<StructureDefinition xmlns="http://hl7.org/fhir">
  <url value="https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient" />
  <version value="2.0.0-ballot2" />
  <name value="Patient" />
  <title value="Patient" />
  <status value="active" />
  <date value="2022-11-15T20:25:39.7046615+00:00" />
  <description value="Dieses Profil beschreibt eine Patient*in" />
  <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="mii-pat-1" />
        <severity value="error" />
        <human value="Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden" />
        <expression value="gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()" />
      </constraint>
    </element>
    <element id="Patient.id">
      <path value="Patient.id" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.meta">
      <path value="Patient.meta" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.meta.source">
      <path value="Patient.meta.source" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.meta.profile">
      <path value="Patient.meta.profile" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier">
      <path value="Patient.identifier" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertenId_GKV">
      <path value="Patient.identifier" />
      <sliceName value="versichertenId_GKV" />
      <max value="1" />
      <type>
        <code value="Identifier" />
        <profile value="http://fhir.de/StructureDefinition/identifier-kvid-10" />
      </type>
      <patternIdentifier>
        <type>
          <coding>
            <system value="http://fhir.de/CodeSystem/identifier-type-de-basis" />
            <code value="GKV" />
          </coding>
        </type>
      </patternIdentifier>
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertenId_GKV.type">
      <path value="Patient.identifier.type" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertenId_GKV.system">
      <path value="Patient.identifier.system" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertenId_GKV.value">
      <path value="Patient.identifier.value" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertenId_GKV.assigner">
      <path value="Patient.identifier.assigner" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertenId_GKV.assigner.identifier">
      <path value="Patient.identifier.assigner.identifier" />
      <min value="1" />
      <type>
        <code value="Identifier" />
        <profile value="http://fhir.de/StructureDefinition/identifier-iknr" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertenId_GKV.assigner.identifier.type">
      <path value="Patient.identifier.assigner.identifier.type" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertenId_GKV.assigner.identifier.system">
      <path value="Patient.identifier.assigner.identifier.system" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertenId_GKV.assigner.identifier.value">
      <path value="Patient.identifier.assigner.identifier.value" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:pid">
      <path value="Patient.identifier" />
      <sliceName value="pid" />
      <type>
        <code value="Identifier" />
        <profile value="http://fhir.de/StructureDefinition/identifier-pid" />
      </type>
      <patternIdentifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
            <code value="MR" />
          </coding>
        </type>
      </patternIdentifier>
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:pid.type">
      <path value="Patient.identifier.type" />
      <mustSupport value="true" />
    </element>
    <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" />
    </element>
    <element id="Patient.identifier:pid.assigner">
      <path value="Patient.identifier.assigner" />
      <type>
        <code value="Reference" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:pid.assigner.identifier.type">
      <path value="Patient.identifier.assigner.identifier.type" />
      <patternCodeableConcept>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
          <code value="XX" />
        </coding>
      </patternCodeableConcept>
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:pid.assigner.identifier.system">
      <path value="Patient.identifier.assigner.identifier.system" />
      <constraint>
        <key value="mii-pat-1" />
        <severity value="error" />
        <human value="Entweder IKNR oder MII Core Location Identifier muss verwendet werden" />
        <expression value="$this = 'http://fhir.de/NamingSystem/arge-ik/iknr' or $this = 'https://www.medizininformatik-initiative.de/fhir/core/CodeSystem/core-location-identifier'" />
      </constraint>
    </element>
    <element id="Patient.identifier:versichertennummer_pkv">
      <path value="Patient.identifier" />
      <sliceName value="versichertennummer_pkv" />
      <max value="1" />
      <type>
        <code value="Identifier" />
        <profile value="http://fhir.de/StructureDefinition/identifier-pkv" />
      </type>
      <patternIdentifier>
        <type>
          <coding>
            <system value="http://fhir.de/CodeSystem/identifier-type-de-basis" />
            <code value="PKV" />
          </coding>
        </type>
      </patternIdentifier>
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertennummer_pkv.use">
      <path value="Patient.identifier.use" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertennummer_pkv.type">
      <path value="Patient.identifier.type" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertennummer_pkv.value">
      <path value="Patient.identifier.value" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertennummer_pkv.assigner">
      <path value="Patient.identifier.assigner" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertennummer_pkv.assigner.identifier.type">
      <path value="Patient.identifier.assigner.identifier.type" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertennummer_pkv.assigner.identifier.system">
      <path value="Patient.identifier.assigner.identifier.system" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertennummer_pkv.assigner.identifier.value">
      <path value="Patient.identifier.assigner.identifier.value" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:versichertennummer_pkv.assigner.display">
      <path value="Patient.identifier.assigner.display" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name">
      <path value="Patient.name" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name">
      <path value="Patient.name" />
      <sliceName value="name" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="HumanName" />
        <profile value="http://fhir.de/StructureDefinition/humanname-de-basis" />
      </type>
      <patternHumanName>
        <use value="official" />
      </patternHumanName>
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.use">
      <path value="Patient.name.use" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.family">
      <path value="Patient.name.family" />
      <min value="1" />
      <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>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Patient.name:name.family.extension:namenszusatz">
      <path value="Patient.name.family.extension" />
      <sliceName value="namenszusatz" />
      <min value="0" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.family.extension:nachname">
      <path value="Patient.name.family.extension" />
      <sliceName value="nachname" />
      <min value="0" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.family.extension:vorsatzwort">
      <path value="Patient.name.family.extension" />
      <sliceName value="vorsatzwort" />
      <min value="0" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.given">
      <path value="Patient.name.given" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.prefix">
      <path value="Patient.name.prefix" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:name.prefix.extension">
      <path value="Patient.name.prefix.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Patient.name:name.prefix.extension:prefix-qualifier">
      <path value="Patient.name.prefix.extension" />
      <sliceName value="prefix-qualifier" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:geburtsname">
      <path value="Patient.name" />
      <sliceName value="geburtsname" />
      <max value="1" />
      <type>
        <code value="HumanName" />
        <profile value="http://fhir.de/StructureDefinition/humanname-de-basis" />
      </type>
      <patternHumanName>
        <use value="maiden" />
      </patternHumanName>
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:geburtsname.use">
      <path value="Patient.name.use" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:geburtsname.family">
      <path value="Patient.name.family" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:geburtsname.family.extension">
      <path value="Patient.name.family.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Patient.name:geburtsname.family.extension:namenszusatz">
      <path value="Patient.name.family.extension" />
      <sliceName value="namenszusatz" />
      <min value="0" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:geburtsname.family.extension:nachname">
      <path value="Patient.name.family.extension" />
      <sliceName value="nachname" />
      <min value="0" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:geburtsname.family.extension:vorsatzwort">
      <path value="Patient.name.family.extension" />
      <sliceName value="vorsatzwort" />
      <min value="0" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name:geburtsname.given">
      <path value="Patient.name.given" />
      <max value="0" />
    </element>
    <element id="Patient.name:geburtsname.prefix">
      <path value="Patient.name.prefix" />
      <max value="0" />
    </element>
    <element id="Patient.name:geburtsname.prefix.extension">
      <path value="Patient.name.prefix.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Patient.name:geburtsname.prefix.extension:prefix-qualifier">
      <path value="Patient.name.prefix.extension" />
      <sliceName value="prefix-qualifier" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.telecom">
      <path value="Patient.telecom" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.gender">
      <path value="Patient.gender" />
      <min value="1" />
      <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="open" />
      </slicing>
      <min value="0" />
    </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.birthDate">
      <path value="Patient.birthDate" />
      <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="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Patient.birthDate.extension:data-absent-reason">
      <path value="Patient.birthDate.extension" />
      <sliceName value="data-absent-reason" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.deceased[x]">
      <path value="Patient.deceased[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address">
      <path value="Patient.address" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift">
      <path value="Patient.address" />
      <sliceName value="Strassenanschrift" />
      <type>
        <code value="Address" />
        <profile value="http://fhir.de/StructureDefinition/address-de-basis" />
      </type>
      <patternAddress>
        <type value="both" />
      </patternAddress>
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.extension">
      <path value="Patient.address.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Patient.address:Strassenanschrift.extension:Stadtteil">
      <path value="Patient.address.extension" />
      <sliceName value="Stadtteil" />
      <min value="0" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.type">
      <path value="Patient.address.type" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.line">
      <path value="Patient.address.line" />
      <min value="1" />
      <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>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Patient.address:Strassenanschrift.line.extension:Strasse">
      <path value="Patient.address.line.extension" />
      <sliceName value="Strasse" />
      <min value="0" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.line.extension:Hausnummer">
      <path value="Patient.address.line.extension" />
      <sliceName value="Hausnummer" />
      <min value="0" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.line.extension:Adresszusatz">
      <path value="Patient.address.line.extension" />
      <sliceName value="Adresszusatz" />
      <min value="0" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.line.extension:Postfach">
      <path value="Patient.address.line.extension" />
      <sliceName value="Postfach" />
      <min value="0" />
      <max value="0" />
    </element>
    <element id="Patient.address:Strassenanschrift.city">
      <path value="Patient.address.city" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.city.extension">
      <path value="Patient.address.city.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Patient.address:Strassenanschrift.city.extension:gemeindeschluessel">
      <path value="Patient.address.city.extension" />
      <sliceName value="gemeindeschluessel" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://fhir.de/StructureDefinition/destatis/ags" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.postalCode">
      <path value="Patient.address.postalCode" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Strassenanschrift.country">
      <path value="Patient.address.country" />
      <min value="1" />
      <constraint>
        <key value="pat-cnt-2or3-char" />
        <severity value="warning" />
        <human value="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." />
        <expression value="country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))" />
      </constraint>
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach">
      <path value="Patient.address" />
      <sliceName value="Postfach" />
      <type>
        <code value="Address" />
        <profile value="http://fhir.de/StructureDefinition/address-de-basis" />
      </type>
      <patternAddress>
        <type value="postal" />
      </patternAddress>
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.extension">
      <path value="Patient.address.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Patient.address:Postfach.extension:Stadtteil">
      <path value="Patient.address.extension" />
      <sliceName value="Stadtteil" />
      <min value="0" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.type">
      <path value="Patient.address.type" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.line">
      <path value="Patient.address.line" />
      <min 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>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Patient.address:Postfach.line.extension:Strasse">
      <path value="Patient.address.line.extension" />
      <sliceName value="Strasse" />
      <min value="0" />
      <max value="0" />
    </element>
    <element id="Patient.address:Postfach.line.extension:Hausnummer">
      <path value="Patient.address.line.extension" />
      <sliceName value="Hausnummer" />
      <min value="0" />
      <max value="0" />
    </element>
    <element id="Patient.address:Postfach.line.extension:Adresszusatz">
      <path value="Patient.address.line.extension" />
      <sliceName value="Adresszusatz" />
      <min value="0" />
      <max value="0" />
    </element>
    <element id="Patient.address:Postfach.line.extension:Postfach">
      <path value="Patient.address.line.extension" />
      <sliceName value="Postfach" />
      <min value="0" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.city">
      <path value="Patient.address.city" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.city.extension">
      <path value="Patient.address.city.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Patient.address:Postfach.city.extension:gemeindeschluessel">
      <path value="Patient.address.city.extension" />
      <sliceName value="gemeindeschluessel" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://fhir.de/StructureDefinition/destatis/ags" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.postalCode">
      <path value="Patient.address.postalCode" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address:Postfach.country">
      <path value="Patient.address.country" />
      <min value="1" />
      <constraint>
        <key value="pat-cnt-2or3-char" />
        <severity value="warning" />
        <human value="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." />
        <expression value="country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))" />
      </constraint>
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication.language">
      <path value="Patient.communication.language" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.link">
      <path value="Patient.link" />
      <mustSupport value="false" />
    </element>
    <element id="Patient.link.other">
      <path value="Patient.link.other" />
      <mustSupport value="false" />
    </element>
    <element id="Patient.link.type">
      <path value="Patient.link.type" />
      <mustSupport value="false" />
    </element>
  </differential>
</StructureDefinition>