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Source1
{
"resourceType": "StructureDefinition",
"id": "KBV-PR-FOR-Practitioner",
"url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner",
"version": "1.2.1",
"name": "KBV_PR_FOR_Practitioner",
"status": "active",
"date": "2025-11-20",
"publisher": "Kassenärztliche Bundesvereinigung (KBV)",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Practitioner",
"baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Practitioner|1.7.0",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Practitioner",
"path": "Practitioner",
"constraint": [
{
"key": "-for-angabeArztnummerPflicht",
"severity": "error",
"human": "In einer Ressource vom Typ Practitioner ist die Arztnummer der ausstellenden oder verschreibenden oder verantwortlichen Person nicht vorhanden, diese ist aber eine Pflichtangabe, wenn ein Identifikator existiert und es sich um einen Arzt, Arzt in Weiterbildung oder Arzt als Vertreter handelt.",
"expression": "qualification.code.coding.where(system='https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type').all($this.code='00' or $this.code='03' or $this.code='04') and identifier.exists() implies identifier.where(type.coding.code='LANR').exists()"
},
{
"key": "-for-angabeZahnarztnummerPflicht",
"severity": "error",
"human": "In einer Ressource vom Typ Practitioner ist die Zahnarztnummer der ausstellenden oder verschreibenden oder verantwortlichen Person nicht vorhanden, diese ist aber eine Pflichtangabe, wenn ein Identifikator existiert und wenn es sich um einen Zahnarzt handelt.",
"expression": "qualification.code.coding.where(system='https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type').all($this.code='01') and identifier.exists() implies identifier.where(type.coding.code='ZANR').exists()"
},
{
"key": "-for-angabeIdentifikatorAusstellende-VerantwortlichePersonVerbot",
"severity": "error",
"human": "In einer Ressource vom Typ Practitioner ist ein Identifikator der ausstellenden oder verschreibenden oder verantwortlichen Person vorhanden, dieser darf aber nicht angegeben werden, wenn es sich um eine Hebamme handelt.",
"expression": "qualification.code.coding.where(system='https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type').all($this.code='02') implies identifier.exists().not()"
},
{
"key": "-for-anzahlIdentifikatorAusstellende-VerantwortlichePerson",
"severity": "error",
"human": "Falls ein Identifikator existiert, muss entweder eine lebenslange Arztnummer oder lebenslange Zahnarztnummer vorhanden sein.",
"expression": "identifier.exists() implies (identifier.where(type.coding.code='LANR').count()+identifier.where(type.coding.code='ZANR').count()=1)"
}
]
},
{
"id": "Practitioner.id",
"path": "Practitioner.id",
"min": 1,
"mustSupport": true
},
{
"id": "Practitioner.meta",
"path": "Practitioner.meta",
"min": 1,
"mustSupport": true
},
{
"id": "Practitioner.meta.versionId",
"path": "Practitioner.meta.versionId",
"max": "0"
},
{
"id": "Practitioner.meta.lastUpdated",
"path": "Practitioner.meta.lastUpdated",
"max": "0"
},
{
"id": "Practitioner.meta.source",
"path": "Practitioner.meta.source",
"max": "0"
},
{
"id": "Practitioner.meta.profile",
"path": "Practitioner.meta.profile",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Practitioner.meta.profile:forProfile",
"path": "Practitioner.meta.profile",
"sliceName": "forProfile",
"min": 1,
"max": "1",
"fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner|1.2",
"mustSupport": true
},
{
"id": "Practitioner.meta.security",
"path": "Practitioner.meta.security",
"max": "0"
},
{
"id": "Practitioner.meta.tag",
"path": "Practitioner.meta.tag",
"max": "0"
},
{
"id": "Practitioner.implicitRules",
"path": "Practitioner.implicitRules",
"max": "0"
},
{
"id": "Practitioner.language",
"path": "Practitioner.language",
"max": "0"
},
{
"id": "Practitioner.text",
"path": "Practitioner.text",
"max": "0"
},
{
"id": "Practitioner.contained",
"path": "Practitioner.contained",
"max": "0"
},
{
"id": "Practitioner.extension",
"path": "Practitioner.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "closed"
},
"max": "0"
},
{
"id": "Practitioner.extension:ergaenzende_Angaben",
"path": "Practitioner.extension",
"sliceName": "ergaenzende_Angaben",
"max": "0"
},
{
"id": "Practitioner.identifier",
"path": "Practitioner.identifier",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "type"
}
],
"rules": "closed"
},
"max": "2",
"mustSupport": true
},
{
"id": "Practitioner.identifier:ANR",
"path": "Practitioner.identifier",
"sliceName": "ANR",
"max": "1",
"mustSupport": true
},
{
"id": "Practitioner.identifier:ANR.type",
"path": "Practitioner.identifier.type",
"mustSupport": true
},
{
"id": "Practitioner.identifier:ANR.type.coding",
"path": "Practitioner.identifier.type.coding",
"mustSupport": true
},
{
"id": "Practitioner.identifier:ANR.type.coding.system",
"path": "Practitioner.identifier.type.coding.system",
"mustSupport": true
},
{
"id": "Practitioner.identifier:ANR.type.coding.version",
"path": "Practitioner.identifier.type.coding.version",
"max": "0"
},
{
"id": "Practitioner.identifier:ANR.type.coding.code",
"path": "Practitioner.identifier.type.coding.code",
"mustSupport": true
},
{
"id": "Practitioner.identifier:ANR.type.coding.display",
"path": "Practitioner.identifier.type.coding.display",
"max": "0",
"mustSupport": true
},
{
"id": "Practitioner.identifier:ANR.type.coding.userSelected",
"path": "Practitioner.identifier.type.coding.userSelected",
"max": "0"
},
{
"id": "Practitioner.identifier:ANR.type.text",
"path": "Practitioner.identifier.type.text",
"max": "0"
},
{
"id": "Practitioner.identifier:ANR.system",
"path": "Practitioner.identifier.system",
"mustSupport": true
},
{
"id": "Practitioner.identifier:ANR.value",
"path": "Practitioner.identifier.value",
"constraint": [
{
"key": "-for-laengeLANR",
"severity": "error",
"human": "Eine LANR muss neunstellig numerisch sein.",
"expression": "matches('^[0-9]{9}[%content%]#x27;)"
}
],
"mustSupport": true
},
{
"id": "Practitioner.identifier:ANR.period",
"path": "Practitioner.identifier.period",
"max": "0"
},
{
"id": "Practitioner.identifier:ANR.assigner",
"path": "Practitioner.identifier.assigner",
"max": "0"
},
{
"id": "Practitioner.identifier:EFN",
"path": "Practitioner.identifier",
"sliceName": "EFN",
"max": "0"
},
{
"id": "Practitioner.identifier:ZANR",
"path": "Practitioner.identifier",
"sliceName": "ZANR",
"max": "1",
"mustSupport": true
},
{
"id": "Practitioner.identifier:ZANR.type",
"path": "Practitioner.identifier.type",
"mustSupport": true
},
{
"id": "Practitioner.identifier:ZANR.type.coding",
"path": "Practitioner.identifier.type.coding",
"mustSupport": true
},
{
"id": "Practitioner.identifier:ZANR.type.coding.system",
"path": "Practitioner.identifier.type.coding.system",
"mustSupport": true
},
{
"id": "Practitioner.identifier:ZANR.type.coding.version",
"path": "Practitioner.identifier.type.coding.version",
"max": "0"
},
{
"id": "Practitioner.identifier:ZANR.type.coding.code",
"path": "Practitioner.identifier.type.coding.code",
"mustSupport": true
},
{
"id": "Practitioner.identifier:ZANR.type.coding.display",
"path": "Practitioner.identifier.type.coding.display",
"max": "0",
"mustSupport": true
},
{
"id": "Practitioner.identifier:ZANR.type.coding.userSelected",
"path": "Practitioner.identifier.type.coding.userSelected",
"max": "0"
},
{
"id": "Practitioner.identifier:ZANR.type.text",
"path": "Practitioner.identifier.type.text",
"max": "0"
},
{
"id": "Practitioner.identifier:ZANR.system",
"path": "Practitioner.identifier.system",
"mustSupport": true
},
{
"id": "Practitioner.identifier:ZANR.value",
"path": "Practitioner.identifier.value",
"constraint": [
{
"key": "-for-laengeZANR",
"severity": "error",
"human": "Die ZANR bestehend aus 7-stelliger Zahnarztnummer + 2-stelliger Fachbezeichnung muss 9-stellig numerisch sein.",
"expression": "matches('^[0-9]{9}[%content%]#x27;)"
}
],
"mustSupport": true
},
{
"id": "Practitioner.identifier:ZANR.period",
"path": "Practitioner.identifier.period",
"max": "0"
},
{
"id": "Practitioner.identifier:ZANR.assigner",
"path": "Practitioner.identifier.assigner",
"max": "0"
},
{
"id": "Practitioner.identifier:Telematik-ID",
"path": "Practitioner.identifier",
"sliceName": "Telematik-ID",
"max": "1",
"mustSupport": true
},
{
"id": "Practitioner.identifier:Telematik-ID.type",
"path": "Practitioner.identifier.type",
"mustSupport": true
},
{
"id": "Practitioner.identifier:Telematik-ID.type.coding",
"path": "Practitioner.identifier.type.coding",
"mustSupport": true
},
{
"id": "Practitioner.identifier:Telematik-ID.type.coding.system",
"path": "Practitioner.identifier.type.coding.system",
"mustSupport": true
},
{
"id": "Practitioner.identifier:Telematik-ID.type.coding.version",
"path": "Practitioner.identifier.type.coding.version",
"max": "0"
},
{
"id": "Practitioner.identifier:Telematik-ID.type.coding.code",
"path": "Practitioner.identifier.type.coding.code",
"mustSupport": true
},
{
"id": "Practitioner.identifier:Telematik-ID.type.coding.display",
"path": "Practitioner.identifier.type.coding.display",
"max": "0"
},
{
"id": "Practitioner.identifier:Telematik-ID.type.coding.userSelected",
"path": "Practitioner.identifier.type.coding.userSelected",
"max": "0"
},
{
"id": "Practitioner.identifier:Telematik-ID.type.text",
"path": "Practitioner.identifier.type.text",
"max": "0"
},
{
"id": "Practitioner.identifier:Telematik-ID.system",
"path": "Practitioner.identifier.system",
"mustSupport": true
},
{
"id": "Practitioner.identifier:Telematik-ID.value",
"path": "Practitioner.identifier.value",
"maxLength": 128,
"mustSupport": true
},
{
"id": "Practitioner.identifier:Telematik-ID.period",
"path": "Practitioner.identifier.period",
"max": "0"
},
{
"id": "Practitioner.identifier:Telematik-ID.assigner",
"path": "Practitioner.identifier.assigner",
"max": "0"
},
{
"id": "Practitioner.active",
"path": "Practitioner.active",
"max": "0"
},
{
"id": "Practitioner.name",
"path": "Practitioner.name",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "use"
}
],
"rules": "closed"
},
"max": "1",
"mustSupport": true
},
{
"id": "Practitioner.name:name",
"path": "Practitioner.name",
"sliceName": "name",
"min": 1,
"mustSupport": true
},
{
"id": "Practitioner.name:name.use",
"path": "Practitioner.name.use",
"fixedCode": "official",
"mustSupport": true
},
{
"id": "Practitioner.name:name.text",
"path": "Practitioner.name.text",
"max": "0"
},
{
"id": "Practitioner.name:name.family",
"path": "Practitioner.name.family",
"mustSupport": true
},
{
"id": "Practitioner.name:name.family.extension",
"path": "Practitioner.name.family.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "closed"
},
"min": 1,
"max": "3"
},
{
"id": "Practitioner.name:name.family.extension:namenszusatz",
"path": "Practitioner.name.family.extension",
"sliceName": "namenszusatz",
"mustSupport": true
},
{
"id": "Practitioner.name:name.family.extension:namenszusatz.value[x]",
"path": "Practitioner.name.family.extension.value[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "closed"
},
"min": 1,
"mustSupport": true
},
{
"id": "Practitioner.name:name.family.extension:namenszusatz.value[x]:valueString",
"path": "Practitioner.name.family.extension.value[x]",
"sliceName": "valueString",
"maxLength": 20,
"mustSupport": true
},
{
"id": "Practitioner.name:name.family.extension:nachname",
"path": "Practitioner.name.family.extension",
"sliceName": "nachname",
"min": 1,
"mustSupport": true
},
{
"id": "Practitioner.name:name.family.extension:nachname.value[x]",
"path": "Practitioner.name.family.extension.value[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "closed"
},
"mustSupport": true
},
{
"id": "Practitioner.name:name.family.extension:nachname.value[x]:valueString",
"path": "Practitioner.name.family.extension.value[x]",
"sliceName": "valueString",
"maxLength": 45,
"mustSupport": true
},
{
"id": "Practitioner.name:name.family.extension:vorsatzwort",
"path": "Practitioner.name.family.extension",
"sliceName": "vorsatzwort",
"mustSupport": true
},
{
"id": "Practitioner.name:name.family.extension:vorsatzwort.value[x]",
"path": "Practitioner.name.family.extension.value[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "closed"
},
"mustSupport": true
},
{
"id": "Practitioner.name:name.family.extension:vorsatzwort.value[x]:valueString",
"path": "Practitioner.name.family.extension.value[x]",
"sliceName": "valueString",
"maxLength": 20,
"mustSupport": true
},
{
"id": "Practitioner.name:name.given",
"path": "Practitioner.name.given",
"min": 1,
"maxLength": 45,
"mustSupport": true
},
{
"id": "Practitioner.name:name.prefix",
"path": "Practitioner.name.prefix",
"max": "1",
"maxLength": 100,
"mustSupport": true
},
{
"id": "Practitioner.name:name.prefix.extension",
"path": "Practitioner.name.prefix.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "closed"
},
"max": "1"
},
{
"id": "Practitioner.name:name.prefix.extension:prefix-qualifier",
"path": "Practitioner.name.prefix.extension",
"sliceName": "prefix-qualifier",
"mustSupport": true
},
{
"id": "Practitioner.name:name.prefix.extension:prefix-qualifier.value[x]",
"path": "Practitioner.name.prefix.extension.value[x]",
"mustSupport": true
},
{
"id": "Practitioner.name:name.prefix.extension:prefix-qualifier.value[x]:valueCode",
"path": "Practitioner.name.prefix.extension.value[x]",
"sliceName": "valueCode",
"mustSupport": true
},
{
"id": "Practitioner.name:name.suffix",
"path": "Practitioner.name.suffix",
"max": "0"
},
{
"id": "Practitioner.name:name.period",
"path": "Practitioner.name.period",
"max": "0"
},
{
"id": "Practitioner.name:geburtsname",
"path": "Practitioner.name",
"sliceName": "geburtsname",
"max": "0"
},
{
"id": "Practitioner.telecom",
"path": "Practitioner.telecom",
"max": "0"
},
{
"id": "Practitioner.address",
"path": "Practitioner.address",
"max": "0"
},
{
"id": "Practitioner.gender",
"path": "Practitioner.gender",
"max": "0"
},
{
"id": "Practitioner.birthDate",
"path": "Practitioner.birthDate",
"max": "0"
},
{
"id": "Practitioner.photo",
"path": "Practitioner.photo",
"max": "0"
},
{
"id": "Practitioner.qualification",
"path": "Practitioner.qualification",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "code.coding.system"
}
],
"rules": "closed"
},
"min": 2,
"max": "3",
"mustSupport": true
},
{
"id": "Practitioner.qualification:Typ",
"path": "Practitioner.qualification",
"sliceName": "Typ",
"short": "Dieses Feld enthält einen Typ zur Kennzeichnung der verschreibenden Person",
"definition": "Dieses Feld enthält einen Typ zur Kennzeichnung der verschreibenden Person, z.B. Arzt, Arzt in Weiterbildung.",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Practitioner.qualification:Typ.identifier",
"path": "Practitioner.qualification.identifier",
"max": "0"
},
{
"id": "Practitioner.qualification:Typ.code",
"path": "Practitioner.qualification.code",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_FOR_Qualification_Type"
}
},
{
"id": "Practitioner.qualification:Typ.code.coding",
"path": "Practitioner.qualification.code.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Practitioner.qualification:Typ.code.coding.system",
"path": "Practitioner.qualification.code.coding.system",
"min": 1,
"fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type",
"mustSupport": true
},
{
"id": "Practitioner.qualification:Typ.code.coding.version",
"path": "Practitioner.qualification.code.coding.version",
"max": "0"
},
{
"id": "Practitioner.qualification:Typ.code.coding.code",
"path": "Practitioner.qualification.code.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Practitioner.qualification:Typ.code.coding.display",
"path": "Practitioner.qualification.code.coding.display",
"max": "0"
},
{
"id": "Practitioner.qualification:Typ.code.coding.userSelected",
"path": "Practitioner.qualification.code.coding.userSelected",
"max": "0"
},
{
"id": "Practitioner.qualification:Typ.code.text",
"path": "Practitioner.qualification.code.text",
"max": "0"
},
{
"id": "Practitioner.qualification:Typ.period",
"path": "Practitioner.qualification.period",
"max": "0"
},
{
"id": "Practitioner.qualification:Typ.issuer",
"path": "Practitioner.qualification.issuer",
"max": "0"
},
{
"id": "Practitioner.qualification:Berufsbezeichnung",
"path": "Practitioner.qualification",
"sliceName": "Berufsbezeichnung",
"short": "Berufsbezeichnung",
"definition": "Dieses Feld enthält die Berufsbezeichnung der Person.",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Practitioner.qualification:Berufsbezeichnung.identifier",
"path": "Practitioner.qualification.identifier",
"max": "0"
},
{
"id": "Practitioner.qualification:Berufsbezeichnung.code",
"path": "Practitioner.qualification.code",
"mustSupport": true
},
{
"id": "Practitioner.qualification:Berufsbezeichnung.code.coding",
"path": "Practitioner.qualification.code.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Practitioner.qualification:Berufsbezeichnung.code.coding.system",
"path": "Practitioner.qualification.code.coding.system",
"min": 1,
"fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Berufsbezeichnung",
"mustSupport": true
},
{
"id": "Practitioner.qualification:Berufsbezeichnung.code.coding.version",
"path": "Practitioner.qualification.code.coding.version",
"max": "0"
},
{
"id": "Practitioner.qualification:Berufsbezeichnung.code.coding.code",
"path": "Practitioner.qualification.code.coding.code",
"min": 1,
"fixedCode": "Berufsbezeichnung",
"mustSupport": true
},
{
"id": "Practitioner.qualification:Berufsbezeichnung.code.coding.display",
"path": "Practitioner.qualification.code.coding.display",
"max": "0"
},
{
"id": "Practitioner.qualification:Berufsbezeichnung.code.coding.userSelected",
"path": "Practitioner.qualification.code.coding.userSelected",
"max": "0"
},
{
"id": "Practitioner.qualification:Berufsbezeichnung.code.text",
"path": "Practitioner.qualification.code.text",
"min": 1,
"maxLength": 100,
"mustSupport": true
},
{
"id": "Practitioner.qualification:Berufsbezeichnung.period",
"path": "Practitioner.qualification.period",
"max": "0"
},
{
"id": "Practitioner.qualification:Berufsbezeichnung.issuer",
"path": "Practitioner.qualification.issuer",
"max": "0"
},
{
"id": "Practitioner.qualification:ASV-Fachgruppennummer",
"path": "Practitioner.qualification",
"sliceName": "ASV-Fachgruppennummer",
"short": "Abbildung der ASV-Fachgruppennummer",
"definition": "Dieses Feld enthält als Identifikator der Person, die ASV-Fachgruppennummer gemäß der ASV Vereinbarung (ASV-AV) §9 Absatz 5 .",
"max": "1",
"mustSupport": true
},
{
"id": "Practitioner.qualification:ASV-Fachgruppennummer.identifier",
"path": "Practitioner.qualification.identifier",
"max": "0"
},
{
"id": "Practitioner.qualification:ASV-Fachgruppennummer.code",
"path": "Practitioner.qualification.code",
"mustSupport": true
},
{
"id": "Practitioner.qualification:ASV-Fachgruppennummer.code.coding",
"path": "Practitioner.qualification.code.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Practitioner.qualification:ASV-Fachgruppennummer.code.coding.system",
"path": "Practitioner.qualification.code.coding.system",
"min": 1,
"fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_FOR_Fachgruppennummer_ASV",
"mustSupport": true
},
{
"id": "Practitioner.qualification:ASV-Fachgruppennummer.code.coding.version",
"path": "Practitioner.qualification.code.coding.version",
"max": "0"
},
{
"id": "Practitioner.qualification:ASV-Fachgruppennummer.code.coding.code",
"path": "Practitioner.qualification.code.coding.code",
"short": "ASV-Fachguppennummer",
"definition": "Dieses Feld enthält als Identifikator der Person, die ASV-Fachgruppennummer gemäß der ASV Vereinbarung (ASV-AV) §9 Absatz 5 .",
"min": 1,
"mustSupport": true
},
{
"id": "Practitioner.qualification:ASV-Fachgruppennummer.code.coding.display",
"path": "Practitioner.qualification.code.coding.display",
"max": "0"
},
{
"id": "Practitioner.qualification:ASV-Fachgruppennummer.code.coding.userSelected",
"path": "Practitioner.qualification.code.coding.userSelected",
"max": "0"
},
{
"id": "Practitioner.qualification:ASV-Fachgruppennummer.code.text",
"path": "Practitioner.qualification.code.text",
"max": "0"
},
{
"id": "Practitioner.qualification:ASV-Fachgruppennummer.period",
"path": "Practitioner.qualification.period",
"max": "0"
},
{
"id": "Practitioner.qualification:ASV-Fachgruppennummer.issuer",
"path": "Practitioner.qualification.issuer",
"max": "0"
},
{
"id": "Practitioner.communication",
"path": "Practitioner.communication",
"max": "0"
}
]
}
}
FHIR
FHIRsmith