<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="KBV-PR-MIO-LAB-Patient" />
  <url value="https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_LAB_Patient" />
  <version value="1.0.0-update" />
  <name value="KBV_PR_MIO_LAB_Patient" />
  <title value="KBV_PR_MIO_LAB_Patient" />
  <status value="draft" />
  <experimental value="false" />
  <date value="2026-06-11" />
  <publisher value="mio42 GmbH" />
  <description value="Dieses Profil bildet eine Person ab, die eine oder mehrere medizinische Leistungen in Anspruch nimmt." />
  <copyright value="Im folgenden Profil können Codes aus den Code-Systemen SNOMED CT®, LOINC, Ucum, ATC, ICD-10-GM, ICD-10-WHO, OPS, Alpha-ID/Alpha-ID-SE und ICF enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED CT® Clinical Terms® (SNOMED CT® CT®) which is used by permission of SNOMED CT® International. All rights reserved. SNOMED CT® CT®, was originally created by The College of American Pathologists. SNOMED CT® and SNOMED CT® CT are registered trademarks of SNOMED CT® International. Implementers of these artefacts must have the appropriate SNOMED CT® CT Affiliate license. This material contains content from LOINC (http://LOINC.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://LOINC.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright © 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED 'AS IS.' ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Dieses Material enthält Inhalte aus ATC. Die Erstellung erfolgte unter Verwendung der Datenträger der amtlichen Fassung der ATC-Klassifikation mit DDD des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICD-10-GM, ICD-10-WHO, OPS Alpha-ID ans Alpha-ID-SE. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICF. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Deutschen Instituts für Medizinische Dokumentation und Information (DIMDI). ICF-Kodes, -Begriffe und -Texte © Weltgesundheitsorganisation, übersetzt und herausgegeben durch das Deutsche Institut für Medizinische Dokumentation und Information von der International classification of functioning, disability and health - ICF, herausgegeben durch die Weltgesundheitsorganisation." />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Patient" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient" />
  <derivation value="constraint" />
  <differential>
    <element id="Patient">
      <path value="Patient" />
      <constraint>
        <key value="pat-de-1" />
        <severity value="error" />
        <human value="Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist." />
        <expression value="gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()" />
        <source value="https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_LAB_Patient" />
      </constraint>
    </element>
    <element id="Patient.meta">
      <path value="Patient.meta" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.meta.id">
      <path value="Patient.meta.id" />
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    <element id="Patient.meta.versionId">
      <path value="Patient.meta.versionId" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.meta.lastUpdated">
      <path value="Patient.meta.lastUpdated" />
      <mustSupport value="true" />
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    <element id="Patient.meta.source">
      <path value="Patient.meta.source" />
      <max value="0" />
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    <element id="Patient.implicitRules">
      <path value="Patient.implicitRules" />
      <max value="0" />
    </element>
    <element id="Patient.language">
      <path value="Patient.language" />
      <max value="0" />
    </element>
    <element id="Patient.text.status">
      <path value="Patient.text.status" />
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      <path value="Patient.contained" />
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    <element id="Patient.extension">
      <path value="Patient.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <ordered value="false" />
        <rules value="closed" />
      </slicing>
      <mustSupport value="true" />
    </element>
    <element id="Patient.extension:sex-for-clinical-use">
      <path value="Patient.extension" />
      <sliceName value="sex-for-clinical-use" />
      <definition value="Die Angabe des klinisch relevanten Geschlechts ist für die aktuelle klinische Entscheidungsfindung gedacht. Sie weist darauf hin, auf welcher Referenzpopulation bei geschlechtsspezifischen Richtgrenzen eine Messergebnis-Bewertung basieren sollte." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.extension:sex-for-clinical-use.extension">
      <path value="Patient.extension.extension" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.extension:sex-for-clinical-use.extension:value">
      <path value="Patient.extension.extension" />
      <sliceName value="value" />
      <mustSupport value="true" />
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      <path value="Patient.extension.extension.value[x]" />
      <mustSupport value="true" />
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    <element id="Patient.extension:sex-for-clinical-use.extension:value.value[x].coding">
      <path value="Patient.extension.extension.value[x].coding" />
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      <max value="1" />
      <mustSupport value="true" />
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    <element id="Patient.extension:sex-for-clinical-use.extension:value.value[x].coding.system">
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      <path value="Patient.extension.extension.value[x].coding.version" />
      <mustSupport value="true" />
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    <element id="Patient.extension:sex-for-clinical-use.extension:value.value[x].coding.code">
      <path value="Patient.extension.extension.value[x].coding.code" />
      <min value="1" />
      <mustSupport value="true" />
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    <element id="Patient.extension:sex-for-clinical-use.extension:value.value[x].coding.display">
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      <mustSupport value="true" />
    </element>
    <element id="Patient.extension:sex-for-clinical-use.extension:value.value[x].coding.userSelected">
      <path value="Patient.extension.extension.value[x].coding.userSelected" />
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    <element id="Patient.extension:sex-for-clinical-use.extension:value.value[x].text">
      <path value="Patient.extension.extension.value[x].text" />
      <mustSupport value="true" />
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    <element id="Patient.extension:sex-for-clinical-use.extension:period">
      <path value="Patient.extension.extension" />
      <sliceName value="period" />
      <mustSupport value="true" />
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    <element id="Patient.extension:sex-for-clinical-use.extension:period.value[x]">
      <path value="Patient.extension.extension.value[x]" />
      <mustSupport value="true" />
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      <path value="Patient.extension.extension.value[x].start" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.extension:sex-for-clinical-use.extension:period.value[x].end">
      <path value="Patient.extension.extension.value[x].end" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.extension:sex-for-clinical-use.extension:comment">
      <path value="Patient.extension.extension" />
      <sliceName value="comment" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.extension:sex-for-clinical-use.extension:comment.value[x]">
      <path value="Patient.extension.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.extension:sex-for-clinical-use.extension:supportingInfo">
      <path value="Patient.extension.extension" />
      <sliceName value="supportingInfo" />
      <max value="0" />
    </element>
    <element id="Patient.extension:sex-for-clinical-use.extension:intendedClinicalUse">
      <path value="Patient.extension.extension" />
      <sliceName value="intendedClinicalUse" />
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    </element>
    <element id="Patient.identifier">
      <path value="Patient.identifier" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="type" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <definition value="In diesem Element wird der Identifier (Identifikator) für die Person eingetragen. Der Identifikator kann aus diversen Quellen stammen." />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:pid">
      <path value="Patient.identifier" />
      <sliceName value="pid" />
      <definition value="Abbildung einer organisationsspezifischen Patienten-ID. Die PID kann beispielsweise als Identifikator verwendet werden, wenn eine einsendende Praxis den Laborbefund in pseudonymisierter Form übermittelt bekommen möchte. Nach welchen Regeln und mit welchem Identifier ein pseudonymisierter Laborbefund übermittelt wird, wäre in solcher Konstellation Gegenstand einer Einzelabstimmung zwischen Praxis und Labor." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Identifier" />
        <profile value="http://fhir.de/StructureDefinition/identifier-pid" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:pid.use">
      <path value="Patient.identifier.use" />
      <max value="0" />
    </element>
    <element id="Patient.identifier:pid.type.coding">
      <path value="Patient.identifier.type.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:pid.type.coding.system">
      <path value="Patient.identifier.type.coding.system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:pid.type.coding.version">
      <path value="Patient.identifier.type.coding.version" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:pid.type.coding.code">
      <path value="Patient.identifier.type.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:pid.type.coding.display">
      <path value="Patient.identifier.type.coding.display" />
      <min value="1" />
      <patternString value="Krankenaktennummer" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:pid.type.coding.userSelected">
      <path value="Patient.identifier.type.coding.userSelected" />
      <max value="0" />
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    <element id="Patient.identifier:pid.type.text">
      <path value="Patient.identifier.type.text" />
      <max value="0" />
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    <element id="Patient.identifier:pid.system">
      <path value="Patient.identifier.system" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:pid.value">
      <path value="Patient.identifier.value" />
      <mustSupport value="true" />
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      <path value="Patient.identifier.period" />
      <max value="0" />
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    <element id="Patient.identifier:pid.assigner">
      <path value="Patient.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="Patient.identifier:versichertenId">
      <path value="Patient.identifier" />
      <sliceName value="versichertenId" />
      <definition value="Hier wird der unveränderliche Teil der einheitlichen Krankenversicherungsnummer der GKV gemäß § 290 SGB V angegeben. Die 10-stellige Zeichenfolge beginnt mit einem zufällig vergebene Großbuchstaben, darauf folgen 8 zufällige Ziffern.  Das 10.Zeichen ist eine Prüfziffer." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Identifier" />
        <profile value="http://fhir.de/StructureDefinition/identifier-kvid-10" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertenId.use">
      <path value="Patient.identifier.use" />
      <max value="0" />
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    <element id="Patient.identifier:versichertenId.type">
      <path value="Patient.identifier.type" />
      <min value="1" />
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    <element id="Patient.identifier:versichertenId.type.coding">
      <path value="Patient.identifier.type.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
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      <mustSupport value="true" />
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      <mustSupport value="true" />
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      <path value="Patient.identifier.type.coding.display" />
      <min value="1" />
      <patternString value="Krankenversichertennummer" />
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      <path value="Patient.identifier.type.coding.userSelected" />
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      <path value="Patient.identifier.value" />
      <mustSupport value="true" />
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    <element id="Patient.identifier:versichertenId.period">
      <path value="Patient.identifier.period" />
      <max value="0" />
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      <path value="Patient.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="Patient.identifier:versichertennummer_pkv">
      <path value="Patient.identifier" />
      <sliceName value="versichertennummer_pkv" />
      <definition value="Hier wird der Identifikator für eine Privatversichertennummer angegeben." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Identifier" />
        <profile value="http://fhir.de/StructureDefinition/identifier-pkv" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertennummer_pkv.use">
      <path value="Patient.identifier.use" />
      <max value="0" />
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    <element id="Patient.identifier:versichertennummer_pkv.type">
      <path value="Patient.identifier.type" />
      <min value="1" />
      <patternCodeableConcept>
        <coding>
          <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_Base_identifier_type" />
          <code value="pkv-nr" />
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Patient.identifier:versichertennummer_pkv.type.coding">
      <path value="Patient.identifier.type.coding" />
      <min value="2" />
      <max value="2" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertennummer_pkv.type.coding.system">
      <path value="Patient.identifier.type.coding.system" />
      <min value="1" />
      <mustSupport value="true" />
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      <path value="Patient.identifier.type.coding.version" />
      <mustSupport value="true" />
    </element>
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      <path value="Patient.identifier.type.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertennummer_pkv.type.coding.display">
      <path value="Patient.identifier.type.coding.display" />
      <min value="1" />
      <patternString value="Private Krankenversicherung" />
      <mustSupport value="true" />
    </element>
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      <path value="Patient.identifier.type.coding.userSelected" />
      <max value="0" />
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    <element id="Patient.identifier:versichertennummer_pkv.type.text">
      <path value="Patient.identifier.type.text" />
      <max value="0" />
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    <element id="Patient.identifier:versichertennummer_pkv.system">
      <path value="Patient.identifier.system" />
      <mustSupport value="true" />
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    <element id="Patient.identifier:versichertennummer_pkv.value">
      <path value="Patient.identifier.value" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertennummer_pkv.period">
      <path value="Patient.identifier.period" />
      <max value="0" />
    </element>
    <element id="Patient.identifier:versichertennummer_pkv.assigner.reference">
      <path value="Patient.identifier.assigner.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertennummer_pkv.assigner.type">
      <path value="Patient.identifier.assigner.type" />
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    <element id="Patient.identifier:versichertennummer_pkv.assigner.identifier">
      <path value="Patient.identifier.assigner.identifier" />
      <max value="0" />
    </element>
    <element id="Patient.identifier:reisepassnummer">
      <path value="Patient.identifier" />
      <sliceName value="reisepassnummer" />
      <definition value="Hier wird die Reisepassnummer angegeben." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Identifier" />
        <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Identifier_Reisepassnummer" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:reisepassnummer.use">
      <path value="Patient.identifier.use" />
      <max value="0" />
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    <element id="Patient.identifier:reisepassnummer.type.coding">
      <path value="Patient.identifier.type.coding" />
      <mustSupport value="true" />
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    <element id="Patient.identifier:reisepassnummer.type.coding.system">
      <path value="Patient.identifier.type.coding.system" />
      <mustSupport value="true" />
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      <path value="Patient.identifier.type.coding.version" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:reisepassnummer.type.coding.code">
      <path value="Patient.identifier.type.coding.code" />
      <mustSupport value="true" />
    </element>
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      <path value="Patient.identifier.type.coding.display" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
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      <path value="Patient.identifier.type.coding.userSelected" />
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    <element id="Patient.identifier:reisepassnummer.type.text">
      <path value="Patient.identifier.type.text" />
      <max value="0" />
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    <element id="Patient.identifier:reisepassnummer.system">
      <path value="Patient.identifier.system" />
      <mustSupport value="true" />
    </element>
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      <path value="Patient.identifier.value" />
      <mustSupport value="true" />
    </element>
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      <path value="Patient.identifier.period" />
      <max value="0" />
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    <element id="Patient.identifier:reisepassnummer.assigner">
      <path value="Patient.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="Patient.identifier:versichertennummer_kvk">
      <path value="Patient.identifier" />
      <sliceName value="versichertennummer_kvk" />
      <definition value="Hier wird die Versichertennummer der Krankenversichertenkarte (KVK) angegeben." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Identifier" />
        <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Identifier_KVK" />
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      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertennummer_kvk.use">
      <path value="Patient.identifier.use" />
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      <path value="Patient.identifier.type.coding" />
      <mustSupport value="true" />
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      <path value="Patient.identifier.type.coding.system" />
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      <mustSupport value="true" />
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    </element>
    <element id="Patient.name">
      <path value="Patient.name" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="use" />
        </discriminator>
        <rules value="closed" />
      </slicing>
      <definition value="Dieses Element beschreibt den vollständigen Namen der behandelten Person." />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name">
      <path value="Patient.name" />
      <sliceName value="name" />
      <definition value="Dieses Element beschreibt diverse Namensbestandteile der behandelten Person." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="HumanName" />
        <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Datatype_Name" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.text">
      <path value="Patient.name.text" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.family">
      <path value="Patient.name.family" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.family.extension">
      <path value="Patient.name.family.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <ordered value="false" />
        <rules value="closed" />
      </slicing>
      <min value="1" />
      <max value="3" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.family.extension:namenszusatz">
      <path value="Patient.name.family.extension" />
      <sliceName value="namenszusatz" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.family.extension:namenszusatz.value[x]">
      <path value="Patient.name.family.extension.value[x]" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.family.extension:nachname">
      <path value="Patient.name.family.extension" />
      <sliceName value="nachname" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.family.extension:nachname.value[x]">
      <path value="Patient.name.family.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.family.extension:vorsatzwort">
      <path value="Patient.name.family.extension" />
      <sliceName value="vorsatzwort" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.family.extension:vorsatzwort.value[x]">
      <path value="Patient.name.family.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.given">
      <path value="Patient.name.given" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.prefix">
      <path value="Patient.name.prefix" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.prefix.extension:prefix-qualifier">
      <path value="Patient.name.prefix.extension" />
      <sliceName value="prefix-qualifier" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.prefix.extension:prefix-qualifier.value[x]">
      <path value="Patient.name.prefix.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.prefix.extension:prefix-qualifier.value[x]:valueCode">
      <path value="Patient.name.prefix.extension.value[x]" />
      <sliceName value="valueCode" />
      <type>
        <code value="code" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.suffix">
      <path value="Patient.name.suffix" />
      <max value="0" />
    </element>
    <element id="Patient.name:name.period">
      <path value="Patient.name.period" />
      <max value="0" />
    </element>
    <element id="Patient.name:Pseudonymisierung">
      <path value="Patient.name" />
      <sliceName value="Pseudonymisierung" />
      <definition value="Dieses Element wird verwendet, falls der Laborgesamtbefund Pseudonymisiert ist." />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:Pseudonymisierung.id">
      <path value="Patient.name.id" />
      <max value="0" />
    </element>
    <element id="Patient.name:Pseudonymisierung.extension">
      <path value="Patient.name.extension" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:Pseudonymisierung.extension:data-absent-reason">
      <path value="Patient.name.extension" />
      <sliceName value="data-absent-reason" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:Pseudonymisierung.extension:data-absent-reason.value[x]">
      <path value="Patient.name.extension.value[x]" />
      <fixedCode value="unknown" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:Pseudonymisierung.use">
      <path value="Patient.name.use" />
      <max value="0" />
    </element>
    <element id="Patient.name:Pseudonymisierung.text">
      <path value="Patient.name.text" />
      <max value="0" />
    </element>
    <element id="Patient.name:Pseudonymisierung.family">
      <path value="Patient.name.family" />
      <max value="0" />
    </element>
    <element id="Patient.name:Pseudonymisierung.given">
      <path value="Patient.name.given" />
      <max value="0" />
    </element>
    <element id="Patient.name:Pseudonymisierung.prefix">
      <path value="Patient.name.prefix" />
      <max value="0" />
    </element>
    <element id="Patient.name:Pseudonymisierung.suffix">
      <path value="Patient.name.suffix" />
      <max value="0" />
    </element>
    <element id="Patient.name:Pseudonymisierung.period">
      <path value="Patient.name.period" />
      <max value="0" />
    </element>
    <element id="Patient.telecom">
      <path value="Patient.telecom" />
      <definition value="Dieses Element beschreibt die vorhandenen Kontaktmöglichkeiten." />
      <type>
        <code value="ContactPoint" />
        <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Datatype_Contactpoint" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.telecom.system">
      <path value="Patient.telecom.system" />
      <definition value="Hier wird die Art des Kontaktes definiert, z. B. Telefon (phone), E-Mail, Fax." />
      <mustSupport value="true" />
    </element>
    <element id="Patient.telecom.value">
      <path value="Patient.telecom.value" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.gender">
      <path value="Patient.gender" />
      <definition value="Hier wird die Geschlechtsdefinition nach den Versichertenstammdaten (VSD) angegeben." />
      <mustSupport value="true" />
    </element>
    <element id="Patient.gender.extension">
      <path value="Patient.gender.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="closed" />
      </slicing>
      <mustSupport value="true" />
    </element>
    <element id="Patient.gender.extension:other-amtlich">
      <path value="Patient.gender.extension" />
      <sliceName value="other-amtlich" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://fhir.de/StructureDefinition/gender-amtlich-de" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.gender.extension:other-amtlich.value[x]">
      <path value="Patient.gender.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.gender.extension:other-amtlich.value[x].system">
      <path value="Patient.gender.extension.value[x].system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.gender.extension:other-amtlich.value[x].version">
      <path value="Patient.gender.extension.value[x].version" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.gender.extension:other-amtlich.value[x].code">
      <path value="Patient.gender.extension.value[x].code" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.gender.extension:other-amtlich.value[x].display">
      <path value="Patient.gender.extension.value[x].display" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.gender.extension:other-amtlich.value[x].userSelected">
      <path value="Patient.gender.extension.value[x].userSelected" />
      <max value="0" />
    </element>
    <element id="Patient.birthDate">
      <path value="Patient.birthDate" />
      <definition value="Hier wird das Geburtsdatum der behandelten Person angegeben. Ist dieses nicht bekannt kann die Extension 'data-absent-reason' verwendet werden, um das Nichtvorhandensein zu dokumentieren." />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.birthDate.extension">
      <path value="Patient.birthDate.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="closed" />
      </slicing>
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.birthDate.extension:data-absent-reason">
      <path value="Patient.birthDate.extension" />
      <sliceName value="data-absent-reason" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.birthDate.extension:data-absent-reason.value[x]">
      <path value="Patient.birthDate.extension.value[x]" />
      <fixedCode value="unknown" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.deceased[x]">
      <path value="Patient.deceased[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <definition value="Zeigt an, ob bzw. wann die Person verstorben ist." />
      <mustSupport value="true" />
    </element>
    <element id="Patient.deceased[x]:deceasedBoolean">
      <path value="Patient.deceased[x]" />
      <sliceName value="deceasedBoolean" />
      <definition value="Zeigt an, ob die Person verstorben ist." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="boolean" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.deceased[x]:deceasedDateTime">
      <path value="Patient.deceased[x]" />
      <sliceName value="deceasedDateTime" />
      <definition value="Zeigt an, zu welchem Zeitpunkt die Person verstorben ist." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.address">
      <path value="Patient.address" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="type" />
        </discriminator>
        <rules value="closed" />
      </slicing>
      <definition value="Hier können Angaben zur Anschrift der behandelten Person gemacht werden." />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.use">
      <path value="Patient.address.use" />
      <max value="0" />
    </element>
    <element id="Patient.address.state">
      <path value="Patient.address.state" />
      <max value="0" />
    </element>
    <element id="Patient.address:Strassenanschrift">
      <path value="Patient.address" />
      <sliceName value="Strassenanschrift" />
      <definition value="Hier werden Angaben zur Straßenanschrift gemacht." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Address" />
        <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Datatype_Street_Address" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.extension">
      <path value="Patient.address.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="closed" />
      </slicing>
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.extension:Stadtteil">
      <path value="Patient.address.extension" />
      <sliceName value="Stadtteil" />
      <definition value="In diesem Element kann der Stadt- oder Ortsteil angegeben werden, z. B. wenn der Ort ein Stadtstaat ist." />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.extension:Stadtteil.value[x]">
      <path value="Patient.address.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.use">
      <path value="Patient.address.use" />
      <max value="0" />
    </element>
    <element id="Patient.address:Strassenanschrift.type">
      <path value="Patient.address.type" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.text">
      <path value="Patient.address.text" />
      <max value="0" />
    </element>
    <element id="Patient.address:Strassenanschrift.line">
      <path value="Patient.address.line" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.line.extension">
      <path value="Patient.address.line.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <ordered value="false" />
        <rules value="closed" />
      </slicing>
      <max value="3" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.line.extension:Strasse">
      <path value="Patient.address.line.extension" />
      <sliceName value="Strasse" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.line.extension:Strasse.value[x]">
      <path value="Patient.address.line.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.line.extension:Hausnummer">
      <path value="Patient.address.line.extension" />
      <sliceName value="Hausnummer" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.line.extension:Hausnummer.value[x]">
      <path value="Patient.address.line.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.line.extension:Adresszusatz">
      <path value="Patient.address.line.extension" />
      <sliceName value="Adresszusatz" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.line.extension:Adresszusatz.value[x]">
      <path value="Patient.address.line.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.city">
      <path value="Patient.address.city" />
      <definition value="In dieses Feld kann der Ort eingetragen werden." />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.state">
      <path value="Patient.address.state" />
      <max value="0" />
    </element>
    <element id="Patient.address:Strassenanschrift.postalCode">
      <path value="Patient.address.postalCode" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.country">
      <path value="Patient.address.country" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.period">
      <path value="Patient.address.period" />
      <max value="0" />
    </element>
    <element id="Patient.address:Postfach">
      <path value="Patient.address" />
      <sliceName value="Postfach" />
      <definition value="Hier werden Angaben zu einem Postfach gemacht." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Address" />
        <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Datatype_Post_Office_Box" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.extension">
      <path value="Patient.address.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="closed" />
      </slicing>
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.extension:Stadtteil">
      <path value="Patient.address.extension" />
      <sliceName value="Stadtteil" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.extension:Stadtteil.value[x]">
      <path value="Patient.address.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.use">
      <path value="Patient.address.use" />
      <max value="0" />
    </element>
    <element id="Patient.address:Postfach.type">
      <path value="Patient.address.type" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.text">
      <path value="Patient.address.text" />
      <max value="0" />
    </element>
    <element id="Patient.address:Postfach.line">
      <path value="Patient.address.line" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.line.extension">
      <path value="Patient.address.line.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <ordered value="false" />
        <rules value="closed" />
      </slicing>
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.line.extension:Postfach">
      <path value="Patient.address.line.extension" />
      <sliceName value="Postfach" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.line.extension:Postfach.value[x]">
      <path value="Patient.address.line.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.city">
      <path value="Patient.address.city" />
      <definition value="In dieses Feld kann der Ort eingetragen werden." />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.state">
      <path value="Patient.address.state" />
      <max value="0" />
    </element>
    <element id="Patient.address:Postfach.postalCode">
      <path value="Patient.address.postalCode" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.country">
      <path value="Patient.address.country" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.period">
      <path value="Patient.address.period" />
      <max value="0" />
    </element>
    <element id="Patient.maritalStatus">
      <path value="Patient.maritalStatus" />
      <short value="Personenstand" />
      <definition value="Hier wird der Personenstand (Familienstand) der behandelten Person angegeben." />
      <mustSupport value="true" />
    </element>
    <element id="Patient.maritalStatus.coding">
      <path value="Patient.maritalStatus.coding" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.maritalStatus.coding.system">
      <path value="Patient.maritalStatus.coding.system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.maritalStatus.coding.version">
      <path value="Patient.maritalStatus.coding.version" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.maritalStatus.coding.code">
      <path value="Patient.maritalStatus.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.maritalStatus.coding.display">
      <path value="Patient.maritalStatus.coding.display" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.maritalStatus.coding.userSelected">
      <path value="Patient.maritalStatus.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Patient.multipleBirth[x]">
      <path value="Patient.multipleBirth[x]" />
      <max value="0" />
    </element>
    <element id="Patient.photo">
      <path value="Patient.photo" />
      <max value="0" />
    </element>
    <element id="Patient.contact">
      <path value="Patient.contact" />
      <max value="0" />
    </element>
    <element id="Patient.contact.address.country">
      <path value="Patient.contact.address.country" />
      <short value="Staat" />
      <definition value="Angabe des Staates als Länderkennzeichen nach DEUEV Anlage 8." />
      <binding>
        <strength value="extensible" />
        <valueSet value="https://fhir.kbv.de/ValueSet/KBV_VS_Base_Deuev_Anlage_8" />
      </binding>
    </element>
    <element id="Patient.communication">
      <path value="Patient.communication" />
      <definition value="Sprachen, die zur Kommunikation mit der behandelten Person über medizinische Themen verwendet werden können" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication.language">
      <path value="Patient.communication.language" />
      <short value="Bevorzugte Sprache" />
      <definition value="Hier werden Sprachen angegeben, die zur Kommunikation mit der behandelten Person über medizinische Themen verwendet werden können." />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <valueSet value="https://fhir.kbv.de/ValueSet/KBV_VS_Base_CommonLanguages" />
      </binding>
    </element>
    <element id="Patient.communication.language.coding">
      <path value="Patient.communication.language.coding" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication.language.coding.system">
      <path value="Patient.communication.language.coding.system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication.language.coding.version">
      <path value="Patient.communication.language.coding.version" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication.language.coding.code">
      <path value="Patient.communication.language.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication.language.coding.display">
      <path value="Patient.communication.language.coding.display" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication.language.coding.userSelected">
      <path value="Patient.communication.language.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Patient.communication.language.text">
      <path value="Patient.communication.language.text" />
      <max value="0" />
    </element>
    <element id="Patient.communication.preferred">
      <path value="Patient.communication.preferred" />
      <max value="0" />
    </element>
    <element id="Patient.generalPractitioner">
      <path value="Patient.generalPractitioner" />
      <max value="0" />
    </element>
    <element id="Patient.managingOrganization">
      <path value="Patient.managingOrganization" />
      <max value="0" />
    </element>
    <element id="Patient.link">
      <path value="Patient.link" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>