This profile supports the Cultural and Linguistic Diversity (CALD) data set ^{[1] [2]}, including country of birth, year of arrival and preferred language.

This profile identifies the additional constraints, extensions, and value sets that build on and extend Patient that are supported.

This profile is designed to set a core Patient standard for:

• Querying for records associated with a patient
• Record or update a record associated with a patient

This profile may be referred to by APIs, which will be listed here when available.

Profile specific guidance

• Country of birth is represented using Patient.extension birthPlace extension
  • A system may use address.text if birth place address is not stored in discrete elements
• See the Representing communication preferences section for guidance
• A patient’s biological sex is a separate Observation resource, e.g. biological sex assigned at birth conforms to AU Core Biological Sex Assigned at Birth.

Boundaries and relationships

These profiles build on this profile (ADHA Core Patient) to define specific roles:

• ADHA MHR Patient

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from AUCorePatient

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	AUCorePatient	A patient in the context of electronic exchange of health information inv-dh-pat-01: If present, a general practitioner shall at least have a reference, an identifier or a display
Slices for extension				Content/Rules for all slices
extension:dateOfArrival	S	0..1	DateOfArrivalAustralia	Year of Arrival
generalPractitioner	SC	0..*	Reference(AU Core Organization | AU Core PractitionerRole)	Patient's nominated primary care provider
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-pat-01	error	Patient	If present, a general practitioner shall at least have a reference, an identifier or a display : generalPractitioner.exists() implies generalPractitioner.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	AUCorePatient	A patient in the context of electronic exchange of health information inv-pat-0: If present, birth time's date shall be the birth date inv-pat-1: Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply inv-pat-2: Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply inv-pat-3: Recorded sex or gender type shall be a member of the Common AU Recorded Sex or Gender Type value set if any codes within that value set can apply inv-pat-4: Recorded sex or gender source document type shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply inv-pat-5: Recorded sex or gender jurisdiction shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Jurisdiction value set if any codes within that value set can apply au-core-pat-01: At least one patient identifier shall be valid au-core-pat-02: At least one patient name shall have a family name inv-dh-pat-01: If present, a general practitioner shall at least have a reference, an identifier or a display
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
birthPlace		0..1	Address	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
indigenousStatus	SO	0..1	Coding	Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required) Obligations Actor SHALL:populate-if-known SHALL:no-error
veteranStatus		0..*	Coding	Veteran / Australian Defence Force (ADF) status URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status Binding: Australian Veteran Status (required)
closingTheGapRegistration		0..1	boolean	Closing the Gap co-payment eligibility indicator URL: http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration
mothersMaidenName		0..1	string	Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
interpreterRequired		0..1	boolean	Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
dateOfArrival	S	0..1	date	Year of Arrival URL: http://hl7.org.au/fhir/StructureDefinition/date-of-arrival
genderIdentity	SOC	0..*	(Complex)	Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity Obligations Actor SHALL:populate-if-known SHALL:no-error
individualPronouns	SOC	0..*	(Complex)	Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns Obligations Actor SHALL:populate-if-known SHALL:no-error
recordedSexOrGender	C	0..*	(Complex)	Recorded sex or gender type shall be a member of the Common AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Jurisdiction value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SOC	1..*	Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber	Identifies this patient across multiple systems Slice: Unordered, Open by pattern:type Obligations Actor SHALL:populate-if-known SHALL:no-error
identifier:ihi	SOC	0..1	AUIHI	Individual Healthcare Identifier (IHI) inv-ihi-value-0: IHI shall be an exactly 16 digit number inv-ihi-value-1: IHI prefix is 800360 inv-ihi-value-2: IHI shall pass the Luhn algorithm check Obligations Actor SHALL:populate-if-known SHALL:no-error
identifier:medicare	SO	0..1	AUMedicareCardNumber	Medicare Card Number Obligations Actor SHALL:populate-if-known SHALL:no-error
identifier:dva	SO	0..1	AUDVANumber	Department of Veterans' Affairs (DVA) Number Obligations Actor SHALL:populate-if-known SHALL:no-error
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SOΣC	1..*	HumanName	A name associated with the patient au-core-pat-04: At least text, family name, or given name shall be present Obligations Actor SHALL:populate-if-known SHALL:no-error
use	?!SOΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Obligations Actor SHALL:populate-if-known SHALL:no-error
text	SOΣ	0..1	string	Text representation of the full name Obligations Actor SHALL:populate-if-known SHALL:no-error
family	SOΣ	0..1	string	Family name (often called 'Surname') Obligations Actor SHALL:populate-if-known SHALL:no-error
given	SOΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Obligations Actor SHALL:populate-if-known SHALL:no-error
telecom	SOΣ	0..*	ContactPoint	A contact detail for the individual Obligations Actor SHALL:populate-if-known SHALL:no-error
gender	SOΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Obligations Actor SHALL:populate-if-known SHALL:no-error
birthDate	SOΣC	1..1	date	Date of birth extended for time and accuracy indicator Obligations Actor SHALL:populate-if-known SHALL:no-error
Slices for extension				Content/Rules for all slices
accuracyIndicator		0..1	Coding	Birth date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: Date Accuracy Indicator (required): Date accuracy coding
birthTime	C	0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!Σ	0..1	boolean	Deceased indicator
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Deceased date time
Slices for extension				Content/Rules for all slices
accuracyIndicator		0..1	Coding	Deceased date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: Date Accuracy Indicator (required): Date accuracy coding
address	SOC	0..*	AustralianAddress, Address	An address for the individual inv-add-0: The address shall at least have text or a line inv-add-1: If asserting no fixed address, the type shall be 'physical' inv-add-2: If asserting no fixed address, the address text shall begin with 'NO FIXED ADDRESS' Obligations Actor SHALL:populate-if-known SHALL:no-error
communication	SO	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Obligations Actor SHALL:populate-if-known SHALL:no-error
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	SO	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Common Languages in Australia (extensible) Obligations Actor SHALL:populate-if-known SHALL:no-error
preferred	SO	0..1	boolean	Language preference indicator Obligations Actor SHALL:populate-if-known SHALL:no-error
generalPractitioner	SC	0..*	Reference(AU Core Organization | AU Core PractitionerRole)	Patient's nominated primary care provider
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	extensible	CommonLanguagesInAustralia https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 from https://tx.ontoserver.csiro.au/fhir
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-pat-01	error	Patient	If present, a general practitioner shall at least have a reference, an identifier or a display : generalPractitioner.exists() implies generalPractitioner.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	AUCorePatient	A patient in the context of electronic exchange of health information inv-pat-0: If present, birth time's date shall be the birth date inv-pat-1: Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply inv-pat-2: Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply inv-pat-3: Recorded sex or gender type shall be a member of the Common AU Recorded Sex or Gender Type value set if any codes within that value set can apply inv-pat-4: Recorded sex or gender source document type shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply inv-pat-5: Recorded sex or gender jurisdiction shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Jurisdiction value set if any codes within that value set can apply au-core-pat-01: At least one patient identifier shall be valid au-core-pat-02: At least one patient name shall have a family name inv-dh-pat-01: If present, a general practitioner shall at least have a reference, an identifier or a display
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
birthPlace		0..1	Address	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
indigenousStatus	SO	0..1	Coding	Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required) Obligations Actor SHALL:populate-if-known SHALL:no-error
veteranStatus		0..*	Coding	Veteran / Australian Defence Force (ADF) status URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status Binding: Australian Veteran Status (required)
closingTheGapRegistration		0..1	boolean	Closing the Gap co-payment eligibility indicator URL: http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration
mothersMaidenName		0..1	string	Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
interpreterRequired		0..1	boolean	Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
dateOfArrival	S	0..1	date	Year of Arrival URL: http://hl7.org.au/fhir/StructureDefinition/date-of-arrival
genderIdentity	SOC	0..*	(Complex)	Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity Obligations Actor SHALL:populate-if-known SHALL:no-error
individualPronouns	SOC	0..*	(Complex)	Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns Obligations Actor SHALL:populate-if-known SHALL:no-error
recordedSexOrGender	C	0..*	(Complex)	Recorded sex or gender type shall be a member of the Common AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Jurisdiction value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SOC	1..*	Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber	Identifies this patient across multiple systems Slice: Unordered, Open by pattern:type Obligations Actor SHALL:populate-if-known SHALL:no-error
identifier:ihi	SOC	0..1	AUIHI	Individual Healthcare Identifier (IHI) inv-ihi-value-0: IHI shall be an exactly 16 digit number inv-ihi-value-1: IHI prefix is 800360 inv-ihi-value-2: IHI shall pass the Luhn algorithm check Obligations Actor SHALL:populate-if-known SHALL:no-error
identifier:medicare	SO	0..1	AUMedicareCardNumber	Medicare Card Number Obligations Actor SHALL:populate-if-known SHALL:no-error
identifier:dva	SO	0..1	AUDVANumber	Department of Veterans' Affairs (DVA) Number Obligations Actor SHALL:populate-if-known SHALL:no-error
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SOΣC	1..*	HumanName	A name associated with the patient au-core-pat-04: At least text, family name, or given name shall be present Obligations Actor SHALL:populate-if-known SHALL:no-error
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SOΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Obligations Actor SHALL:populate-if-known SHALL:no-error
text	SOΣ	0..1	string	Text representation of the full name Obligations Actor SHALL:populate-if-known SHALL:no-error
family	SOΣ	0..1	string	Family name (often called 'Surname') Obligations Actor SHALL:populate-if-known SHALL:no-error
given	SOΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Obligations Actor SHALL:populate-if-known SHALL:no-error
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SOΣ	0..*	ContactPoint	A contact detail for the individual Obligations Actor SHALL:populate-if-known SHALL:no-error
gender	SOΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Obligations Actor SHALL:populate-if-known SHALL:no-error
birthDate	SOΣC	1..1	date	Date of birth extended for time and accuracy indicator Obligations Actor SHALL:populate-if-known SHALL:no-error
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
accuracyIndicator		0..1	Coding	Birth date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: Date Accuracy Indicator (required): Date accuracy coding
birthTime	C	0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
value		0..1	date	Primitive value for date
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!Σ	0..1	boolean	Deceased indicator
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Deceased date time
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
accuracyIndicator		0..1	Coding	Deceased date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: Date Accuracy Indicator (required): Date accuracy coding
value		0..1	dateTime	Primitive value for dateTime
address	SOC	0..*	AustralianAddress, Address	An address for the individual inv-add-0: The address shall at least have text or a line inv-add-1: If asserting no fixed address, the type shall be 'physical' inv-add-2: If asserting no fixed address, the address text shall begin with 'NO FIXED ADDRESS' Obligations Actor SHALL:populate-if-known SHALL:no-error
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: Contact Relationship Type (extensible)
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address, AustralianAddress	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication	SO	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Obligations Actor SHALL:populate-if-known SHALL:no-error
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	SO	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Common Languages in Australia (extensible) Obligations Actor SHALL:populate-if-known SHALL:no-error
preferred	SO	0..1	boolean	Language preference indicator Obligations Actor SHALL:populate-if-known SHALL:no-error
generalPractitioner	SC	0..*	Reference(AU Core Organization | AU Core PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	extensible	ContactRelationshipType https://healthterminologies.gov.au/fhir/ValueSet/contact-relationship-type-3 from https://tx.ontoserver.csiro.au/fhir
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	extensible	CommonLanguagesInAustralia https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 from https://tx.ontoserver.csiro.au/fhir
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-pat-01	error	Patient	If present, a general practitioner shall at least have a reference, an identifier or a display : generalPractitioner.exists() implies generalPractitioner.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())

Differential View

This structure is derived from AUCorePatient

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	AUCorePatient	A patient in the context of electronic exchange of health information inv-dh-pat-01: If present, a general practitioner shall at least have a reference, an identifier or a display
Slices for extension				Content/Rules for all slices
extension:dateOfArrival	S	0..1	DateOfArrivalAustralia	Year of Arrival
generalPractitioner	SC	0..*	Reference(AU Core Organization | AU Core PractitionerRole)	Patient's nominated primary care provider
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-pat-01	error	Patient	If present, a general practitioner shall at least have a reference, an identifier or a display : generalPractitioner.exists() implies generalPractitioner.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	AUCorePatient	A patient in the context of electronic exchange of health information inv-pat-0: If present, birth time's date shall be the birth date inv-pat-1: Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply inv-pat-2: Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply inv-pat-3: Recorded sex or gender type shall be a member of the Common AU Recorded Sex or Gender Type value set if any codes within that value set can apply inv-pat-4: Recorded sex or gender source document type shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply inv-pat-5: Recorded sex or gender jurisdiction shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Jurisdiction value set if any codes within that value set can apply au-core-pat-01: At least one patient identifier shall be valid au-core-pat-02: At least one patient name shall have a family name inv-dh-pat-01: If present, a general practitioner shall at least have a reference, an identifier or a display
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
birthPlace		0..1	Address	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
indigenousStatus	SO	0..1	Coding	Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required) Obligations Actor SHALL:populate-if-known SHALL:no-error
veteranStatus		0..*	Coding	Veteran / Australian Defence Force (ADF) status URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status Binding: Australian Veteran Status (required)
closingTheGapRegistration		0..1	boolean	Closing the Gap co-payment eligibility indicator URL: http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration
mothersMaidenName		0..1	string	Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
interpreterRequired		0..1	boolean	Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
dateOfArrival	S	0..1	date	Year of Arrival URL: http://hl7.org.au/fhir/StructureDefinition/date-of-arrival
genderIdentity	SOC	0..*	(Complex)	Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity Obligations Actor SHALL:populate-if-known SHALL:no-error
individualPronouns	SOC	0..*	(Complex)	Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns Obligations Actor SHALL:populate-if-known SHALL:no-error
recordedSexOrGender	C	0..*	(Complex)	Recorded sex or gender type shall be a member of the Common AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Jurisdiction value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SOC	1..*	Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber	Identifies this patient across multiple systems Slice: Unordered, Open by pattern:type Obligations Actor SHALL:populate-if-known SHALL:no-error
identifier:ihi	SOC	0..1	AUIHI	Individual Healthcare Identifier (IHI) inv-ihi-value-0: IHI shall be an exactly 16 digit number inv-ihi-value-1: IHI prefix is 800360 inv-ihi-value-2: IHI shall pass the Luhn algorithm check Obligations Actor SHALL:populate-if-known SHALL:no-error
identifier:medicare	SO	0..1	AUMedicareCardNumber	Medicare Card Number Obligations Actor SHALL:populate-if-known SHALL:no-error
identifier:dva	SO	0..1	AUDVANumber	Department of Veterans' Affairs (DVA) Number Obligations Actor SHALL:populate-if-known SHALL:no-error
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SOΣC	1..*	HumanName	A name associated with the patient au-core-pat-04: At least text, family name, or given name shall be present Obligations Actor SHALL:populate-if-known SHALL:no-error
use	?!SOΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Obligations Actor SHALL:populate-if-known SHALL:no-error
text	SOΣ	0..1	string	Text representation of the full name Obligations Actor SHALL:populate-if-known SHALL:no-error
family	SOΣ	0..1	string	Family name (often called 'Surname') Obligations Actor SHALL:populate-if-known SHALL:no-error
given	SOΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Obligations Actor SHALL:populate-if-known SHALL:no-error
telecom	SOΣ	0..*	ContactPoint	A contact detail for the individual Obligations Actor SHALL:populate-if-known SHALL:no-error
gender	SOΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Obligations Actor SHALL:populate-if-known SHALL:no-error
birthDate	SOΣC	1..1	date	Date of birth extended for time and accuracy indicator Obligations Actor SHALL:populate-if-known SHALL:no-error
Slices for extension				Content/Rules for all slices
accuracyIndicator		0..1	Coding	Birth date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: Date Accuracy Indicator (required): Date accuracy coding
birthTime	C	0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!Σ	0..1	boolean	Deceased indicator
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Deceased date time
Slices for extension				Content/Rules for all slices
accuracyIndicator		0..1	Coding	Deceased date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: Date Accuracy Indicator (required): Date accuracy coding
address	SOC	0..*	AustralianAddress, Address	An address for the individual inv-add-0: The address shall at least have text or a line inv-add-1: If asserting no fixed address, the type shall be 'physical' inv-add-2: If asserting no fixed address, the address text shall begin with 'NO FIXED ADDRESS' Obligations Actor SHALL:populate-if-known SHALL:no-error
communication	SO	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Obligations Actor SHALL:populate-if-known SHALL:no-error
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	SO	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Common Languages in Australia (extensible) Obligations Actor SHALL:populate-if-known SHALL:no-error
preferred	SO	0..1	boolean	Language preference indicator Obligations Actor SHALL:populate-if-known SHALL:no-error
generalPractitioner	SC	0..*	Reference(AU Core Organization | AU Core PractitionerRole)	Patient's nominated primary care provider
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	extensible	CommonLanguagesInAustralia https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 from https://tx.ontoserver.csiro.au/fhir
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-pat-01	error	Patient	If present, a general practitioner shall at least have a reference, an identifier or a display : generalPractitioner.exists() implies generalPractitioner.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	AUCorePatient	A patient in the context of electronic exchange of health information inv-pat-0: If present, birth time's date shall be the birth date inv-pat-1: Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply inv-pat-2: Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply inv-pat-3: Recorded sex or gender type shall be a member of the Common AU Recorded Sex or Gender Type value set if any codes within that value set can apply inv-pat-4: Recorded sex or gender source document type shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply inv-pat-5: Recorded sex or gender jurisdiction shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Jurisdiction value set if any codes within that value set can apply au-core-pat-01: At least one patient identifier shall be valid au-core-pat-02: At least one patient name shall have a family name inv-dh-pat-01: If present, a general practitioner shall at least have a reference, an identifier or a display
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
birthPlace		0..1	Address	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
indigenousStatus	SO	0..1	Coding	Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required) Obligations Actor SHALL:populate-if-known SHALL:no-error
veteranStatus		0..*	Coding	Veteran / Australian Defence Force (ADF) status URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status Binding: Australian Veteran Status (required)
closingTheGapRegistration		0..1	boolean	Closing the Gap co-payment eligibility indicator URL: http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration
mothersMaidenName		0..1	string	Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
interpreterRequired		0..1	boolean	Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
dateOfArrival	S	0..1	date	Year of Arrival URL: http://hl7.org.au/fhir/StructureDefinition/date-of-arrival
genderIdentity	SOC	0..*	(Complex)	Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity Obligations Actor SHALL:populate-if-known SHALL:no-error
individualPronouns	SOC	0..*	(Complex)	Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns Obligations Actor SHALL:populate-if-known SHALL:no-error
recordedSexOrGender	C	0..*	(Complex)	Recorded sex or gender type shall be a member of the Common AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Common AU Recorded Sex or Gender (RSG) Source Document Jurisdiction value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SOC	1..*	Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber	Identifies this patient across multiple systems Slice: Unordered, Open by pattern:type Obligations Actor SHALL:populate-if-known SHALL:no-error
identifier:ihi	SOC	0..1	AUIHI	Individual Healthcare Identifier (IHI) inv-ihi-value-0: IHI shall be an exactly 16 digit number inv-ihi-value-1: IHI prefix is 800360 inv-ihi-value-2: IHI shall pass the Luhn algorithm check Obligations Actor SHALL:populate-if-known SHALL:no-error
identifier:medicare	SO	0..1	AUMedicareCardNumber	Medicare Card Number Obligations Actor SHALL:populate-if-known SHALL:no-error
identifier:dva	SO	0..1	AUDVANumber	Department of Veterans' Affairs (DVA) Number Obligations Actor SHALL:populate-if-known SHALL:no-error
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SOΣC	1..*	HumanName	A name associated with the patient au-core-pat-04: At least text, family name, or given name shall be present Obligations Actor SHALL:populate-if-known SHALL:no-error
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SOΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Obligations Actor SHALL:populate-if-known SHALL:no-error
text	SOΣ	0..1	string	Text representation of the full name Obligations Actor SHALL:populate-if-known SHALL:no-error
family	SOΣ	0..1	string	Family name (often called 'Surname') Obligations Actor SHALL:populate-if-known SHALL:no-error
given	SOΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Obligations Actor SHALL:populate-if-known SHALL:no-error
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SOΣ	0..*	ContactPoint	A contact detail for the individual Obligations Actor SHALL:populate-if-known SHALL:no-error
gender	SOΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Obligations Actor SHALL:populate-if-known SHALL:no-error
birthDate	SOΣC	1..1	date	Date of birth extended for time and accuracy indicator Obligations Actor SHALL:populate-if-known SHALL:no-error
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
accuracyIndicator		0..1	Coding	Birth date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: Date Accuracy Indicator (required): Date accuracy coding
birthTime	C	0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
value		0..1	date	Primitive value for date
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!Σ	0..1	boolean	Deceased indicator
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Deceased date time
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
accuracyIndicator		0..1	Coding	Deceased date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: Date Accuracy Indicator (required): Date accuracy coding
value		0..1	dateTime	Primitive value for dateTime
address	SOC	0..*	AustralianAddress, Address	An address for the individual inv-add-0: The address shall at least have text or a line inv-add-1: If asserting no fixed address, the type shall be 'physical' inv-add-2: If asserting no fixed address, the address text shall begin with 'NO FIXED ADDRESS' Obligations Actor SHALL:populate-if-known SHALL:no-error
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: Contact Relationship Type (extensible)
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address, AustralianAddress	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication	SO	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Obligations Actor SHALL:populate-if-known SHALL:no-error
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	SO	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Common Languages in Australia (extensible) Obligations Actor SHALL:populate-if-known SHALL:no-error
preferred	SO	0..1	boolean	Language preference indicator Obligations Actor SHALL:populate-if-known SHALL:no-error
generalPractitioner	SC	0..*	Reference(AU Core Organization | AU Core PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	extensible	ContactRelationshipType https://healthterminologies.gov.au/fhir/ValueSet/contact-relationship-type-3 from https://tx.ontoserver.csiro.au/fhir
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	extensible	CommonLanguagesInAustralia https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 from https://tx.ontoserver.csiro.au/fhir
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-pat-01	error	Patient	If present, a general practitioner shall at least have a reference, an identifier or a display : generalPractitioner.exists() implies generalPractitioner.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())

This structure is derived from AUCorePatient

Summary

Must-Support: 2 elements

Structures

This structure refers to these other structures:

• AU Core Organization (http://hl7.org.au/fhir/core/StructureDefinition/au-core-organization)
• AU Core PractitionerRole (http://hl7.org.au/fhir/core/StructureDefinition/au-core-practitionerrole)

Below is an overview of the mandatory and optional search parameters. FHIR search operations and the syntax used to describe the interactions is described here.