nursing-home-location
type: StructureDefinition
node role: treeRoot
resource.id:
  value: nursing-home-location
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative: StructureDefinition nursing-home-location Name Flags Card. Type Description & Constraints Extension 0..* Extension Nursing Home Location #xD; extension 0..0 Extension #xD; url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/nursing-home-location" #xD; value[x] 0..1 Reference(ISiKStandort | ISiKStandortRaum | ISiKStandortBettenstellplatz) Value of extension #xD; reference S 1..1 string Literal reference, Relative, internal or absolute URL #xD; Documentation for this format
structure definition.url:
  value: https://fhir.cognovis.de/praxis/StructureDefinition/nursing-home-location
structure definition.identifier:
  index: 0
  identifier.system:
    value: urn:ietf:rfc:3986
  identifier.value:
    value: urn:oid:2.16.840.1.113883.3.7985.42.310
structure definition.version:
  value: 0.90.0
structure definition.name:
  value: NursingHomeLocationExt
structure definition.title:
  value: Nursing Home Location
structure definition.status:
  value: active
structure definition.date:
  value: 2026-07-29T13:00:36+02:00
structure definition.publisher:
  value: cognovis GmbH
structure definition.contact:
  index: 0
  contact detail.name:
    value: cognovis GmbH
  contact detail.telecom:
    index: 0
    contact point.system:
      value: url
    contact point.value:
      value: https://www.cognovis.de
  contact detail.telecom:
    index: 1
    contact point.system:
      value: email
structure definition.description:
  value: Reference to the most-specific gematik ISiK Location where the patient resides (ISiKStandortRaum if room is known, else ISiKStandort ward/facility node). Parent places resolve via Location.partOf.
structure definition.jurisdiction:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: urn:iso:std:iso:3166
    coding.code:
      value: DE
    coding.display:
      value: Germany
structure definition.fhir version:
  value: 4.0.1
structure definition.mapping:
  index: 0
  structure definition.mapping.identity:
    value: rim
  structure definition.mapping.uri:
    value: http://hl7.org/v3
  structure definition.mapping.name:
    value: RIM Mapping
structure definition.kind:
  value: complex-type
structure definition.abstract:
  value: false
structure definition.context:
  index: 0
  structure definition.context.type:
    value: element
  structure definition.context.expression:
    value: EpisodeOfCare
structure definition.type:
  value: Extension
structure definition.base definition:
  value: http://hl7.org/fhir/StructureDefinition/Extension
  link: http://hl7.org/fhir/StructureDefinition/Extension
structure definition.derivation:
  value: constraint
structure definition.snapshot:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    extension.value string:
      value: 4.0.1
  structure definition.snapshot.element:
    index: 0
    element.id:
      value: Extension
    element definition.path:
      value: Extension
    element definition.short:
      value: Nursing Home Location
    element definition.definition:
      value: Reference to the most-specific gematik ISiK Location where the patient resides (ISiKStandortRaum if room is known, else ISiKStandort ward/facility node). Parent places resolve via Location.partOf.
    element definition.min:
      value: 0
    element definition.max:
      value: *
    element definition.base:
      element definition.base.path:
        value: Extension
      element definition.base.min:
        value: 0
      element definition.base.max:
        value: *
    element definition.condition:
      value: ele-1
      index: 0
    element definition.constraint:
      index: 0
      element definition.constraint.key:
        value: ele-1
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: All FHIR elements must have a @value or children
      element definition.constraint.expression:
        value: hasValue() or (children().count() > id.count())
      element definition.constraint.xpath:
        value: @value|f:*|h:div
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/Element
        link: http://hl7.org/fhir/StructureDefinition/Element
    element definition.constraint:
      index: 1
      element definition.constraint.key:
        value: ext-1
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: Must have either extensions or value[x], not both
      element definition.constraint.expression:
        value: extension.exists() != value.exists()
      element definition.constraint.xpath:
        value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/Extension
        link: http://hl7.org/fhir/StructureDefinition/Extension
    element definition.is modifier:
      value: false
  structure definition.snapshot.element:
    index: 1
    element.id:
      value: Extension.id
    element definition.path:
      value: Extension.id
    element definition.representation:
      value: xmlAttr
      index: 0
    element definition.short:
      value: Unique id for inter-element referencing
    element definition.definition:
      value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
    element definition.min:
      value: 0
    element definition.max:
      value: 1
    element definition.base:
      element definition.base.path:
        value: Element.id
      element definition.base.min:
        value: 0
      element definition.base.max:
        value: 1
    element definition.type:
      index: 0
      element.extension:
        index: 0
      element definition.type.code:
        value: http://hl7.org/fhirpath/System.String
    element definition.is modifier:
      value: false
    element definition.is summary:
      value: false
    element definition.mapping:
      index: 0
      element definition.mapping.identity:
        value: rim
      element definition.mapping.map:
        value: n/a
  structure definition.snapshot.element:
    index: 2
    element.id:
      value: Extension.extension
    element definition.path:
      value: Extension.extension
    element definition.slicing:
      element definition.slicing.discriminator:
        index: 0
      element definition.slicing.description:
        value: Extensions are always sliced by (at least) url
      element definition.slicing.rules:
        value: open
    element definition.short:
      value: Extension
    element definition.definition:
      value: An Extension
    element definition.min:
      value: 0

value: string

value: value

value: url

value: 0

element definition.base.path:
  value: Element.extension
element definition.base.min:
  value: 0
element definition.base.max:
  value: *

index: 0
element definition.type.code:
  value: Extension

index: 0
element definition.constraint.key:
  value: ele-1
element definition.constraint.severity:
  value: error
element definition.constraint.human:
  value: All FHIR elements must have a @value or children
element definition.constraint.expression:
  value: hasValue() or (children().count() > id.count())
element definition.constraint.xpath:
  value: @value|f:*|h:div
element definition.constraint.source:
  value: http://hl7.org/fhir/StructureDefinition/Element
  link: http://hl7.org/fhir/StructureDefinition/Element

index: 1
element definition.constraint.key:
  value: ext-1
element definition.constraint.severity:
  value: error
element definition.constraint.human:
  value: Must have either extensions or value[x], not both
element definition.constraint.expression:
  value: extension.exists() != value.exists()
element definition.constraint.xpath:
  value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
element definition.constraint.source:
  value: http://hl7.org/fhir/StructureDefinition/Extension
  link: http://hl7.org/fhir/StructureDefinition/Extension

value: false

value: false

index: 3
element.id:
  value: Extension.url
element definition.path:
  value: Extension.url
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: identifies the meaning of the extension
element definition.definition:
  value: Source of the definition for the extension code - a logical name or a URL.
element definition.comment:
  value: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Extension.url
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: uri
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.fixed uri:
  value: https://fhir.cognovis.de/praxis/StructureDefinition/nursing-home-location
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 4
element.id:
  value: Extension.value[x]
element definition.path:
  value: Extension.value[x]
element definition.short:
  value: Value of extension
element definition.definition:
  value: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Extension.value[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/ISiKStandort
    index: 0
    link: https://gematik.de/fhir/isik/StructureDefinition/ISiKStandort
  element definition.type.target profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/ISiKStandortRaum
    index: 1
    link: https://gematik.de/fhir/isik/StructureDefinition/ISiKStandortRaum
  element definition.type.target profile:
    value: https://gematik.de/fhir/isik/StructureDefinition/ISiKStandortBettenstellplatz
    index: 2
    link: https://gematik.de/fhir/isik/StructureDefinition/ISiKStandortBettenstellplatz
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 5
element.id:
  value: Extension.value[x].id
element definition.path:
  value: Extension.value[x].id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 6
element.id:
  value: Extension.value[x].extension
element definition.path:
  value: Extension.value[x].extension
element definition.slicing:
  element definition.slicing.discriminator:
    index: 0
    element definition.slicing.discriminator.type:
      value: value
    element definition.slicing.discriminator.path:
      value: url
  element definition.slicing.description:
    value: Extensions are always sliced by (at least) url
  element definition.slicing.rules:
    value: open
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 7
element.id:
  value: Extension.value[x].reference
element definition.path:
  value: Extension.value[x].reference
element definition.short:
  value: Literal reference, Relative, internal or absolute URL
element definition.definition:
  value: 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.
element definition.comment:
  value: 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.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.reference
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.condition:
  value: ref-1
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 8
element.id:
  value: Extension.value[x].type
element definition.path:
  value: Extension.value[x].type
element definition.short:
  value: Type the reference refers to (e.g. "Patient")
element definition.definition:
  value: 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).
element definition.comment:
  value: 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.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.type
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: uri
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: FHIRResourceTypeExt
  element definition.binding.strength:
    value: extensible
  element definition.binding.description:
    value: Aa resource (or, for logical models, the URI of the logical model).
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/resource-types|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 9
element.id:
  value: Extension.value[x].identifier
element definition.path:
  value: Extension.value[x].identifier
element definition.short:
  value: Logical reference, when literal reference is not known
element definition.definition:
  value: 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.
element definition.comment:
  value: 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).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.identifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Identifier
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .identifier

index: 10
element.id:
  value: Extension.value[x].display
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  extension.value boolean:
    value: true
element definition.path:
  value: Extension.value[x].display
element definition.short:
  value: Text alternative for the resource
element definition.definition:
  value: Plain text narrative that identifies the resource in addition to the resource reference.
element definition.comment:
  value: 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.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Reference.display
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

structure definition.differential.element:
  index: 0
  element.id:
    value: Extension
  element definition.path:
    value: Extension
  element definition.short:
    value: Nursing Home Location
  element definition.definition:
    value: Reference to the most-specific gematik ISiK Location where the patient resides (ISiKStandortRaum if room is known, else ISiKStandort ward/facility node). Parent places resolve via Location.partOf.
structure definition.differential.element:
  index: 1
  element.id:
    value: Extension.extension
  element definition.path:
    value: Extension.extension
  element definition.max:
    value: 0
structure definition.differential.element:
  index: 2
  element.id:
    value: Extension.url
  element definition.path:
    value: Extension.url
  element definition.fixed uri:
    value: https://fhir.cognovis.de/praxis/StructureDefinition/nursing-home-location
structure definition.differential.element:
  index: 3
  element.id:
    value: Extension.value[x]
  element definition.path:
    value: Extension.value[x]
  element definition.type:
    index: 0
    element definition.type.code:
      value: Reference
    element definition.type.target profile:
      value: https://gematik.de/fhir/isik/StructureDefinition/ISiKStandort
      index: 0
      link: https://gematik.de/fhir/isik/StructureDefinition/ISiKStandort
    element definition.type.target profile:
      value: https://gematik.de/fhir/isik/StructureDefinition/ISiKStandortRaum
      index: 1
      link: https://gematik.de/fhir/isik/StructureDefinition/ISiKStandortRaum
    element definition.type.target profile:
      value: https://gematik.de/fhir/isik/StructureDefinition/ISiKStandortBettenstellplatz
      index: 2
      link: https://gematik.de/fhir/isik/StructureDefinition/ISiKStandortBettenstellplatz
structure definition.differential.element:
  index: 4
  element.id:
    value: Extension.value[x].reference
  element definition.path:
    value: Extension.value[x].reference
  element definition.min:
    value: 1
  element definition.must support:
    value: true