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{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_KS_Practitioner",
  "version": "2.0.0",
  "name": "KBV_PR_KS_Practitioner",
  "status": "active",
  "date": "2026-01-12",
  "copyright": "Copyright © [2026], Kassenärztliche Bundesvereinigung (KBV). All rights reserved.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Practitioner",
  "baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Practitioner",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "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",
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_KS_Practitioner|2.0",
        "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.identifier",
        "path": "Practitioner.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.identifier:ANR",
        "path": "Practitioner.identifier",
        "sliceName": "ANR",
        "min": 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"
      },
      {
        "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",
        "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": "0"
      },
      {
        "id": "Practitioner.identifier:Telematik-ID",
        "path": "Practitioner.identifier",
        "sliceName": "Telematik-ID",
        "max": "0"
      },
      {
        "id": "Practitioner.active",
        "path": "Practitioner.active",
        "max": "0"
      },
      {
        "id": "Practitioner.name",
        "path": "Practitioner.name",
        "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",
        "mustSupport": true
      },
      {
        "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",
        "mustSupport": true
      },
      {
        "id": "Practitioner.name:name.prefix",
        "path": "Practitioner.name.prefix",
        "max": "1",
        "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",
        "min": 1,
        "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.address:Strassenanschrift",
        "path": "Practitioner.address",
        "sliceName": "Strassenanschrift",
        "max": "0"
      },
      {
        "id": "Practitioner.address:Postfach",
        "path": "Practitioner.address",
        "sliceName": "Postfach",
        "max": "0"
      },
      {
        "id": "Practitioner.gender",
        "path": "Practitioner.gender",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Practitioner.gender.extension",
        "path": "Practitioner.gender.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "closed"
        },
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Practitioner.gender.extension:other-amtlich",
        "path": "Practitioner.gender.extension",
        "sliceName": "other-amtlich",
        "mustSupport": true
      },
      {
        "id": "Practitioner.gender.extension:other-amtlich.value[x]",
        "path": "Practitioner.gender.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Practitioner.gender.extension:other-amtlich.value[x].system",
        "path": "Practitioner.gender.extension.value[x].system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.gender.extension:other-amtlich.value[x].version",
        "path": "Practitioner.gender.extension.value[x].version",
        "max": "0"
      },
      {
        "id": "Practitioner.gender.extension:other-amtlich.value[x].code",
        "path": "Practitioner.gender.extension.value[x].code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.gender.extension:other-amtlich.value[x].display",
        "path": "Practitioner.gender.extension.value[x].display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.gender.extension:other-amtlich.value[x].userSelected",
        "path": "Practitioner.gender.extension.value[x].userSelected",
        "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"
        },
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:fachgebiet",
        "path": "Practitioner.qualification",
        "sliceName": "fachgebiet",
        "short": "Fachgebiete des Arztes",
        "definition": "Das Element gibt an, in welchen Fachgebieten der Arzt tätig ist.",
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:fachgebiet.identifier",
        "path": "Practitioner.qualification.identifier",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:fachgebiet.code",
        "path": "Practitioner.qualification.code",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_BAS_FACHGEBIET_FEIN"
        }
      },
      {
        "id": "Practitioner.qualification:fachgebiet.code.coding",
        "path": "Practitioner.qualification.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:fachgebiet.code.coding.system",
        "path": "Practitioner.qualification.code.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BAS_FACHGEBIET_FEIN",
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:fachgebiet.code.coding.version",
        "path": "Practitioner.qualification.code.coding.version",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:fachgebiet.code.coding.code",
        "path": "Practitioner.qualification.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:fachgebiet.code.coding.display",
        "path": "Practitioner.qualification.code.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:fachgebiet.code.coding.userSelected",
        "path": "Practitioner.qualification.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:fachgebiet.code.text",
        "path": "Practitioner.qualification.code.text",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:fachgebiet.period",
        "path": "Practitioner.qualification.period",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:fachgebiet.issuer",
        "path": "Practitioner.qualification.issuer",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:zusatzbezeichnung",
        "path": "Practitioner.qualification",
        "sliceName": "zusatzbezeichnung",
        "short": "Zusatzbezeichnungen des Arztes",
        "definition": "Das Element gibt die Zusatzbezeichnungen zum Fachgebiet an.",
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:zusatzbezeichnung.identifier",
        "path": "Practitioner.qualification.identifier",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:zusatzbezeichnung.code",
        "path": "Practitioner.qualification.code",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_BAS_ZUSATZBEZEICHNUNGEN"
        }
      },
      {
        "id": "Practitioner.qualification:zusatzbezeichnung.code.coding",
        "path": "Practitioner.qualification.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:zusatzbezeichnung.code.coding.system",
        "path": "Practitioner.qualification.code.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BAS_ZUSATZBEZEICHNUNGEN",
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:zusatzbezeichnung.code.coding.version",
        "path": "Practitioner.qualification.code.coding.version",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:zusatzbezeichnung.code.coding.code",
        "path": "Practitioner.qualification.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:zusatzbezeichnung.code.coding.display",
        "path": "Practitioner.qualification.code.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:zusatzbezeichnung.code.coding.userSelected",
        "path": "Practitioner.qualification.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:zusatzbezeichnung.code.text",
        "path": "Practitioner.qualification.code.text",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:zusatzbezeichnung.period",
        "path": "Practitioner.qualification.period",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:zusatzbezeichnung.issuer",
        "path": "Practitioner.qualification.issuer",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:zweitmeinungsgenehmigung",
        "path": "Practitioner.qualification",
        "sliceName": "zweitmeinungsgenehmigung",
        "short": "Zweitmeingungsgenehmigung des Arztes",
        "definition": "Das Element gibt an, für welches Zweitmeingungsgenehmigungsverfahren der Arzt eine Genehmigung hat.",
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:zweitmeinungsgenehmigung.identifier",
        "path": "Practitioner.qualification.identifier",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:zweitmeinungsgenehmigung.code",
        "path": "Practitioner.qualification.code",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_BAS_ZWEITMEINUNGEN"
        }
      },
      {
        "id": "Practitioner.qualification:zweitmeinungsgenehmigung.code.coding",
        "path": "Practitioner.qualification.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:zweitmeinungsgenehmigung.code.coding.system",
        "path": "Practitioner.qualification.code.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BAS_ZWEITMEINUNGEN",
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:zweitmeinungsgenehmigung.code.coding.version",
        "path": "Practitioner.qualification.code.coding.version",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:zweitmeinungsgenehmigung.code.coding.code",
        "path": "Practitioner.qualification.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:zweitmeinungsgenehmigung.code.coding.display",
        "path": "Practitioner.qualification.code.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:zweitmeinungsgenehmigung.code.coding.userSelected",
        "path": "Practitioner.qualification.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:zweitmeinungsgenehmigung.code.text",
        "path": "Practitioner.qualification.code.text",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:zweitmeinungsgenehmigung.period",
        "path": "Practitioner.qualification.period",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:zweitmeinungsgenehmigung.issuer",
        "path": "Practitioner.qualification.issuer",
        "max": "0"
      },
      {
        "id": "Practitioner.qualification:kv_genehmigung",
        "path": "Practitioner.qualification",
        "sliceName": "kv_genehmigung",
        "short": "KV-Genehmigungen des Arztes",
        "definition": "Das Element gibt an, welche KV-Genehmigungen der Arzt besitzt.",
        "mustSupport": true
      },
      {
        "id": "Practitioner.qualification:kv_genehmigung.identifier",
        "path": "Practitioner.qualification.identifier",
        "max": "0"
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