{
  "resourceType": "StructureDefinition",
  "id": "KBV-PR-FOR-Practitioner",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner",
  "version": "1.3.1",
  "name": "KBV_PR_FOR_Practitioner",
  "status": "active",
  "date": "2026-01-09",
  "publisher": "Kassenärztliche Bundesvereinigung (KBV)",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Practitioner",
  "baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Practitioner|1.7.0",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Practitioner",
        "path": "Practitioner",
        "constraint": [
          {
            "key": "-for-angabeArztnummerPflicht",
            "severity": "error",
            "human": "In einer Ressource vom Typ Practitioner ist die Arztnummer der ausstellenden oder verschreibenden oder verantwortlichen Person nicht vorhanden, diese ist aber eine Pflichtangabe, wenn ein Identifikator existiert und es sich um einen Arzt, Arzt in Weiterbildung oder Arzt als Vertreter handelt.",
            "expression": "qualification.code.coding.where(system='https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type').all($this.code='00' or $this.code='03' or $this.code='04') and identifier.exists() implies identifier.where(type.coding.code='LANR').exists()"
          },
          {
            "key": "-for-angabeZahnarztnummerPflicht",
            "severity": "error",
            "human": "In einer Ressource vom Typ Practitioner ist die Zahnarztnummer der ausstellenden oder verschreibenden oder verantwortlichen Person nicht vorhanden, diese ist aber eine Pflichtangabe, wenn ein Identifikator existiert und wenn es sich um einen Zahnarzt handelt.",
            "expression": "qualification.code.coding.where(system='https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type').all($this.code='01') and identifier.exists() implies identifier.where(type.coding.code='ZANR').exists()"
          },
          {
            "key": "-for-angabeIdentifikatorAusstellende-VerantwortlichePersonVerbot",
            "severity": "error",
            "human": "In einer Ressource vom Typ Practitioner ist ein Identifikator der ausstellenden oder verschreibenden oder verantwortlichen Person vorhanden, dieser darf aber nicht angegeben werden, wenn es sich um eine Hebamme handelt.",
            "expression": "qualification.code.coding.where(system='https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type').all($this.code='02') implies identifier.exists().not()"
          },
          {
            "key": "-for-anzahlIdentifikatorAusstellende-VerantwortlichePerson",
            "severity": "error",
            "human": "Falls ein Identifikator existiert, muss entweder eine lebenslange Arztnummer oder lebenslange Zahnarztnummer vorhanden sein.",
            "expression": "identifier.exists() implies (identifier.where(type.coding.code='LANR').count()+identifier.where(type.coding.code='ZANR').count()=1)"
          }
        ]
      },
      {
        "id": "Practitioner.id",
        "path": "Practitioner.id",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.meta",
        "path": "Practitioner.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.meta.versionId",
        "path": "Practitioner.meta.versionId",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Practitioner.meta.lastUpdated",
        "path": "Practitioner.meta.lastUpdated",
        "max": "0"
      },
      {
        "id": "Practitioner.meta.source",
        "path": "Practitioner.meta.source",
        "max": "0"
      },
      {
        "id": "Practitioner.meta.profile",
        "path": "Practitioner.meta.profile",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.meta.profile:forProfile",
        "path": "Practitioner.meta.profile",
        "sliceName": "forProfile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner|1.3",
        "mustSupport": true
      },
      {
        "id": "Practitioner.meta.security",
        "path": "Practitioner.meta.security",
        "max": "0"
      },
      {
        "id": "Practitioner.meta.tag",
        "path": "Practitioner.meta.tag",
        "max": "0"
      },
      {
        "id": "Practitioner.implicitRules",
        "path": "Practitioner.implicitRules",
        "max": "0"
      },
      {
        "id": "Practitioner.language",
        "path": "Practitioner.language",
        "max": "0"
      },
      {
        "id": "Practitioner.text",
        "path": "Practitioner.text",
        "max": "0"
      },
      {
        "id": "Practitioner.contained",
        "path": "Practitioner.contained",
        "max": "0"
      },
      {
        "id": "Practitioner.extension",
        "path": "Practitioner.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "closed"
        },
        "max": "0"
      },
      {
        "id": "Practitioner.extension:ergaenzende_Angaben",
        "path": "Practitioner.extension",
        "sliceName": "ergaenzende_Angaben",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier",
        "path": "Practitioner.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type"
            }
          ],
          "rules": "closed"
        },
        "max": "2",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ANR",
        "path": "Practitioner.identifier",
        "sliceName": "ANR",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ANR.type",
        "path": "Practitioner.identifier.type",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ANR.type.coding",
        "path": "Practitioner.identifier.type.coding",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ANR.type.coding.system",
        "path": "Practitioner.identifier.type.coding.system",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ANR.type.coding.version",
        "path": "Practitioner.identifier.type.coding.version",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier:ANR.type.coding.code",
        "path": "Practitioner.identifier.type.coding.code",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ANR.type.coding.display",
        "path": "Practitioner.identifier.type.coding.display",
        "max": "0",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ANR.type.coding.userSelected",
        "path": "Practitioner.identifier.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier:ANR.type.text",
        "path": "Practitioner.identifier.type.text",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier:ANR.system",
        "path": "Practitioner.identifier.system",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ANR.value",
        "path": "Practitioner.identifier.value",
        "constraint": [
          {
            "key": "-for-laengeLANR",
            "severity": "error",
            "human": "Eine LANR muss neunstellig numerisch sein.",
            "expression": "matches('^[0-9]{9,9}$')"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ANR.period",
        "path": "Practitioner.identifier.period",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier:ANR.assigner",
        "path": "Practitioner.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier:EFN",
        "path": "Practitioner.identifier",
        "sliceName": "EFN",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier:ZANR",
        "path": "Practitioner.identifier",
        "sliceName": "ZANR",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ZANR.type",
        "path": "Practitioner.identifier.type",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ZANR.type.coding",
        "path": "Practitioner.identifier.type.coding",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ZANR.type.coding.system",
        "path": "Practitioner.identifier.type.coding.system",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ZANR.type.coding.version",
        "path": "Practitioner.identifier.type.coding.version",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier:ZANR.type.coding.code",
        "path": "Practitioner.identifier.type.coding.code",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ZANR.type.coding.display",
        "path": "Practitioner.identifier.type.coding.display",
        "max": "0",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ZANR.type.coding.userSelected",
        "path": "Practitioner.identifier.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier:ZANR.type.text",
        "path": "Practitioner.identifier.type.text",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier:ZANR.system",
        "path": "Practitioner.identifier.system",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ZANR.value",
        "path": "Practitioner.identifier.value",
        "constraint": [
          {
            "key": "-for-laengeZANR",
            "severity": "error",
            "human": "Die ZANR bestehend aus 7-stelliger Zahnarztnummer + 2-stelliger Fachbezeichnung muss 9-stellig numerisch sein.",
            "expression": "matches('^[0-9]{9,9}$')"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ZANR.period",
        "path": "Practitioner.identifier.period",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier:ZANR.assigner",
        "path": "Practitioner.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier:Telematik-ID",
        "path": "Practitioner.identifier",
        "sliceName": "Telematik-ID",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:Telematik-ID.type",
        "path": "Practitioner.identifier.type",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:Telematik-ID.type.coding",
        "path": "Practitioner.identifier.type.coding",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:Telematik-ID.type.coding.system",
        "path": "Practitioner.identifier.type.coding.system",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:Telematik-ID.type.coding.version",
        "path": "Practitioner.identifier.type.coding.version",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier:Telematik-ID.type.coding.code",
        "path": "Practitioner.identifier.type.coding.code",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:Telematik-ID.type.coding.display",
        "path": "Practitioner.identifier.type.coding.display",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier:Telematik-ID.type.coding.userSelected",
        "path": "Practitioner.identifier.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier:Telematik-ID.type.text",
        "path": "Practitioner.identifier.type.text",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier:Telematik-ID.system",
        "path": "Practitioner.identifier.system",
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:Telematik-ID.value",
        "path": "Practitioner.identifier.value",
        "maxLength": 128,
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:Telematik-ID.period",
        "path": "Practitioner.identifier.period",
        "max": "0"
      },
      {
        "id": "Practitioner.identifier:Telematik-ID.assigner",
        "path": "Practitioner.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Practitioner.active",
        "path": "Practitioner.active",
        "max": "0"
      },
      {
        "id": "Practitioner.name",
        "path": "Practitioner.name",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "use"
            }
          ],
          "rules": "closed"
        },
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name",
        "path": "Practitioner.name",
        "sliceName": "name",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.use",
        "path": "Practitioner.name.use",
        "fixedCode": "official",
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.text",
        "path": "Practitioner.name.text",
        "max": "0"
      },
      {
        "id": "Practitioner.name:name.family",
        "path": "Practitioner.name.family",
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.family.extension",
        "path": "Practitioner.name.family.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "max": "3"
      },
      {
        "id": "Practitioner.name:name.family.extension:namenszusatz",
        "path": "Practitioner.name.family.extension",
        "sliceName": "namenszusatz",
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.family.extension:namenszusatz.value[x]",
        "path": "Practitioner.name.family.extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.family.extension:namenszusatz.value[x]:valueString",
        "path": "Practitioner.name.family.extension.value[x]",
        "sliceName": "valueString",
        "maxLength": 20,
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.family.extension:nachname",
        "path": "Practitioner.name.family.extension",
        "sliceName": "nachname",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.family.extension:nachname.value[x]",
        "path": "Practitioner.name.family.extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "closed"
        },
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.family.extension:nachname.value[x]:valueString",
        "path": "Practitioner.name.family.extension.value[x]",
        "sliceName": "valueString",
        "maxLength": 45,
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.family.extension:vorsatzwort",
        "path": "Practitioner.name.family.extension",
        "sliceName": "vorsatzwort",
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.family.extension:vorsatzwort.value[x]",
        "path": "Practitioner.name.family.extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "closed"
        },
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.family.extension:vorsatzwort.value[x]:valueString",
        "path": "Practitioner.name.family.extension.value[x]",
        "sliceName": "valueString",
        "maxLength": 20,
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.given",
        "path": "Practitioner.name.given",
        "min": 1,
        "maxLength": 45,
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.prefix",
        "path": "Practitioner.name.prefix",
        "max": "1",
        "maxLength": 100,
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.prefix.extension",
        "path": "Practitioner.name.prefix.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "closed"
        },
        "max": "1"
      },
      {
        "id": "Practitioner.name:name.prefix.extension:prefix-qualifier",
        "path": "Practitioner.name.prefix.extension",
        "sliceName": "prefix-qualifier",
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.prefix.extension:prefix-qualifier.value[x]",
        "path": "Practitioner.name.prefix.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.prefix.extension:prefix-qualifier.value[x]:valueCode",
        "path": "Practitioner.name.prefix.extension.value[x]",
        "sliceName": "valueCode",
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.suffix",
        "path": "Practitioner.name.suffix",
        "max": "0"
      },
      {
        "id": "Practitioner.name:name.period",
        "path": "Practitioner.name.period",
        "max": "0"
      },
      {
        "id": "Practitioner.name:geburtsname",
        "path": "Practitioner.name",
        "sliceName": "geburtsname",
        "max": "0"
      },
      {
        "id": "Practitioner.telecom",
        "path": "Practitioner.telecom",
        "max": "0"
      },
      {
        "id": "Practitioner.address",
        "path": "Practitioner.address",
        "max": "0"
      },
      {
        "id": "Practitioner.address:Strassenanschrift",
        "path": "Practitioner.address",
        "sliceName": "Strassenanschrift",
        "max": "0"
      },
      {
        "id": "Practitioner.address:Postfach",
        "path": "Practitioner.address",
        "sliceName": "Postfach",
        "max": "0"
      },
      {
        "id": "Practitioner.gender",
        "path": "Practitioner.gender",
        "max": "0"
      },
      {
        "id": "Practitioner.birthDate",
        "path": "Practitioner.birthDate",
        "max": "0"
      },
      {
        "id": "Practitioner.photo",
        "path": "Practitioner.photo",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification",
        "path": "Practitioner.qualification",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code.coding.system"
            }
          ],
          "rules": "closed"
        },
        "min": 2,
        "max": "3",
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:Typ",
        "path": "Practitioner.qualification",
        "sliceName": "Typ",
        "short": "Dieses Feld enthält einen Typ zur Kennzeichnung der verschreibenden Person",
        "definition": "Dieses Feld enthält einen Typ zur Kennzeichnung der verschreibenden Person, z.B. Arzt, Arzt in Weiterbildung.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:Typ.identifier",
        "path": "Practitioner.qualification.identifier",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:Typ.code",
        "path": "Practitioner.qualification.code",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_FOR_Qualification_Type"
        }
      },
      {
        "id": "Practitioner.qualification:Typ.code.coding",
        "path": "Practitioner.qualification.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:Typ.code.coding.system",
        "path": "Practitioner.qualification.code.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type",
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:Typ.code.coding.version",
        "path": "Practitioner.qualification.code.coding.version",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:Typ.code.coding.code",
        "path": "Practitioner.qualification.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:Typ.code.coding.display",
        "path": "Practitioner.qualification.code.coding.display",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:Typ.code.coding.userSelected",
        "path": "Practitioner.qualification.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:Typ.code.text",
        "path": "Practitioner.qualification.code.text",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:Typ.period",
        "path": "Practitioner.qualification.period",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:Typ.issuer",
        "path": "Practitioner.qualification.issuer",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:Berufsbezeichnung",
        "path": "Practitioner.qualification",
        "sliceName": "Berufsbezeichnung",
        "short": "Berufsbezeichnung",
        "definition": "Dieses Feld enthält die Berufsbezeichnung der Person.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
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