matches('^\\d{4}(-(01|04|07|10)(-01)?)?$')
pat-pseuded-2	error	Patient.address:Strassenanschrift.postalCode	Die Postleitzahl MUSS auf die ersten beiden Ziffern vergröbert werden. : length() = 2

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services mii-pat-1: Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣ	1..*	Identifier	Identifier Slice: Unordered, Open by pattern:$this
identifier:PseudonymisierterIdentifier	SΣ	0..*	Identifier	Pseudonymisierter Identifikator Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PSEUDED
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:AnonymisierterIdentifier	SΣ	0..*	Identifier	Anonymisierter Identifikator Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ANONYED
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!SΣ	0..1	boolean	Active
name	Σ	0..*	HumanName	A name associated with the patient
telecom	ΣC	0..*	ContactPoint	A contact detail for the individual cpt-2: A system is required if a value is provided.
gender	SΣ	0..1	code	Administrative gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:other-amtlich	S	0..1	Coding	Extension administrative gender URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required)
value		0..1	code	Primitive value for code Max Length:1048576
birthDate	SΣC	0..1	date	Date of birth pat-pseuded-1: Das Geburtsdatum MUSS auf Quartal und Jahr vergröbert werden. Das Jahr SOLLTE NICHT verändert werden. Wenn vorhanden, MUSS der Monat auf den ersten Monat des Quartals abgerundet werden. Die Angabe des Tags ist OPTIONAL. Wenn vorhanden, MUSS der Tag auf den ersten des Monats abgerundet werden. Die Datumsangabe MUSS entweder vierstellig, siebenstellig oder zehnstellig sein.
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
Slices for address	SΣ	0..*	Address	Address Slice: Unordered, Open by pattern:$this
address:Strassenanschrift	SΣC	0..*	AddressDeBasis	Street address pat-cnt-2or3-char: The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	home | work | temp | old | billing - purpose of this address
type		1..1	code	postal | physical | both Fixed Value: both
text		0..1	string	Text representation of the address
line		0..*	string	Street name, number, direction & P.O. Box etc.
city		0..1	string	Name of city, town etc.
district		0..1	string	District name (aka county)
state		0..1	string	Sub-unit of country (abbreviations ok)
postalCode		0..1	string	Postal code for area
country		0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period		0..1	Period	Time period when address was/is in use
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:Stadtteil	N	0..1	string	Stadt- oder Ortsteil URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	SΣ	1..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..3	string	Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street Example Beipiel für Adresszeile mit Extensions für Straße und Hausnummer: Musterweg 42
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:Strasse	N	0..1	string	Strassenname (ohne Hausnummer) URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
extension:Hausnummer	N	0..1	string	Hausnummer URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
extension:Adresszusatz	N	0..1	string	Adresszusatz URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator
extension:Postfach	N	0..1	string	Postfach URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox
value		0..1	string	Primitive value for string Max Length:1048576
city	Σ	0..1	string	Name of city, town etc. Example General: Erewhon
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:gemeindeschluessel	S	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/destatis/ags
value		0..1	string	Primitive value for string Max Length:1048576
state	Σ	0..1	string	Bundesland Binding: ISO-3166-2:de-Laendercodes (preferred)
postalCode	SΣC	1..1	string	Postleitzahl pat-pseuded-2: Die Postleitzahl MUSS auf die ersten beiden Ziffern vergröbert werden. Example General: 9132
country	SΣ	1..1	string	Staat Binding: Iso3166-1-2 (preferred)
period	ΣC	0..1	Period	Time period when address was/is in use per-1: If present, start SHALL have a lower value than end Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo	C	0..*	Attachment	Image of the patient att-1: If the Attachment has data, it SHALL have a contentType
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom	C	0..*	ContactPoint	A contact detail for the person cpt-2: A system is required if a value is provided.
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact ref-1: SHALL have a contained resource if a local reference is provided
period	C	0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient per-1: If present, start SHALL have a lower value than end
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner	C	0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider ref-1: SHALL have a contained resource if a local reference is provided
managingOrganization	ΣC	0..1	Reference(Organization)	Organization that is the custodian of the patient record ref-1: SHALL have a contained resource if a local reference is provided
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	ΣC	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to ref-1: SHALL have a contained resource if a local reference is provided
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Patient.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Patient.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.state	preferred	ValueSetISO31662DE http://fhir.de/ValueSet/iso/bundeslaender
Patient.address:Strassenanschrift.country	preferred	Iso3166-1-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 from the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
att-1	error	Patient.photo	If the Attachment has data, it SHALL have a contentType : data.empty() or contentType.exists()
cpt-2	error	Patient.telecom, Patient.contact.telecom	A system is required if a value is provided. : value.empty() or system.exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mii-pat-1	error	Patient	Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden : gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()
pat-cnt-2or3-char	warning	Patient.address:Strassenanschrift	The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. : country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
pat-pseuded-1	error	Patient.birthDate	Das Geburtsdatum MUSS auf Quartal und Jahr vergröbert werden. Das Jahr SOLLTE NICHT verändert werden. Wenn vorhanden, MUSS der Monat auf den ersten Monat des Quartals abgerundet werden. Die Angabe des Tags ist OPTIONAL. Wenn vorhanden, MUSS der Tag auf den ersten des Monats abgerundet werden. Die Datumsangabe MUSS entweder vierstellig, siebenstellig oder zehnstellig sein. : toString().matches('^\\d{4}(-(01|04|07|10)(-01)?)?$')
pat-pseuded-2	error	Patient.address:Strassenanschrift.postalCode	Die Postleitzahl MUSS auf die ersten beiden Ziffern vergröbert werden. : length() = 2
per-1	error	Patient.address:Strassenanschrift.period, Patient.contact.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Patient.contact.organization, Patient.generalPractitioner, Patient.managingOrganization, Patient.link.other	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from Patient

Summary

Mandatory: 1 element(3 nested mandatory elements)
Must-Support: 16 elements

Structures

This structure refers to these other structures:

• Adresse, deutsches Basisprofil (http://fhir.de/StructureDefinition/address-de-basis)

Extensions

This structure refers to these extensions:

• http://fhir.de/StructureDefinition/gender-amtlich-de
• http://fhir.de/StructureDefinition/destatis/ags

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Patient.identifier
• The element 1 is sliced based on the value of Patient.address

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: 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 dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label mii-pat-1: Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣ	1..*	Identifier	Identifier Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
identifier:PseudonymisierterIdentifier	SΣ	0..*	Identifier	Pseudonymisierter Identifikator ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PSEUDED
identifier:AnonymisierterIdentifier	SΣ	0..*	Identifier	Anonymisierter Identifikator ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ANONYED
active	?!SΣ	0..1	boolean	Active ele-1: All FHIR elements must have a @value or children
gender	SΣ	0..1	code	Administrative gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:other-amtlich	S	0..1	Coding	Extension administrative gender URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
birthDate	SΣC	0..1	date	Date of birth ele-1: All FHIR elements must have a @value or children pat-pseuded-1: Das Geburtsdatum MUSS auf Quartal und Jahr vergröbert werden. Das Jahr SOLLTE NICHT verändert werden. Wenn vorhanden, MUSS der Monat auf den ersten Monat des Quartals abgerundet werden. Die Angabe des Tags ist OPTIONAL. Wenn vorhanden, MUSS der Tag auf den ersten des Monats abgerundet werden. Die Datumsangabe MUSS entweder vierstellig, siebenstellig oder zehnstellig sein.
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
deceasedBoolean			boolean
deceasedDateTime			dateTime
Slices for address	SΣ	0..*	Address	Address Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
address:Strassenanschrift	SΣC	0..*	AddressDeBasis	Street address ele-1: All FHIR elements must have a @value or children pat-cnt-2or3-char: The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. Required Pattern: At least the following
type		1..1	code	postal | physical | both Fixed Value: both
Slices for extension				Content/Rules for all slices
extension:Stadtteil	N	0..1	string	Stadt- oder Ortsteil URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
type	SΣ	1..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). ele-1: All FHIR elements must have a @value or children Example General: both
line	Σ	0..3	string	Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung ele-1: All FHIR elements must have a @value or children This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street Example Beipiel für Adresszeile mit Extensions für Straße und Hausnummer: Musterweg 42
Slices for extension				Content/Rules for all slices
extension:Strasse	N	0..1	string	Strassenname (ohne Hausnummer) URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:Hausnummer	N	0..1	string	Hausnummer URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:Adresszusatz	N	0..1	string	Adresszusatz URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:Postfach	N	0..1	string	Postfach URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
city	Σ	0..1	string	Name of city, town etc. ele-1: All FHIR elements must have a @value or children Example General: Erewhon
Slices for extension				Content/Rules for all slices
extension:gemeindeschluessel	S	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/destatis/ags ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
postalCode	SΣC	1..1	string	Postleitzahl ele-1: All FHIR elements must have a @value or children pat-pseuded-2: Die Postleitzahl MUSS auf die ersten beiden Ziffern vergröbert werden. Example General: 9132
country	SΣ	1..1	string	Staat Binding: Iso3166-1-2 (preferred) ele-1: All FHIR elements must have a @value or children
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
other	ΣC	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.country	preferred	Iso3166-1-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mii-pat-1	error	Patient	Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden : gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
pat-cnt-2or3-char	warning	Patient.address:Strassenanschrift	The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. : country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
pat-pseuded-1	error	Patient.birthDate	Das Geburtsdatum MUSS auf Quartal und Jahr vergröbert werden. Das Jahr SOLLTE NICHT verändert werden. Wenn vorhanden, MUSS der Monat auf den ersten Monat des Quartals abgerundet werden. Die Angabe des Tags ist OPTIONAL. Wenn vorhanden, MUSS der Tag auf den ersten des Monats abgerundet werden. Die Datumsangabe MUSS entweder vierstellig, siebenstellig oder zehnstellig sein. : toString().matches('^\\d{4}(-(01|04|07|10)(-01)?)?$')
pat-pseuded-2	error	Patient.address:Strassenanschrift.postalCode	Die Postleitzahl MUSS auf die ersten beiden Ziffern vergröbert werden. : length() = 2
ref-1	error	Patient.link.other	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Differential View

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services mii-pat-1: Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden
id	S	0..1	id	Logical id of this artifact
meta	S	0..1	Meta	Metadata about the resource
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Slices for identifier	S	1..*	Identifier	Identifier Slice: Unordered, Open by pattern:$this
identifier:PseudonymisierterIdentifier	S	0..*	Identifier	Pseudonymisierter Identifikator Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PSEUDED
identifier:AnonymisierterIdentifier	S	0..*	Identifier	Anonymisierter Identifikator Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ANONYED
active	S	0..1	boolean	Active
gender	S	0..1	code	Administrative gender
Slices for extension				Content/Rules for all slices
extension:other-amtlich	S	0..1	Coding	Extension administrative gender URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required)
birthDate	SC	0..1	date	Date of birth pat-pseuded-1: Das Geburtsdatum MUSS auf Quartal und Jahr vergröbert werden. Das Jahr SOLLTE NICHT verändert werden. Wenn vorhanden, MUSS der Monat auf den ersten Monat des Quartals abgerundet werden. Die Angabe des Tags ist OPTIONAL. Wenn vorhanden, MUSS der Tag auf den ersten des Monats abgerundet werden. Die Datumsangabe MUSS entweder vierstellig, siebenstellig oder zehnstellig sein.
Slices for address	S	0..*	Address	Address Slice: Unordered, Open by pattern:$this
address:Strassenanschrift	SC	0..*	AddressDeBasis	Street address pat-cnt-2or3-char: The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. Required Pattern: At least the following
type		1..1	code	postal | physical | both Fixed Value: both
type	S	1..1	code	postal | physical | both
city
Slices for extension				Content/Rules for all slices
extension:gemeindeschluessel	S	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/destatis/ags
postalCode	SC	1..1	string	Postleitzahl pat-pseuded-2: Die Postleitzahl MUSS auf die ersten beiden Ziffern vergröbert werden.
country	S	1..1	string	Staat
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
mii-pat-1	error	Patient	Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden : gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
pat-cnt-2or3-char	warning	Patient.address:Strassenanschrift	The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. : country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
pat-pseuded-1	error	Patient.birthDate	Das Geburtsdatum MUSS auf Quartal und Jahr vergröbert werden. Das Jahr SOLLTE NICHT verändert werden. Wenn vorhanden, MUSS der Monat auf den ersten Monat des Quartals abgerundet werden. Die Angabe des Tags ist OPTIONAL. Wenn vorhanden, MUSS der Tag auf den ersten des Monats abgerundet werden. Die Datumsangabe MUSS entweder vierstellig, siebenstellig oder zehnstellig sein. : toString().matches('^\\d{4}(-(01|04|07|10)(-01)?)?$')
pat-pseuded-2	error	Patient.address:Strassenanschrift.postalCode	Die Postleitzahl MUSS auf die ersten beiden Ziffern vergröbert werden. : length() = 2

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services mii-pat-1: Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣ	1..*	Identifier	Identifier Slice: Unordered, Open by pattern:$this
identifier:PseudonymisierterIdentifier	SΣ	0..*	Identifier	Pseudonymisierter Identifikator Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PSEUDED
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:AnonymisierterIdentifier	SΣ	0..*	Identifier	Anonymisierter Identifikator Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ANONYED
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!SΣ	0..1	boolean	Active
name	Σ	0..*	HumanName	A name associated with the patient
telecom	ΣC	0..*	ContactPoint	A contact detail for the individual cpt-2: A system is required if a value is provided.
gender	SΣ	0..1	code	Administrative gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:other-amtlich	S	0..1	Coding	Extension administrative gender URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required)
value		0..1	code	Primitive value for code Max Length:1048576
birthDate	SΣC	0..1	date	Date of birth pat-pseuded-1: Das Geburtsdatum MUSS auf Quartal und Jahr vergröbert werden. Das Jahr SOLLTE NICHT verändert werden. Wenn vorhanden, MUSS der Monat auf den ersten Monat des Quartals abgerundet werden. Die Angabe des Tags ist OPTIONAL. Wenn vorhanden, MUSS der Tag auf den ersten des Monats abgerundet werden. Die Datumsangabe MUSS entweder vierstellig, siebenstellig oder zehnstellig sein.
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
Slices for address	SΣ	0..*	Address	Address Slice: Unordered, Open by pattern:$this
address:Strassenanschrift	SΣC	0..*	AddressDeBasis	Street address pat-cnt-2or3-char: The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	home | work | temp | old | billing - purpose of this address
type		1..1	code	postal | physical | both Fixed Value: both
text		0..1	string	Text representation of the address
line		0..*	string	Street name, number, direction & P.O. Box etc.
city		0..1	string	Name of city, town etc.
district		0..1	string	District name (aka county)
state		0..1	string	Sub-unit of country (abbreviations ok)
postalCode		0..1	string	Postal code for area
country		0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period		0..1	Period	Time period when address was/is in use
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:Stadtteil	N	0..1	string	Stadt- oder Ortsteil URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	SΣ	1..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..3	string	Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street Example Beipiel für Adresszeile mit Extensions für Straße und Hausnummer: Musterweg 42
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:Strasse	N	0..1	string	Strassenname (ohne Hausnummer) URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
extension:Hausnummer	N	0..1	string	Hausnummer URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
extension:Adresszusatz	N	0..1	string	Adresszusatz URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator
extension:Postfach	N	0..1	string	Postfach URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox
value		0..1	string	Primitive value for string Max Length:1048576
city	Σ	0..1	string	Name of city, town etc. Example General: Erewhon
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:gemeindeschluessel	S	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/destatis/ags
value		0..1	string	Primitive value for string Max Length:1048576
state	Σ	0..1	string	Bundesland Binding: ISO-3166-2:de-Laendercodes (preferred)
postalCode	SΣC	1..1	string	Postleitzahl pat-pseuded-2: Die Postleitzahl MUSS auf die ersten beiden Ziffern vergröbert werden. Example General: 9132
country	SΣ	1..1	string	Staat Binding: Iso3166-1-2 (preferred)
period	ΣC	0..1	Period	Time period when address was/is in use per-1: If present, start SHALL have a lower value than end Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo	C	0..*	Attachment	Image of the patient att-1: If the Attachment has data, it SHALL have a contentType
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom	C	0..*	ContactPoint	A contact detail for the person cpt-2: A system is required if a value is provided.
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact ref-1: SHALL have a contained resource if a local reference is provided
period	C	0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient per-1: If present, start SHALL have a lower value than end
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner	C	0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider ref-1: SHALL have a contained resource if a local reference is provided
managingOrganization	ΣC	0..1	Reference(Organization)	Organization that is the custodian of the patient record ref-1: SHALL have a contained resource if a local reference is provided
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	ΣC	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to ref-1: SHALL have a contained resource if a local reference is provided
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Patient.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Patient.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address:Strassenanschrift.state	preferred	ValueSetISO31662DE http://fhir.de/ValueSet/iso/bundeslaender
Patient.address:Strassenanschrift.country	preferred	Iso3166-1-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 from the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
att-1	error	Patient.photo	If the Attachment has data, it SHALL have a contentType : data.empty() or contentType.exists()
cpt-2	error	Patient.telecom, Patient.contact.telecom	A system is required if a value is provided. : value.empty() or system.exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mii-pat-1	error	Patient	Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden : gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()
pat-cnt-2or3-char	warning	Patient.address:Strassenanschrift	The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. : country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
pat-pseuded-1	error	Patient.birthDate	Das Geburtsdatum MUSS auf Quartal und Jahr vergröbert werden. Das Jahr SOLLTE NICHT verändert werden. Wenn vorhanden, MUSS der Monat auf den ersten Monat des Quartals abgerundet werden. Die Angabe des Tags ist OPTIONAL. Wenn vorhanden, MUSS der Tag auf den ersten des Monats abgerundet werden. Die Datumsangabe MUSS entweder vierstellig, siebenstellig oder zehnstellig sein. : toString().matches('^\\d{4}(-(01|04|07|10)(-01)?)?$')
pat-pseuded-2	error	Patient.address:Strassenanschrift.postalCode	Die Postleitzahl MUSS auf die ersten beiden Ziffern vergröbert werden. : length() = 2
per-1	error	Patient.address:Strassenanschrift.period, Patient.contact.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Patient.contact.organization, Patient.generalPractitioner, Patient.managingOrganization, Patient.link.other	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from Patient

Summary

Mandatory: 1 element(3 nested mandatory elements)
Must-Support: 16 elements

Structures

This structure refers to these other structures:

• Adresse, deutsches Basisprofil (http://fhir.de/StructureDefinition/address-de-basis)

Extensions

This structure refers to these extensions:

• http://fhir.de/StructureDefinition/gender-amtlich-de
• http://fhir.de/StructureDefinition/destatis/ags

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Patient.identifier
• The element 1 is sliced based on the value of Patient.address