ISiK Basis Implementierungsleitfaden
Version 6.0.0-rc - ci-build

Resource Profile: ISiKAngehoeriger - Detailed Descriptions

Active as of 2025-12-17

Definitions for the ISiKAngehoeriger resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. RelatedPerson
Definition

Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.

ShortA person that is related to a patient, but who is not a direct target of care
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
relatedp-de-1: Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden (gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists())
2. RelatedPerson.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Shortserverseitige, interne ID des DatensatzesLogical id of this artifact
Comments

bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine idverfügen.


The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control0..1
Typeidstring
Is Modifierfalse
Must Supporttrue
Summarytrue
4. RelatedPerson.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. RelatedPerson.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. RelatedPerson.active
Definition

Whether this related person record is in active use.

ShortStatus des DatensatzesWhether this related person's record is in active use
Comments

Einschränkung der übergreifenden MS-Definition: Die Implementierung dieses Elements ist für Server optional. Die Kennzeichnung als Must-Support erfolgt, da es sich um ein als Modifier-Element markiertes Feld in der Kernspezifikation handelt.

Hinweis zur Verwendung:

  • true = Der Datensatz befindet sich in Verwendung/kann verwendet werden

  • false= Der Datensatz wurde storniert (z.B. bei Dubletten, Merge) oder archiviert

    WICHTIGER Hinweis für Implementierer:

    • Alle server-seitigen Implementierungen SOLLEN in der Lage sein, die systemintern möglichen Statuswerte korrekt in FHIR abzubilden.
    • Alle client-seitigen Implementierungen SOLLEN in der Lage sein, sämtliche Status-Codes zu interpretieren und dem Anwender in angemessener Form darstellen zu können.

This element is labeled as a modifier because it may be used to mark that the resource was created in error.

Control0..1
Typeboolean
Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

Need to be able to mark a related person record as not to be used, such as if it was created in error.

Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. RelatedPerson.patient
Definition

The patient this person is related to.

ShortPatientenbezugThe patient this person is related to
Comments

Motivation Kardinalität und Must-Support: Referenz auf den Patienten, zu dem diese angehörige Person in Beziehung steht. Diese Verlinkung ist essentiell für die Dokumentation der Beziehung zwischen Patient und Angehörigem.

Control1..1
TypeReference(Patient)
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

We need to know which patient this RelatedPerson is related to.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. RelatedPerson.patient.reference
Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

ShortPatienten-LinkLiteral reference, Relative, internal or absolute URL
Comments

Begründung Pflichtfeld: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKPatient sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden.


Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Control10..1
This element is affected by the following invariants: ref-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. RelatedPerson.relationship
Definition

The nature of the relationship between a patient and the related person.

ShortVerwandtschaftsverhältnisThe nature of the relationship
Comments

Begründung MS: Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)

Control0..*
BindingThe codes SHOULD be taken from PatientRelationshipTypehttp://hl7.org/fhir/ValueSet/relatedperson-relationshiptype|4.0.1
(preferred to http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype|4.0.1)

The nature of the relationship between a patient and the related person.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. RelatedPerson.name
Definition

A name associated with the person.

ShortOffizieller Name der angehörigen PersonA name associated with the person
Comments

Aufgrund der primären Nutzung von Angehörigen-Informationen im ISiK-Kontext als Brief- und Rechnungsempfänger, ist die Angabe des offiziellen Namens relevant. Wenn kein Name vorliegt, MUSS die data-absent-reason-Extension eingesetzt werden.
Weitere Hinweise: siehe Deutsche Basisprofile

Control10..*
TypeHumanName
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on RelatedPerson.name. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • pattern @ $this
  • 18. RelatedPerson.name:Name
    Slice NameName
    Definition

    A name associated with the person.

    ShortSlice für den offiziellen Namen der angehörigen PersonA name associated with the person
    Comments

    Basierend auf dem Pattern .use = official wird dieser Slice gewählt. Begründung MS: Siehe untergeordnete Elemente

    Control10..1*
    TypeHumanName(HumanName, deutsches Basisprofil)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.

    Pattern Value{
      "use" : "official"
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. RelatedPerson.name:Name.use
    Definition

    Identifies the purpose for this name.

    ShortVerwendungszweckusual | official | temp | nickname | anonymous | old | maiden
    Comments

    Verwendungszweck des Namens. Der präferierte Namen für die Brief- und Rechnungszustellung SOLLTE als official gekennzeichnet werden und mindestens über einen Vor- und Nachnamen verfügen.
    Begründung MS: Dient als Unterscheidungs- und Auswahlkriterium


    Applications can assume that a name is current unless it explicitly says that it is temporary or old.

    Control0..1
    BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
    (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

    The use of a human name.

    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    Allows the appropriate name for a particular context of use to be selected from among a set of names.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. RelatedPerson.name:Name.family
    Definition

    Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.


    The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

    ShortNachnameFamily name (often called 'Surname')
    Comments

    Vollständiger Nachname bzw. Familienname der Person, einschließlich Vor- und Zusätze.
    Begründung Pflichtfeld: Ein offizieller Name ist nur zulässig, wenn der Nachname und mindestens ein Vorname angegeben sind.


    Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Alternate Namessurname
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. RelatedPerson.name:Name.family.extension:namenszusatz
    Slice Namenamenszusatz
    Definition

    Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst

    ShortNamenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
    Comments

    Die Extension wurde erstellt aufgrund der Anforderung, die auf der eGK vorhandenen Patientenstammdaten in FHIR abbilden zu können. Auf der eGK werden die Namensbestandteile "Namenszusatz" und "Vorsatzwort" getrennt vom Nachnamen gespeichert. Anhand der Liste der zulässigen Namenszusätze ist deutlich erkennbar, dass es sich hierbei sinngemäß um Adelstitel handelt. Das Vorsatzwort kann durch die Core-Extension own-prefix (Canonical: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix) abgebildet werden, für den Namenszusatz ergibt sich jedoch die Notwendikeit einer nationalen Extension, da in andern Ländern Adelstitel entweder gar nicht oder als reguläres Namenspräfix erfasst werden.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Extension zur Erfassung der VSDM Namensbestandteile) (Extension Type: string)
    Is Modifierfalse
    Standard StatusNormative (from Trial Use)
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    26. RelatedPerson.name:Name.family.extension:nachname
    Slice Namenachname
    Definition

    Nachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens.

    ShortNachname ohne Vor- und Zusätze
    Comments

    If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's "maiden name".

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Own Name) (Extension Type: string)
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    28. RelatedPerson.name:Name.family.extension:vorsatzwort
    Slice Namevorsatzwort
    Definition

    Vorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK")

    ShortVorsatzwort
    Comments

    An example of a voorvoegsel is the "van" in "Ludwig van Beethoven". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Own Prefix) (Extension Type: string)
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    30. RelatedPerson.name:Name.given
    Definition

    Vorname der Person


    Given name.

    ShortVornameGiven names (not always 'first'). Includes middle names
    Comments

    Kann mehrfach verwendet werden, um den Rufnamen sowie weitere Vornamen, Mittelnamen oder Mittel-Initialen abzubilden. Begründung Pflichtfeld: Ein offizieller Name ist nur zulässig, wenn der Nachname und mindestens ein Vorname angegeben sind.


    If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

    Control0..*
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Alternate Namesfirst name, middle name
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. RelatedPerson.name:Name.prefix
    Definition

    Namensteile vor dem Vornamen, z.B. akademischer Titel.


    Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

    ShortPräfixParts that come before the name
    Comments

    Präfix, z.B. akademischer Titel od. militärischer Rang

    Control0..*
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. RelatedPerson.name:Name.prefix.extension:prefix-qualifier
    Slice Nameprefix-qualifier
    Definition

    Spezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel

    ShortLS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
    Comments

    Used to indicate additional information about the name part and how it should be used.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(EN Qualifier) (Extension Type: code)
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    36. RelatedPerson.telecom
    Definition

    A contact detail for the person, e.g. a telephone number or an email address.

    ShortTelekommunikationsverbindungA contact detail for the person
    Comments

    Telekommunikationsverbindung (z.B. Telefonnummer, eMail-Adresse)
    Begründung MS: Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)


    Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.

    Control0..*
    TypeContactPoint
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    People have (primary) ways to contact them in some way such as phone, email.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. RelatedPerson.telecom.system
    Definition

    Telecommunications form for contact point - what communications system is required to make use of the contact.

    ShortArt der Telekommunikationsverbindungphone | fax | email | pager | url | sms | other
    Comments

    Begründung Pflichtfeld: Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)

    Control10..1
    This element is affected by the following invariants: cpt-2
    BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
    (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

    Telecommunications form for contact point.

    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. RelatedPerson.telecom.value
    Definition

    The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

    ShortTelekommunikations-EndpunktThe actual contact point details
    Comments

    Begründung Pflichtfeld: Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)


    Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

    Control10..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    Need to support legacy numbers that are not in a tightly controlled format.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. RelatedPerson.telecom.use
    Definition

    Identifies the purpose for the contact point.

    Shorthome | work | temp | old | mobile - purpose of this contact point
    Comments

    Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

    Control0..1
    BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
    (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

    Use of contact point.

    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. RelatedPerson.address
    Definition

    Address where the related person can be contacted or visited.

    ShortOffizielle Adresse der angehörigen PersonAddress where the related person can be contacted or visited
    Comments

    In order to differentiate between post box addresses and physical addresses, street names and house numbers, and to add city district names, vendors can opt to support the extensions as suggested in the German Address Base Profile http://fhir.de/StructureDefinition/address-de-basis. Such differentiations are however not required within the scope of this specification.

    Control0..*
    TypeAddress
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    Need to keep track where the related person can be contacted per postal mail or visited.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on RelatedPerson.address. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • pattern @ $this
    • 46. RelatedPerson.address:Strassenanschrift
      Slice NameStrassenanschrift
      Definition

      Address where the related person can be contacted or visited.

      ShortStraßenanschriftAddress where the related person can be contacted or visited
      Comments

      Wohn- oder Aufenthaltsort des Angehörigen

      Control0..*
      TypeAddress(Adresse, deutsches Basisprofil)
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      Need to keep track where the related person can be contacted per postal mail or visited.

      Pattern Value{
        "type" : "both"
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      address-cnt-2or3-char: 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. (country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3')))
      48. RelatedPerson.address:Strassenanschrift.extension:Stadtteil
      Slice NameStadtteil
      Definition

      A subsection of a municipality.

      Shortprecinct
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(ADXP Precinct) (Extension Type: string)
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      50. RelatedPerson.address:Strassenanschrift.use
      Definition

      The purpose of this address.

      Shorthome | work | temp | old | billing - purpose of this address
      Comments

      Applications can assume that an address is current unless it explicitly says that it is temporary or old.

      Control0..1
      BindingThe codes SHALL be taken from AddressUsehttp://hl7.org/fhir/ValueSet/address-use|4.0.1
      (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

      The use of an address.

      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      Allows an appropriate address to be chosen from a list of many.

      ExampleGeneral: home
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. RelatedPerson.address:Strassenanschrift.type
      Definition

      Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

      ShortAdresstyppostal | physical | both
      Comments

      Hier ist stets der Wert both anzugeben.
      Begründung Pflichtfeld: Dient als Unterscheidungs- und Auswahlkriterium


      The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

      Control10..1
      BindingThe codes SHALL be taken from AddressTypehttp://hl7.org/fhir/ValueSet/address-type|4.0.1
      (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

      The type of an address (physical / postal).

      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      ExampleGeneral: both
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      54. RelatedPerson.address:Strassenanschrift.line
      Definition

      Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können.


      This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

      ShortAdresszeileStreet name, number, direction & P.O. Box etc.
      Comments

      Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können.
      Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.
      Begründung für Reduktion der max. Kardinalität: Die maximale Kardinalität wurde in Übereinstimmung mit der DIN-Norm 5008 (Schreib- und Gestaltungsregeln für die Text- und Informationsverarbeitung) auf 3 beschränkt.

      Control10..3*
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      ExampleGeneral: 137 Nowhere Street
      Beipiel für Adresszeile mit Extensions für Straße und Hausnummer: Musterweg 42
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      56. RelatedPerson.address:Strassenanschrift.line.extension:Strasse
      Slice NameStrasse
      Definition

      streetName.

      ShortStrassenname
      Comments

      Strassenname (ohne Hausnummer). Bei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.
      Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.

      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(ADXP Street Name) (Extension Type: string)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      58. RelatedPerson.address:Strassenanschrift.line.extension:Hausnummer
      Slice NameHausnummer
      Definition

      The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building.

      ShorthouseNumber
      Comments

      Hausnummer, sowie Zusätze (Appartmentnummer, Etage...). Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.
      Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.

      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(ADXP House Number) (Extension Type: string)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      60. RelatedPerson.address:Strassenanschrift.line.extension:Adresszusatz
      Slice NameAdresszusatz
      Definition

      This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342"). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch "t.o." means "opposite to" for house boats located across the street facing houses).

      ShortadditionalLocator
      Comments

      Zusätzliche Informationen, wie z.B. '3. Etage', 'Appartment C'. Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.
      Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.

      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(ADXP Additional Locator) (Extension Type: string)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      62. RelatedPerson.address:Strassenanschrift.line.extension:Postfach
      Slice NamePostfach
      Definition

      A numbered box located in a post station.

      ShortPostfachnummer
      Comments

      Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type physical oder both verwendet werden.
      Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.

      Control0..0
      This element is affected by the following invariants: ele-1
      TypeExtension(ADXP Post Box) (Extension Type: string)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      64. RelatedPerson.address:Strassenanschrift.city
      Definition

      The name of the city, town, suburb, village or other community or delivery center.

      ShortStadtName of city, town etc.
      Comments

      Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.

      Control10..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Alternate NamesMunicpality
      ExampleGeneral: Erewhon
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      66. RelatedPerson.address:Strassenanschrift.district
      Definition

      The name of the administrative area (county).

      ShortDistrict name (aka county)
      Comments

      District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

      Control0..01
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Alternate NamesCounty
      ExampleGeneral: Madison
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      68. RelatedPerson.address:Strassenanschrift.postalCode
      Definition

      Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen


      A postal code designating a region defined by the postal service.

      ShortPostleitzahlPostal code for area
      Comments

      Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.

      Control10..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Alternate NamesZip
      ExampleGeneral: 9132
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      70. RelatedPerson.address:Strassenanschrift.country
      Definition

      Staat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben


      Country - a nation as commonly understood or generally accepted.

      ShortLandCountry (e.g. can be ISO 3166 2 or 3 letter code)
      Comments

      Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.


      ISO 3166 3 letter codes can be used in place of a human readable country name.

      Control10..1
      BindingThe codes SHOULD be taken from For codes, see Iso3166-1-2
      (preferred to http://hl7.org/fhir/ValueSet/iso3166-1-2)
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      72. RelatedPerson.address:Postfach
      Slice NamePostfach
      Definition

      Address where the related person can be contacted or visited.

      ShortPostfachadresseAddress where the related person can be contacted or visited
      Comments

      Adresse, die nur für postalische Zustellung genutzt werden kann.

      Control0..*
      TypeAddress(Adresse, deutsches Basisprofil)
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      Need to keep track where the related person can be contacted per postal mail or visited.

      Pattern Value{
        "type" : "postal"
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      address-cnt-2or3-char: 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. (country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3')))
      74. RelatedPerson.address:Postfach.extension:Stadtteil
      Slice NameStadtteil
      Definition

      A subsection of a municipality.

      ShortStadt- oder Ortsteil
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(ADXP Precinct) (Extension Type: string)
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      76. RelatedPerson.address:Postfach.use
      Definition

      The purpose of this address.

      Shorthome | work | temp | old | billing - purpose of this address
      Comments

      Applications can assume that an address is current unless it explicitly says that it is temporary or old.

      Control0..1
      BindingThe codes SHALL be taken from AddressUsehttp://hl7.org/fhir/ValueSet/address-use|4.0.1
      (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

      The use of an address.

      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      Allows an appropriate address to be chosen from a list of many.

      ExampleGeneral: home
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      78. RelatedPerson.address:Postfach.type
      Definition

      Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

      ShortAdresstyppostal | physical | both
      Comments

      Hier ist stets der Wert postal anzugeben.
      Begründung Pflichtfeld: Dient als Unterscheidungs- und Auswahlkriterium


      The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

      Control10..1
      BindingThe codes SHALL be taken from AddressTypehttp://hl7.org/fhir/ValueSet/address-type|4.0.1
      (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

      The type of an address (physical / postal).

      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      ExampleGeneral: both
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      80. RelatedPerson.address:Postfach.line
      Definition

      Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können.


      This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

      ShortAdresszeileStreet name, number, direction & P.O. Box etc.
      Comments

      Diese Komponente enthält die Postfachadresse als String der Form 'Postfach: 12345'. Bei Verwendung der Postfach-Extension, um die Postfachnummer strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können.
      Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.
      Begründung für Reduktion der max. Kardinalität: Die maximale Kardinalität wurde in Übereinstimmung mit der DIN-Norm 5008 (Schreib- und Gestaltungsregeln für die Text- und Informationsverarbeitung) auf 3 beschränkt.

      Control10..3*
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      ExampleGeneral: 137 Nowhere Street
      Beipiel für Adresszeile mit Extensions für Straße und Hausnummer: Musterweg 42
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      82. RelatedPerson.address:Postfach.line.extension:Strasse
      Slice NameStrasse
      Definition

      streetName.

      ShortstreetName
      Control0..0
      This element is affected by the following invariants: ele-1
      TypeExtension(ADXP Street Name) (Extension Type: string)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      84. RelatedPerson.address:Postfach.line.extension:Hausnummer
      Slice NameHausnummer
      Definition

      The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building.

      ShorthouseNumber
      Control0..0
      This element is affected by the following invariants: ele-1
      TypeExtension(ADXP House Number) (Extension Type: string)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      86. RelatedPerson.address:Postfach.line.extension:Adresszusatz
      Slice NameAdresszusatz
      Definition

      This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342"). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch "t.o." means "opposite to" for house boats located across the street facing houses).

      ShortadditionalLocator
      Control0..0
      This element is affected by the following invariants: ele-1
      TypeExtension(ADXP Additional Locator) (Extension Type: string)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      88. RelatedPerson.address:Postfach.line.extension:Postfach
      Slice NamePostfach
      Definition

      A numbered box located in a post station.

      ShortPostfachnummer
      Comments

      Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type physical oder both verwendet werden.
      Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.

      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(ADXP Post Box) (Extension Type: string)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      90. RelatedPerson.address:Postfach.city
      Definition

      The name of the city, town, suburb, village or other community or delivery center.

      ShortStadtName of city, town etc.
      Comments

      Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.

      Control10..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Alternate NamesMunicpality
      ExampleGeneral: Erewhon
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      92. RelatedPerson.address:Postfach.district
      Definition

      The name of the administrative area (county).

      ShortDistrict name (aka county)
      Comments

      District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

      Control0..01
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Alternate NamesCounty
      ExampleGeneral: Madison
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      94. RelatedPerson.address:Postfach.postalCode
      Definition

      Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen


      A postal code designating a region defined by the postal service.

      ShortPostleitzahlPostal code for area
      Comments

      Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.

      Control10..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Alternate NamesZip
      ExampleGeneral: 9132
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      96. RelatedPerson.address:Postfach.country
      Definition

      Staat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben


      Country - a nation as commonly understood or generally accepted.

      ShortLandCountry (e.g. can be ISO 3166 2 or 3 letter code)
      Comments

      Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.


      ISO 3166 3 letter codes can be used in place of a human readable country name.

      Control10..1
      BindingThe codes SHOULD be taken from For codes, see Iso3166-1-2
      (preferred to http://hl7.org/fhir/ValueSet/iso3166-1-2)
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

      Guidance on how to interpret the contents of this table can be foundhere

      0. RelatedPerson
      Invariantsrelatedp-de-1: Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden (gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists())
      2. RelatedPerson.id
      Shortserverseitige, interne ID des Datensatzes
      Comments

      bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine idverfügen.

      Must Supporttrue
      4. RelatedPerson.meta
      6. RelatedPerson.meta.versionId
      ShortEindeutiger Name der serverseitigen Version des Datensatzes
      Comments

      Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine versionID verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine versionIDverfügen.

      8. RelatedPerson.meta.lastUpdated
      ShortZeitpunkt der letzten Änderung
      Comments

      Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein lastUpdate verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über ein lastUpdateverfügen.

      10. RelatedPerson.active
      ShortStatus des Datensatzes
      Comments

      Einschränkung der übergreifenden MS-Definition: Die Implementierung dieses Elements ist für Server optional. Die Kennzeichnung als Must-Support erfolgt, da es sich um ein als Modifier-Element markiertes Feld in der Kernspezifikation handelt.

      Hinweis zur Verwendung:

      • true = Der Datensatz befindet sich in Verwendung/kann verwendet werden

      • false= Der Datensatz wurde storniert (z.B. bei Dubletten, Merge) oder archiviert

        WICHTIGER Hinweis für Implementierer:

        • Alle server-seitigen Implementierungen SOLLEN in der Lage sein, die systemintern möglichen Statuswerte korrekt in FHIR abzubilden.
        • Alle client-seitigen Implementierungen SOLLEN in der Lage sein, sämtliche Status-Codes zu interpretieren und dem Anwender in angemessener Form darstellen zu können.
      Must Supporttrue
      12. RelatedPerson.patient
      ShortPatientenbezug
      Comments

      Motivation Kardinalität und Must-Support: Referenz auf den Patienten, zu dem diese angehörige Person in Beziehung steht. Diese Verlinkung ist essentiell für die Dokumentation der Beziehung zwischen Patient und Angehörigem.

      Must Supporttrue
      14. RelatedPerson.patient.reference
      ShortPatienten-Link
      Comments

      Begründung Pflichtfeld: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKPatient sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden.

      Control1..?
      Must Supporttrue
      16. RelatedPerson.relationship
      ShortVerwandtschaftsverhältnis
      Comments

      Begründung MS: Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)

      Must Supporttrue
      18. RelatedPerson.name
      ShortOffizieller Name der angehörigen Person
      Comments

      Aufgrund der primären Nutzung von Angehörigen-Informationen im ISiK-Kontext als Brief- und Rechnungsempfänger, ist die Angabe des offiziellen Namens relevant. Wenn kein Name vorliegt, MUSS die data-absent-reason-Extension eingesetzt werden.
      Weitere Hinweise: siehe Deutsche Basisprofile

      Control1..?
      Must Supporttrue
      SlicingThis element introduces a set of slices on RelatedPerson.name. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • pattern @ $this
      • 20. RelatedPerson.name:Name
        Slice NameName
        ShortSlice für den offiziellen Namen der angehörigen Person
        Comments

        Basierend auf dem Pattern .use = official wird dieser Slice gewählt. Begründung MS: Siehe untergeordnete Elemente

        Control1..1
        TypeHumanName(HumanName, deutsches Basisprofil)
        Must Supporttrue
        Pattern Value{
          "use" : "official"
        }
        22. RelatedPerson.name:Name.use
        ShortVerwendungszweck
        Comments

        Verwendungszweck des Namens. Der präferierte Namen für die Brief- und Rechnungszustellung SOLLTE als official gekennzeichnet werden und mindestens über einen Vor- und Nachnamen verfügen.
        Begründung MS: Dient als Unterscheidungs- und Auswahlkriterium

        Must Supporttrue
        24. RelatedPerson.name:Name.family
        ShortNachname
        Comments

        Vollständiger Nachname bzw. Familienname der Person, einschließlich Vor- und Zusätze.
        Begründung Pflichtfeld: Ein offizieller Name ist nur zulässig, wenn der Nachname und mindestens ein Vorname angegeben sind.

        Must Supporttrue
        26. RelatedPerson.name:Name.given
        Comments

        Kann mehrfach verwendet werden, um den Rufnamen sowie weitere Vornamen, Mittelnamen oder Mittel-Initialen abzubilden. Begründung Pflichtfeld: Ein offizieller Name ist nur zulässig, wenn der Nachname und mindestens ein Vorname angegeben sind.

        Must Supporttrue
        28. RelatedPerson.name:Name.prefix
        ShortPräfix
        Comments

        Präfix, z.B. akademischer Titel od. militärischer Rang

        Must Supporttrue
        30. RelatedPerson.telecom
        ShortTelekommunikationsverbindung
        Comments

        Telekommunikationsverbindung (z.B. Telefonnummer, eMail-Adresse)
        Begründung MS: Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)

        Must Supporttrue
        32. RelatedPerson.telecom.system
        ShortArt der Telekommunikationsverbindung
        Comments

        Begründung Pflichtfeld: Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)

        Control1..?
        Must Supporttrue
        34. RelatedPerson.telecom.value
        ShortTelekommunikations-Endpunkt
        Comments

        Begründung Pflichtfeld: Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)

        Control1..?
        Must Supporttrue
        36. RelatedPerson.address
        ShortOffizielle Adresse der angehörigen Person
        Comments

        In order to differentiate between post box addresses and physical addresses, street names and house numbers, and to add city district names, vendors can opt to support the extensions as suggested in the German Address Base Profile http://fhir.de/StructureDefinition/address-de-basis. Such differentiations are however not required within the scope of this specification.

        Must Supporttrue
        SlicingThis element introduces a set of slices on RelatedPerson.address. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • pattern @ $this
        • 38. RelatedPerson.address:Strassenanschrift
          Slice NameStrassenanschrift
          ShortStraßenanschrift
          Comments

          Wohn- oder Aufenthaltsort des Angehörigen

          Control0..*
          TypeAddress(Adresse, deutsches Basisprofil)
          Must Supporttrue
          Pattern Value{
            "type" : "both"
          }
          Invariantsaddress-cnt-2or3-char: 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. (country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3')))
          40. RelatedPerson.address:Strassenanschrift.extension:Stadtteil
          Slice NameStadtteil
          Must Supporttrue
          42. RelatedPerson.address:Strassenanschrift.type
          ShortAdresstyp
          Comments

          Hier ist stets der Wert both anzugeben.
          Begründung Pflichtfeld: Dient als Unterscheidungs- und Auswahlkriterium

          Control1..?
          Must Supporttrue
          44. RelatedPerson.address:Strassenanschrift.line
          ShortAdresszeile
          Comments

          Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können.
          Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.
          Begründung für Reduktion der max. Kardinalität: Die maximale Kardinalität wurde in Übereinstimmung mit der DIN-Norm 5008 (Schreib- und Gestaltungsregeln für die Text- und Informationsverarbeitung) auf 3 beschränkt.

          Control1..?
          Must Supporttrue
          46. RelatedPerson.address:Strassenanschrift.line.extension:Strasse
          Slice NameStrasse
          ShortStrassenname
          Comments

          Strassenname (ohne Hausnummer). Bei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.
          Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.

          48. RelatedPerson.address:Strassenanschrift.line.extension:Hausnummer
          Slice NameHausnummer
          Comments

          Hausnummer, sowie Zusätze (Appartmentnummer, Etage...). Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.
          Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.

          50. RelatedPerson.address:Strassenanschrift.line.extension:Adresszusatz
          Slice NameAdresszusatz
          Comments

          Zusätzliche Informationen, wie z.B. '3. Etage', 'Appartment C'. Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.
          Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.

          52. RelatedPerson.address:Strassenanschrift.line.extension:Postfach
          Slice NamePostfach
          ShortPostfachnummer
          Comments

          Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type physical oder both verwendet werden.
          Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.

          Control0..0
          54. RelatedPerson.address:Strassenanschrift.city
          ShortStadt
          Comments

          Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.

          Control1..?
          Must Supporttrue
          56. RelatedPerson.address:Strassenanschrift.postalCode
          Comments

          Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.

          Control1..?
          Must Supporttrue
          58. RelatedPerson.address:Strassenanschrift.country
          ShortLand
          Comments

          Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.

          Control1..?
          Must Supporttrue
          60. RelatedPerson.address:Postfach
          Slice NamePostfach
          ShortPostfachadresse
          Comments

          Adresse, die nur für postalische Zustellung genutzt werden kann.

          Control0..*
          TypeAddress(Adresse, deutsches Basisprofil)
          Must Supporttrue
          Pattern Value{
            "type" : "postal"
          }
          Invariantsaddress-cnt-2or3-char: 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. (country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3')))
          62. RelatedPerson.address:Postfach.type
          ShortAdresstyp
          Comments

          Hier ist stets der Wert postal anzugeben.
          Begründung Pflichtfeld: Dient als Unterscheidungs- und Auswahlkriterium

          Control1..?
          Must Supporttrue
          64. RelatedPerson.address:Postfach.line
          ShortAdresszeile
          Comments

          Diese Komponente enthält die Postfachadresse als String der Form 'Postfach: 12345'. Bei Verwendung der Postfach-Extension, um die Postfachnummer strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können.
          Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.
          Begründung für Reduktion der max. Kardinalität: Die maximale Kardinalität wurde in Übereinstimmung mit der DIN-Norm 5008 (Schreib- und Gestaltungsregeln für die Text- und Informationsverarbeitung) auf 3 beschränkt.

          Control1..?
          Must Supporttrue
          66. RelatedPerson.address:Postfach.line.extension:Strasse
          Slice NameStrasse
          Control0..0
          68. RelatedPerson.address:Postfach.line.extension:Hausnummer
          Slice NameHausnummer
          Control0..0
          70. RelatedPerson.address:Postfach.line.extension:Adresszusatz
          Slice NameAdresszusatz
          Control0..0
          72. RelatedPerson.address:Postfach.line.extension:Postfach
          Slice NamePostfach
          ShortPostfachnummer
          Comments

          Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type physical oder both verwendet werden.
          Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.

          74. RelatedPerson.address:Postfach.city
          ShortStadt
          Comments

          Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.

          Control1..?
          Must Supporttrue
          76. RelatedPerson.address:Postfach.postalCode
          Comments

          Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.

          Control1..?
          Must Supporttrue
          78. RelatedPerson.address:Postfach.country
          ShortLand
          Comments

          Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.

          Control1..?
          Must Supporttrue

          Guidance on how to interpret the contents of this table can be foundhere

          0. RelatedPerson
          Definition

          Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.

          ShortA person that is related to a patient, but who is not a direct target of care
          Control0..*
          Is Modifierfalse
          Summaryfalse
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
          dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
          dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          relatedp-de-1: Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden (gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists())
          2. RelatedPerson.id
          Definition

          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

          Shortserverseitige, interne ID des Datensatzes
          Comments

          bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine idverfügen.

          Control0..1
          Typeid
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          4. RelatedPerson.meta
          Definition

          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

          ShortMetadata about the resource
          Control0..1
          TypeMeta
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. RelatedPerson.meta.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          8. RelatedPerson.meta.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on RelatedPerson.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 10. RelatedPerson.meta.versionId
            Definition

            The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

            ShortEindeutiger Name der serverseitigen Version des Datensatzes
            Comments

            Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine versionID verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine versionIDverfügen.

            Control0..1
            Typeid
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            12. RelatedPerson.meta.lastUpdated
            Definition

            When the resource last changed - e.g. when the version changed.

            ShortZeitpunkt der letzten Änderung
            Comments

            Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein lastUpdate verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über ein lastUpdateverfügen.

            Control0..1
            Typeinstant
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            14. RelatedPerson.meta.source
            Definition

            A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

            ShortIdentifies where the resource comes from
            Comments

            In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

            This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

            Control0..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            16. RelatedPerson.meta.profile
            Definition

            A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

            ShortProfiles this resource claims to conform to
            Comments

            It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

            Control0..*
            Typecanonical(StructureDefinition)
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            18. RelatedPerson.meta.security
            Definition

            Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

            ShortSecurity Labels applied to this resource
            Comments

            The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

            Control0..*
            BindingUnless not suitable, these codes SHALL be taken from All Security Labels
            (extensible to http://hl7.org/fhir/ValueSet/security-labels|4.0.1)

            Security Labels from the Healthcare Privacy and Security Classification System.

            TypeCoding
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            20. RelatedPerson.meta.tag
            Definition

            Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

            ShortTags applied to this resource
            Comments

            The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

            Control0..*
            BindingFor example codes, see CommonTags
            (example to http://hl7.org/fhir/ValueSet/common-tags|4.0.1)

            Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

            TypeCoding
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            22. RelatedPerson.implicitRules
            Definition

            A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

            ShortA set of rules under which this content was created
            Comments

            Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

            Control0..1
            Typeuri
            Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            24. RelatedPerson.language
            Definition

            The base language in which the resource is written.

            ShortLanguage of the resource content
            Comments

            Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

            Control0..1
            BindingThe codes SHOULD be taken from CommonLanguages
            (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

            A human language.

            Additional BindingsPurpose
            AllLanguagesMax Binding
            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. RelatedPerson.text
            Definition

            A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

            ShortText summary of the resource, for human interpretation
            Comments

            Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

            Control0..1
            TypeNarrative
            Is Modifierfalse
            Summaryfalse
            Alternate Namesnarrative, html, xhtml, display
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            28. RelatedPerson.contained
            Definition

            These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

            ShortContained, inline Resources
            Comments

            This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

            Control0..*
            TypeResource
            Is Modifierfalse
            Summaryfalse
            Alternate Namesinline resources, anonymous resources, contained resources
            30. RelatedPerson.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            32. RelatedPerson.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
            Summaryfalse
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            34. RelatedPerson.identifier
            Definition

            Identifier for a person within a particular scope.

            ShortA human identifier for this person
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..*
            TypeIdentifier
            Is Modifierfalse
            Summarytrue
            Requirements

            People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            36. RelatedPerson.active
            Definition

            Whether this related person record is in active use.

            ShortStatus des Datensatzes
            Comments

            Einschränkung der übergreifenden MS-Definition: Die Implementierung dieses Elements ist für Server optional. Die Kennzeichnung als Must-Support erfolgt, da es sich um ein als Modifier-Element markiertes Feld in der Kernspezifikation handelt.

            Hinweis zur Verwendung:

            • true = Der Datensatz befindet sich in Verwendung/kann verwendet werden

            • false= Der Datensatz wurde storniert (z.B. bei Dubletten, Merge) oder archiviert

              WICHTIGER Hinweis für Implementierer:

              • Alle server-seitigen Implementierungen SOLLEN in der Lage sein, die systemintern möglichen Statuswerte korrekt in FHIR abzubilden.
              • Alle client-seitigen Implementierungen SOLLEN in der Lage sein, sämtliche Status-Codes zu interpretieren und dem Anwender in angemessener Form darstellen zu können.
            Control0..1
            Typeboolean
            Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Requirements

            Need to be able to mark a related person record as not to be used, such as if it was created in error.

            Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            38. RelatedPerson.patient
            Definition

            The patient this person is related to.

            ShortPatientenbezug
            Comments

            Motivation Kardinalität und Must-Support: Referenz auf den Patienten, zu dem diese angehörige Person in Beziehung steht. Diese Verlinkung ist essentiell für die Dokumentation der Beziehung zwischen Patient und Angehörigem.

            Control1..1
            TypeReference(Patient)
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Requirements

            We need to know which patient this RelatedPerson is related to.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            40. RelatedPerson.patient.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            42. RelatedPerson.patient.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on RelatedPerson.patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 44. RelatedPerson.patient.reference
              Definition

              A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

              ShortPatienten-Link
              Comments

              Begründung Pflichtfeld: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKPatient sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden.

              Control1..1
              This element is affected by the following invariants: ref-1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              46. RelatedPerson.patient.type
              Definition

              The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

              The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

              ShortType the reference refers to (e.g. "Patient")
              Comments

              This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

              Control0..1
              BindingUnless not suitable, these codes SHALL be taken from ResourceType
              (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

              Aa resource (or, for logical models, the URI of the logical model).

              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              48. RelatedPerson.patient.identifier
              Definition

              An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

              ShortLogical reference, when literal reference is not known
              Comments

              When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

              When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

              Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

              Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..1
              TypeIdentifier
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              50. RelatedPerson.patient.display
              Definition

              Plain text narrative that identifies the resource in addition to the resource reference.

              ShortText alternative for the resource
              Comments

              This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              52. RelatedPerson.relationship
              Definition

              The nature of the relationship between a patient and the related person.

              ShortVerwandtschaftsverhältnis
              Comments

              Begründung MS: Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)

              Control0..*
              BindingThe codes SHOULD be taken from PatientRelationshipType
              (preferred to http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype|4.0.1)

              The nature of the relationship between a patient and the related person.

              TypeCodeableConcept
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Requirements

              We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              54. RelatedPerson.name
              Definition

              A name associated with the person.

              ShortOffizieller Name der angehörigen Person
              Comments

              Aufgrund der primären Nutzung von Angehörigen-Informationen im ISiK-Kontext als Brief- und Rechnungsempfänger, ist die Angabe des offiziellen Namens relevant. Wenn kein Name vorliegt, MUSS die data-absent-reason-Extension eingesetzt werden.
              Weitere Hinweise: siehe Deutsche Basisprofile

              Control1..*
              TypeHumanName
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Requirements

              Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on RelatedPerson.name. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • pattern @ $this
              • 56. RelatedPerson.name:Name
                Slice NameName
                Definition

                A name associated with the person.

                ShortSlice für den offiziellen Namen der angehörigen Person
                Comments

                Basierend auf dem Pattern .use = official wird dieser Slice gewählt. Begründung MS: Siehe untergeordnete Elemente

                Control1..1
                TypeHumanName(HumanName, deutsches Basisprofil)
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Requirements

                Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.

                Pattern Value{
                  "use" : "official"
                }
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                58. RelatedPerson.name:Name.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                60. RelatedPerson.name:Name.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on RelatedPerson.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 62. RelatedPerson.name:Name.use
                  Definition

                  Identifies the purpose for this name.

                  ShortVerwendungszweck
                  Comments

                  Verwendungszweck des Namens. Der präferierte Namen für die Brief- und Rechnungszustellung SOLLTE als official gekennzeichnet werden und mindestens über einen Vor- und Nachnamen verfügen.
                  Begründung MS: Dient als Unterscheidungs- und Auswahlkriterium

                  Control0..1
                  BindingThe codes SHALL be taken from NameUse
                  (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                  The use of a human name.

                  Typecode
                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Allows the appropriate name for a particular context of use to be selected from among a set of names.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  64. RelatedPerson.name:Name.text
                  Definition

                  Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

                  ShortText representation of the full name
                  Comments

                  Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  A renderable, unencoded form.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  66. RelatedPerson.name:Name.family
                  Definition

                  Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.

                  ShortNachname
                  Comments

                  Vollständiger Nachname bzw. Familienname der Person, einschließlich Vor- und Zusätze.
                  Begründung Pflichtfeld: Ein offizieller Name ist nur zulässig, wenn der Nachname und mindestens ein Vorname angegeben sind.

                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Alternate Namessurname
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  68. RelatedPerson.name:Name.family.id
                  Definition

                  unique id for the element within a resource (for internal references)

                  Shortxml:id (or equivalent in JSON)
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  70. RelatedPerson.name:Name.family.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on RelatedPerson.name.family.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 72. RelatedPerson.name:Name.family.extension:namenszusatz
                    Slice Namenamenszusatz
                    Definition

                    Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst

                    ShortNamenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")
                    Comments

                    Die Extension wurde erstellt aufgrund der Anforderung, die auf der eGK vorhandenen Patientenstammdaten in FHIR abbilden zu können. Auf der eGK werden die Namensbestandteile "Namenszusatz" und "Vorsatzwort" getrennt vom Nachnamen gespeichert. Anhand der Liste der zulässigen Namenszusätze ist deutlich erkennbar, dass es sich hierbei sinngemäß um Adelstitel handelt. Das Vorsatzwort kann durch die Core-Extension own-prefix (Canonical: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix) abgebildet werden, für den Namenszusatz ergibt sich jedoch die Notwendikeit einer nationalen Extension, da in andern Ländern Adelstitel entweder gar nicht oder als reguläres Namenspräfix erfasst werden.

                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(Extension zur Erfassung der VSDM Namensbestandteile) (Extension Type: string)
                    Is Modifierfalse
                    Standard StatusNormative (from Trial Use)
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    74. RelatedPerson.name:Name.family.extension:nachname
                    Slice Namenachname
                    Definition

                    Nachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens.

                    ShortNachname ohne Vor- und Zusätze
                    Comments

                    If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's "maiden name".

                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(Own Name) (Extension Type: string)
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    76. RelatedPerson.name:Name.family.extension:vorsatzwort
                    Slice Namevorsatzwort
                    Definition

                    Vorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK")

                    ShortVorsatzwort
                    Comments

                    An example of a voorvoegsel is the "van" in "Ludwig van Beethoven". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component.

                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(Own Prefix) (Extension Type: string)
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    78. RelatedPerson.name:Name.family.value
                    Definition

                    The actual value

                    ShortPrimitive value for string
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    Max Length:1048576
                    80. RelatedPerson.name:Name.given
                    Definition

                    Vorname der Person

                    ShortVorname
                    Comments

                    Kann mehrfach verwendet werden, um den Rufnamen sowie weitere Vornamen, Mittelnamen oder Mittel-Initialen abzubilden. Begründung Pflichtfeld: Ein offizieller Name ist nur zulässig, wenn der Nachname und mindestens ein Vorname angegeben sind.

                    Control0..*
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    Alternate Namesfirst name, middle name
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    82. RelatedPerson.name:Name.prefix
                    Definition

                    Namensteile vor dem Vornamen, z.B. akademischer Titel.

                    ShortPräfix
                    Comments

                    Präfix, z.B. akademischer Titel od. militärischer Rang

                    Control0..*
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    84. RelatedPerson.name:Name.prefix.id
                    Definition

                    unique id for the element within a resource (for internal references)

                    Shortxml:id (or equivalent in JSON)
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    86. RelatedPerson.name:Name.prefix.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on RelatedPerson.name.prefix.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 88. RelatedPerson.name:Name.prefix.extension:prefix-qualifier
                      Slice Nameprefix-qualifier
                      Definition

                      Spezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel

                      ShortLS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
                      Comments

                      Used to indicate additional information about the name part and how it should be used.

                      Control0..1
                      This element is affected by the following invariants: ele-1
                      TypeExtension(EN Qualifier) (Extension Type: code)
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      90. RelatedPerson.name:Name.prefix.value
                      Definition

                      The actual value

                      ShortPrimitive value for string
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      Max Length:1048576
                      92. RelatedPerson.name:Name.suffix
                      Definition

                      Namensteile nach dem Nachnamen

                      ShortNamensteile nach dem Nachnamen
                      Control0..*
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      94. RelatedPerson.name:Name.period
                      Definition

                      Indicates the period of time when this name was valid for the named person.

                      ShortTime period when name was/is in use
                      Control0..1
                      TypePeriod
                      Is Modifierfalse
                      Summarytrue
                      Requirements

                      Allows names to be placed in historical context.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      96. RelatedPerson.telecom
                      Definition

                      A contact detail for the person, e.g. a telephone number or an email address.

                      ShortTelekommunikationsverbindung
                      Comments

                      Telekommunikationsverbindung (z.B. Telefonnummer, eMail-Adresse)
                      Begründung MS: Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)

                      Control0..*
                      TypeContactPoint
                      Is Modifierfalse
                      Must Supporttrue
                      Summarytrue
                      Requirements

                      People have (primary) ways to contact them in some way such as phone, email.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      98. RelatedPerson.telecom.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      100. RelatedPerson.telecom.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on RelatedPerson.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 102. RelatedPerson.telecom.system
                        Definition

                        Telecommunications form for contact point - what communications system is required to make use of the contact.

                        ShortArt der Telekommunikationsverbindung
                        Comments

                        Begründung Pflichtfeld: Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)

                        Control1..1
                        This element is affected by the following invariants: cpt-2
                        BindingThe codes SHALL be taken from ContactPointSystem
                        (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                        Telecommunications form for contact point.

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supporttrue
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        104. RelatedPerson.telecom.value
                        Definition

                        The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                        ShortTelekommunikations-Endpunkt
                        Comments

                        Begründung Pflichtfeld: Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)

                        Control1..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supporttrue
                        Summarytrue
                        Requirements

                        Need to support legacy numbers that are not in a tightly controlled format.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        106. RelatedPerson.telecom.use
                        Definition

                        Identifies the purpose for the contact point.

                        Shorthome | work | temp | old | mobile - purpose of this contact point
                        Comments

                        Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                        Control0..1
                        BindingThe codes SHALL be taken from ContactPointUse
                        (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

                        Use of contact point.

                        Typecode
                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        108. RelatedPerson.telecom.rank
                        Definition

                        Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                        ShortSpecify preferred order of use (1 = highest)
                        Comments

                        Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                        Control0..1
                        TypepositiveInt
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        110. RelatedPerson.telecom.period
                        Definition

                        Time period when the contact point was/is in use.

                        ShortTime period when the contact point was/is in use
                        Control0..1
                        TypePeriod
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        112. RelatedPerson.gender
                        Definition

                        Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.

                        Shortmale | female | other | unknown
                        Control0..1
                        BindingThe codes SHALL be taken from AdministrativeGender
                        (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

                        The gender of a person used for administrative purposes.

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        Needed for identification of the person, in combination with (at least) name and birth date.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        114. RelatedPerson.birthDate
                        Definition

                        The date on which the related person was born.

                        ShortThe date on which the related person was born
                        Control0..1
                        Typedate
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        116. RelatedPerson.address
                        Definition

                        Address where the related person can be contacted or visited.

                        ShortOffizielle Adresse der angehörigen Person
                        Comments

                        In order to differentiate between post box addresses and physical addresses, street names and house numbers, and to add city district names, vendors can opt to support the extensions as suggested in the German Address Base Profile http://fhir.de/StructureDefinition/address-de-basis. Such differentiations are however not required within the scope of this specification.

                        Control0..*
                        TypeAddress
                        Is Modifierfalse
                        Must Supporttrue
                        Summarytrue
                        Requirements

                        Need to keep track where the related person can be contacted per postal mail or visited.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        SlicingThis element introduces a set of slices on RelatedPerson.address. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • pattern @ $this
                        • 118. RelatedPerson.address:Strassenanschrift
                          Slice NameStrassenanschrift
                          Definition

                          Address where the related person can be contacted or visited.

                          ShortStraßenanschrift
                          Comments

                          Wohn- oder Aufenthaltsort des Angehörigen

                          Control0..*
                          TypeAddress(Adresse, deutsches Basisprofil)
                          Is Modifierfalse
                          Must Supporttrue
                          Summarytrue
                          Requirements

                          Need to keep track where the related person can be contacted per postal mail or visited.

                          Pattern Value{
                            "type" : "both"
                          }
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          address-cnt-2or3-char: 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. (country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3')))
                          120. RelatedPerson.address:Strassenanschrift.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          122. RelatedPerson.address:Strassenanschrift.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on RelatedPerson.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 124. RelatedPerson.address:Strassenanschrift.extension:Stadtteil
                            Slice NameStadtteil
                            Definition

                            A subsection of a municipality.

                            Shortprecinct
                            Control0..1
                            This element is affected by the following invariants: ele-1
                            TypeExtension(ADXP Precinct) (Extension Type: string)
                            Is Modifierfalse
                            Must Supporttrue
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            126. RelatedPerson.address:Strassenanschrift.use
                            Definition

                            The purpose of this address.

                            Shorthome | work | temp | old | billing - purpose of this address
                            Comments

                            Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                            Control0..1
                            BindingThe codes SHALL be taken from AddressUse
                            (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                            The use of an address.

                            Typecode
                            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

                            Allows an appropriate address to be chosen from a list of many.

                            ExampleGeneral: home
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            128. RelatedPerson.address:Strassenanschrift.type
                            Definition

                            Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

                            ShortAdresstyp
                            Comments

                            Hier ist stets der Wert both anzugeben.
                            Begründung Pflichtfeld: Dient als Unterscheidungs- und Auswahlkriterium

                            Control1..1
                            BindingThe codes SHALL be taken from AddressType
                            (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

                            The type of an address (physical / postal).

                            Typecode
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summarytrue
                            ExampleGeneral: both
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            130. RelatedPerson.address:Strassenanschrift.text
                            Definition

                            Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

                            ShortText representation of the address
                            Comments

                            Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                            Control0..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

                            A renderable, unencoded form.

                            ExampleGeneral: 137 Nowhere Street, Erewhon 9132
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            132. RelatedPerson.address:Strassenanschrift.line
                            Definition

                            Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können.

                            ShortAdresszeile
                            Comments

                            Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können.
                            Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.
                            Begründung für Reduktion der max. Kardinalität: Die maximale Kardinalität wurde in Übereinstimmung mit der DIN-Norm 5008 (Schreib- und Gestaltungsregeln für die Text- und Informationsverarbeitung) auf 3 beschränkt.

                            Control1..3
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summarytrue
                            ExampleGeneral: 137 Nowhere Street
                            Beipiel für Adresszeile mit Extensions für Straße und Hausnummer: Musterweg 42
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            134. RelatedPerson.address:Strassenanschrift.line.id
                            Definition

                            unique id for the element within a resource (for internal references)

                            Shortxml:id (or equivalent in JSON)
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            136. RelatedPerson.address:Strassenanschrift.line.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on RelatedPerson.address.line.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 138. RelatedPerson.address:Strassenanschrift.line.extension:Strasse
                              Slice NameStrasse
                              Definition

                              streetName.

                              ShortStrassenname
                              Comments

                              Strassenname (ohne Hausnummer). Bei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.
                              Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.

                              Control0..1
                              This element is affected by the following invariants: ele-1
                              TypeExtension(ADXP Street Name) (Extension Type: string)
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              140. RelatedPerson.address:Strassenanschrift.line.extension:Hausnummer
                              Slice NameHausnummer
                              Definition

                              The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building.

                              ShorthouseNumber
                              Comments

                              Hausnummer, sowie Zusätze (Appartmentnummer, Etage...). Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.
                              Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.

                              Control0..1
                              This element is affected by the following invariants: ele-1
                              TypeExtension(ADXP House Number) (Extension Type: string)
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              142. RelatedPerson.address:Strassenanschrift.line.extension:Adresszusatz
                              Slice NameAdresszusatz
                              Definition

                              This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342"). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch "t.o." means "opposite to" for house boats located across the street facing houses).

                              ShortadditionalLocator
                              Comments

                              Zusätzliche Informationen, wie z.B. '3. Etage', 'Appartment C'. Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.
                              Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.

                              Control0..1
                              This element is affected by the following invariants: ele-1
                              TypeExtension(ADXP Additional Locator) (Extension Type: string)
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              144. RelatedPerson.address:Strassenanschrift.line.extension:Postfach
                              Slice NamePostfach
                              Definition

                              A numbered box located in a post station.

                              ShortPostfachnummer
                              Comments

                              Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type physical oder both verwendet werden.
                              Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.

                              Control0..0
                              This element is affected by the following invariants: ele-1
                              TypeExtension(ADXP Post Box) (Extension Type: string)
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              146. RelatedPerson.address:Strassenanschrift.line.value
                              Definition

                              The actual value

                              ShortPrimitive value for string
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              Max Length:1048576
                              148. RelatedPerson.address:Strassenanschrift.city
                              Definition

                              The name of the city, town, suburb, village or other community or delivery center.

                              ShortStadt
                              Comments

                              Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.

                              Control1..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summarytrue
                              Alternate NamesMunicpality
                              ExampleGeneral: Erewhon
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              150. RelatedPerson.address:Strassenanschrift.district
                              Definition

                              The name of the administrative area (county).

                              ShortDistrict name (aka county)
                              Comments

                              District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

                              Control0..0
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Alternate NamesCounty
                              ExampleGeneral: Madison
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              152. RelatedPerson.address:Strassenanschrift.state
                              Definition

                              Name (oder Kürzel) des Bundeslandes.

                              ShortBundesland
                              Control0..1
                              BindingThe codes SHOULD be taken from ISO-3166-2:de-Laendercodes
                              (preferred to http://fhir.de/ValueSet/iso/bundeslaender)
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Alternate NamesProvince, Territory
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              154. RelatedPerson.address:Strassenanschrift.postalCode
                              Definition

                              Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen

                              ShortPostleitzahl
                              Comments

                              Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.

                              Control1..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summarytrue
                              Alternate NamesZip
                              ExampleGeneral: 9132
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              156. RelatedPerson.address:Strassenanschrift.country
                              Definition

                              Staat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben

                              ShortLand
                              Comments

                              Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.

                              Control1..1
                              BindingThe codes SHOULD be taken from Iso3166-1-2
                              (preferred to http://hl7.org/fhir/ValueSet/iso3166-1-2)
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              158. RelatedPerson.address:Strassenanschrift.period
                              Definition

                              Time period when address was/is in use.

                              ShortTime period when address was/is in use
                              Control0..1
                              TypePeriod
                              Is Modifierfalse
                              Summarytrue
                              Requirements

                              Allows addresses to be placed in historical context.

                              ExampleGeneral: { "start" : "2010-03-23", "end" : "2010-07-01" }
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              160. RelatedPerson.address:Postfach
                              Slice NamePostfach
                              Definition

                              Address where the related person can be contacted or visited.

                              ShortPostfachadresse
                              Comments

                              Adresse, die nur für postalische Zustellung genutzt werden kann.

                              Control0..*
                              TypeAddress(Adresse, deutsches Basisprofil)
                              Is Modifierfalse
                              Must Supporttrue
                              Summarytrue
                              Requirements

                              Need to keep track where the related person can be contacted per postal mail or visited.

                              Pattern Value{
                                "type" : "postal"
                              }
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              address-cnt-2or3-char: 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. (country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3')))
                              162. RelatedPerson.address:Postfach.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              164. RelatedPerson.address:Postfach.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on RelatedPerson.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 166. RelatedPerson.address:Postfach.extension:Stadtteil
                                Slice NameStadtteil
                                Definition

                                A subsection of a municipality.

                                ShortStadt- oder Ortsteil
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..1
                                This element is affected by the following invariants: ele-1
                                TypeExtension(ADXP Precinct) (Extension Type: string)
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                168. RelatedPerson.address:Postfach.use
                                Definition

                                The purpose of this address.

                                Shorthome | work | temp | old | billing - purpose of this address
                                Comments

                                Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                                Control0..1
                                BindingThe codes SHALL be taken from AddressUse
                                (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                                The use of an address.

                                Typecode
                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Allows an appropriate address to be chosen from a list of many.

                                ExampleGeneral: home
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                170. RelatedPerson.address:Postfach.type
                                Definition

                                Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

                                ShortAdresstyp
                                Comments

                                Hier ist stets der Wert postal anzugeben.
                                Begründung Pflichtfeld: Dient als Unterscheidungs- und Auswahlkriterium

                                Control1..1
                                BindingThe codes SHALL be taken from AddressType
                                (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

                                The type of an address (physical / postal).

                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                ExampleGeneral: both
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                172. RelatedPerson.address:Postfach.text
                                Definition

                                Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

                                ShortText representation of the address
                                Comments

                                Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                A renderable, unencoded form.

                                ExampleGeneral: 137 Nowhere Street, Erewhon 9132
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                174. RelatedPerson.address:Postfach.line
                                Definition

                                Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können.

                                ShortAdresszeile
                                Comments

                                Diese Komponente enthält die Postfachadresse als String der Form 'Postfach: 12345'. Bei Verwendung der Postfach-Extension, um die Postfachnummer strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können.
                                Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.
                                Begründung für Reduktion der max. Kardinalität: Die maximale Kardinalität wurde in Übereinstimmung mit der DIN-Norm 5008 (Schreib- und Gestaltungsregeln für die Text- und Informationsverarbeitung) auf 3 beschränkt.

                                Control1..3
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                ExampleGeneral: 137 Nowhere Street
                                Beipiel für Adresszeile mit Extensions für Straße und Hausnummer: Musterweg 42
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                176. RelatedPerson.address:Postfach.line.id
                                Definition

                                unique id for the element within a resource (for internal references)

                                Shortxml:id (or equivalent in JSON)
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                178. RelatedPerson.address:Postfach.line.extension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortAdditional content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingThis element introduces a set of slices on RelatedPerson.address.line.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 180. RelatedPerson.address:Postfach.line.extension:Strasse
                                  Slice NameStrasse
                                  Definition

                                  streetName.

                                  ShortstreetName
                                  Control0..0
                                  This element is affected by the following invariants: ele-1
                                  TypeExtension(ADXP Street Name) (Extension Type: string)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  182. RelatedPerson.address:Postfach.line.extension:Hausnummer
                                  Slice NameHausnummer
                                  Definition

                                  The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building.

                                  ShorthouseNumber
                                  Control0..0
                                  This element is affected by the following invariants: ele-1
                                  TypeExtension(ADXP House Number) (Extension Type: string)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  184. RelatedPerson.address:Postfach.line.extension:Adresszusatz
                                  Slice NameAdresszusatz
                                  Definition

                                  This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342"). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch "t.o." means "opposite to" for house boats located across the street facing houses).

                                  ShortadditionalLocator
                                  Control0..0
                                  This element is affected by the following invariants: ele-1
                                  TypeExtension(ADXP Additional Locator) (Extension Type: string)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  186. RelatedPerson.address:Postfach.line.extension:Postfach
                                  Slice NamePostfach
                                  Definition

                                  A numbered box located in a post station.

                                  ShortPostfachnummer
                                  Comments

                                  Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type physical oder both verwendet werden.
                                  Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.

                                  Control0..1
                                  This element is affected by the following invariants: ele-1
                                  TypeExtension(ADXP Post Box) (Extension Type: string)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  188. RelatedPerson.address:Postfach.line.value
                                  Definition

                                  The actual value

                                  ShortPrimitive value for string
                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  Max Length:1048576
                                  190. RelatedPerson.address:Postfach.city
                                  Definition

                                  The name of the city, town, suburb, village or other community or delivery center.

                                  ShortStadt
                                  Comments

                                  Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.

                                  Control1..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supporttrue
                                  Summarytrue
                                  Alternate NamesMunicpality
                                  ExampleGeneral: Erewhon
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  192. RelatedPerson.address:Postfach.district
                                  Definition

                                  The name of the administrative area (county).

                                  ShortDistrict name (aka county)
                                  Comments

                                  District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

                                  Control0..0
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Alternate NamesCounty
                                  ExampleGeneral: Madison
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  194. RelatedPerson.address:Postfach.state
                                  Definition

                                  Name (oder Kürzel) des Bundeslandes.

                                  ShortBundesland
                                  Control0..1
                                  BindingThe codes SHOULD be taken from ISO-3166-2:de-Laendercodes
                                  (preferred to http://fhir.de/ValueSet/iso/bundeslaender)
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Alternate NamesProvince, Territory
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  196. RelatedPerson.address:Postfach.postalCode
                                  Definition

                                  Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen

                                  ShortPostleitzahl
                                  Comments

                                  Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.

                                  Control1..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supporttrue
                                  Summarytrue
                                  Alternate NamesZip
                                  ExampleGeneral: 9132
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  198. RelatedPerson.address:Postfach.country
                                  Definition

                                  Staat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben

                                  ShortLand
                                  Comments

                                  Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar.

                                  Control1..1
                                  BindingThe codes SHOULD be taken from Iso3166-1-2
                                  (preferred to http://hl7.org/fhir/ValueSet/iso3166-1-2)
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supporttrue
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  200. RelatedPerson.address:Postfach.period
                                  Definition

                                  Time period when address was/is in use.

                                  ShortTime period when address was/is in use
                                  Control0..1
                                  TypePeriod
                                  Is Modifierfalse
                                  Summarytrue
                                  Requirements

                                  Allows addresses to be placed in historical context.

                                  ExampleGeneral: { "start" : "2010-03-23", "end" : "2010-07-01" }
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  202. RelatedPerson.photo
                                  Definition

                                  Image of the person.

                                  ShortImage of the person
                                  Control0..*
                                  TypeAttachment
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  Many EHR systems have the capability to capture an image of persons. Fits with newer social media usage too.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  204. RelatedPerson.period
                                  Definition

                                  The period of time during which this relationship is or was active. If there are no dates defined, then the interval is unknown.

                                  ShortPeriod of time that this relationship is considered valid
                                  Control0..1
                                  TypePeriod
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  206. RelatedPerson.communication
                                  Definition

                                  A language which may be used to communicate with about the patient's health.

                                  ShortA language which may be used to communicate with about the patient's health
                                  Comments

                                  If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple RelatedPerson.Communication associations. If the RelatedPerson does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

                                  Control0..*
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  If a related person does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  208. RelatedPerson.communication.id
                                  Definition

                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                  ShortUnique id for inter-element referencing
                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  210. RelatedPerson.communication.extension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                  ShortAdditional content defined by implementations
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  212. RelatedPerson.communication.modifierExtension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Requirements

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  214. RelatedPerson.communication.language
                                  Definition

                                  The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.

                                  ShortThe language which can be used to communicate with the patient about his or her health
                                  Comments

                                  The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

                                  Control1..1
                                  BindingThe codes SHOULD be taken from CommonLanguages
                                  (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

                                  A human language.

                                  Additional BindingsPurpose
                                  AllLanguagesMax Binding
                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  216. RelatedPerson.communication.preferred
                                  Definition

                                  Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).

                                  ShortLanguage preference indicator
                                  Comments

                                  This language is specifically identified for communicating healthcare information.

                                  Control0..1
                                  Typeboolean
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Requirements

                                  People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))