{
  "resourceType": "StructureDefinition",
  "id": "gender-amtlich-de",
  "url": "http://fhir.de/StructureDefinition/gender-amtlich-de",
  "version": "1.6.0-ballot",
  "name": "GenderOtherDE",
  "title": "Differenzierung des administrativen Geschlechts 'other'",
  "status": "active",
  "experimental": false,
  "date": "2025-12-23",
  "publisher": "HL7 Deutschland e.V. (Technisches Komitee FHIR)",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.de/technische-komitees/fhir/"
        }
      ]
    }
  ],
  "description": "Extension zur genaueren Differenzierung des administrativen Geschlechts 'other', vgl. https://wiki.hl7.de/index.php?title=Geschlecht#administratives_Geschlecht.",
  "copyright": "HL7 Deutschland e.V.",
  "fhirVersion": "4.0.1",
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "Patient.gender"
    },
    {
      "type": "element",
      "expression": "RelatedPerson.gender"
    },
    {
      "type": "element",
      "expression": "Person.gender"
    },
    {
      "type": "element",
      "expression": "Practitioner.gender"
    },
    {
      "type": "element",
      "expression": "Patient.contact.gender"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "max": "0"
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "fixedUri": "http://fhir.de/StructureDefinition/gender-amtlich-de"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "min": 1,
        "type": [
          {
            "code": "Coding"
          }
        ],
        "constraint": [
          {
            "key": "gender-amtlich-1",
            "severity": "error",
            "human": "Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist",
            "expression": "%resource.where(gender='other').exists()",
            "source": "http://fhir.de/StructureDefinition/gender-amtlich-de"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://fhir.de/ValueSet/gender-other-de"
        }
      }
    ]
  }
}