{
  "resourceType": "StructureDefinition",
  "url": "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/Patient",
  "version": "0.9",
  "name": "PatientIn",
  "title": "Patient - PatientIn",
  "status": "draft",
  "description": "Dieses Profil beschreibt eine PatientIn in der Medizininformatik-Initiative.",
  "fhirVersion": "4.0.0",
  "kind": "resource",
  "abstract": false,
  "type": "Patient",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Patient",
        "path": "Patient",
        "constraint": [
          {
            "key": "pat-de-1",
            "severity": "error",
            "human": "Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist",
            "expression": "gender='other' or gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de/0.2').empty()",
            "source": "Patient"
          }
        ]
      },
      {
        "id": "Patient.id",
        "path": "Patient.id",
        "mustSupport": true
      },
      {
        "id": "Patient.meta",
        "path": "Patient.meta",
        "mustSupport": true
      },
      {
        "id": "Patient.meta.source",
        "path": "Patient.meta.source",
        "mustSupport": true
      },
      {
        "id": "Patient.meta.profile",
        "path": "Patient.meta.profile",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier",
        "path": "Patient.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "type"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_gkv",
        "path": "Patient.identifier",
        "sliceName": "versicherungsnummer_gkv",
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.de/StructureDefinition/identifier-kvid-10"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_gkv.use",
        "path": "Patient.identifier.use",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_gkv.type",
        "path": "Patient.identifier.type",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
              "code": "GKV"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_gkv.type.coding",
        "path": "Patient.identifier.type.coding",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_gkv.type.coding:GKV-Type",
        "path": "Patient.identifier.type.coding",
        "sliceName": "GKV-Type",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_gkv.type.coding:GKV-Type.system",
        "path": "Patient.identifier.type.coding.system",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_gkv.type.coding:GKV-Type.code",
        "path": "Patient.identifier.type.coding.code",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_gkv.assigner",
        "path": "Patient.identifier.assigner",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_gkv.assigner.identifier",
        "path": "Patient.identifier.assigner.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_gkv.assigner.identifier:iknr",
        "path": "Patient.identifier.assigner.identifier",
        "sliceName": "iknr",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.de/StructureDefinition/identifier-iknr"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_gkv.assigner.identifier:iknr.use",
        "path": "Patient.identifier.assigner.identifier.use",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:pid",
        "path": "Patient.identifier",
        "sliceName": "pid",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.de/StructureDefinition/identifier-pid"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:pid.use",
        "path": "Patient.identifier.use",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:pid.type",
        "path": "Patient.identifier.type",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code": "MR"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:pid.type.coding",
        "path": "Patient.identifier.type.coding",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:pid.type.coding:MR-Type",
        "path": "Patient.identifier.type.coding",
        "sliceName": "MR-Type",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:pid.type.coding:MR-Type.system",
        "path": "Patient.identifier.type.coding.system",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:pid.type.coding:MR-Type.code",
        "path": "Patient.identifier.type.coding.code",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:pid.system",
        "path": "Patient.identifier.system",
        "mustSupport": true,
        "fixedUri": "https://www.medizininformatik-initiative.de/fhir/core/NamingSystem/patient-identifier"
      },
      {
        "id": "Patient.identifier:pid.assigner",
        "path": "Patient.identifier.assigner",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_pkv",
        "path": "Patient.identifier",
        "sliceName": "versicherungsnummer_pkv",
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.de/StructureDefinition/identifier-pkv"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_pkv.use",
        "path": "Patient.identifier.use",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_pkv.type",
        "path": "Patient.identifier.type",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
              "code": "PKV"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_pkv.type.coding",
        "path": "Patient.identifier.type.coding",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_pkv.type.coding:PKV-Type",
        "path": "Patient.identifier.type.coding",
        "sliceName": "PKV-Type",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_pkv.type.coding:PKV-Type.system",
        "path": "Patient.identifier.type.coding.system",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:versicherungsnummer_pkv.type.coding:PKV-Type.code",
        "path": "Patient.identifier.type.coding.code",
        "mustSupport": true
      },
      {
        "id": "Patient.name",
        "path": "Patient.name",
        "min": 1,
        "type": [
          {
            "code": "HumanName",
            "profile": [
              "http://fhir.de/StructureDefinition/humanname-de-basis"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.name.use",
        "path": "Patient.name.use",
        "mustSupport": true
      },
      {
        "id": "Patient.name.family",
        "path": "Patient.name.family",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.name.family.extension:namenszusatz",
        "path": "Patient.name.family.extension",
        "sliceName": "namenszusatz",
        "mustSupport": true
      },
      {
        "id": "Patient.name.family.extension:nachname",
        "path": "Patient.name.family.extension",
        "sliceName": "nachname",
        "mustSupport": true
      },
      {
        "id": "Patient.name.family.extension:vorsatzwort",
        "path": "Patient.name.family.extension",
        "sliceName": "vorsatzwort",
        "mustSupport": true
      },
      {
        "id": "Patient.name.given",
        "path": "Patient.name.given",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.name.prefix",
        "path": "Patient.name.prefix",
        "mustSupport": true
      },
      {
        "id": "Patient.name.prefix.extension:prefix-qualifier",
        "path": "Patient.name.prefix.extension",
        "sliceName": "prefix-qualifier",
        "mustSupport": true
      },
      {
        "id": "Patient.name.prefix.extension:prefix-qualifier.value[x]",
        "path": "Patient.name.prefix.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Patient.name.prefix.extension:prefix-qualifier.value[x]:valueCode",
        "path": "Patient.name.prefix.extension.value[x]",
        "sliceName": "valueCode",
        "mustSupport": true
      },
      {
        "id": "Patient.name.suffix",
        "path": "Patient.name.suffix",
        "mustSupport": true
      },
      {
        "id": "Patient.gender",
        "path": "Patient.gender",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.gender.extension",
        "path": "Patient.gender.extension",
        "mustSupport": true,
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Patient.gender.extension:other-amtlich",
        "path": "Patient.gender.extension",
        "sliceName": "other-amtlich",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.de/StructureDefinition/gender-amtlich-de"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.birthDate",
        "path": "Patient.birthDate",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.deceased[x]",
        "path": "Patient.deceased[x]",
        "mustSupport": true
      },
      {
        "id": "Patient.address",
        "path": "Patient.address",
        "min": 1,
        "type": [
          {
            "code": "Address",
            "profile": [
              "http://fhir.de/StructureDefinition/address-de-basis"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.address.extension:Stadtteil",
        "path": "Patient.address.extension",
        "sliceName": "Stadtteil",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Patient.address.extension:Stadtteil.value[x]",
        "path": "Patient.address.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Patient.address.extension:Stadtteil.value[x]:valueString",
        "path": "Patient.address.extension.value[x]",
        "sliceName": "valueString",
        "mustSupport": true
      },
      {
        "id": "Patient.address.line",
        "path": "Patient.address.line",
        "mustSupport": true
      },
      {
        "id": "Patient.address.line.extension:Strasse",
        "path": "Patient.address.line.extension",
        "sliceName": "Strasse",
        "mustSupport": true
      },
      {
        "id": "Patient.address.line.extension:Hausnummer",
        "path": "Patient.address.line.extension",
        "sliceName": "Hausnummer",
        "mustSupport": true
      },
      {
        "id": "Patient.address.line.extension:Adresszusatz",
        "path": "Patient.address.line.extension",
        "sliceName": "Adresszusatz",
        "mustSupport": true
      },
      {
        "id": "Patient.address.line.extension:Postfach",
        "path": "Patient.address.line.extension",
        "sliceName": "Postfach",
        "mustSupport": true
      },
      {
        "id": "Patient.address.city",
        "path": "Patient.address.city",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.address.postalCode",
        "path": "Patient.address.postalCode",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.address.country",
        "path": "Patient.address.country",
        "definition": "Staat (vorzugsweise als 2-Stelliger ISO-Ländercode).",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required"
        }
      },
      {
        "id": "Patient.link",
        "path": "Patient.link",
        "mustSupport": true
      },
      {
        "id": "Patient.link.other",
        "path": "Patient.link.other",
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
                "valueBoolean": false
              }
            ],
            "code": "Reference",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.link.type",
        "path": "Patient.link.type",
        "mustSupport": true
      }
    ]
  }
}