CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
2.1.0-snapshot1 - STU 2.1 prepublication draft United States of America flag

CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®), published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0-snapshot1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-bb/ and changes regularly. See the Directory of published versions

Resource Profile: C4BB Patient

Official URL: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient Version: 2.1.0-snapshot1
Standards status: Trial-use Computable Name: C4BBPatient

This profile builds upon the US Core Patient profile. It is used to convey information about the patient who received the services described on the claim.

Notes on Fields

  • The Patient FHIR Resource defines a comprehensive set of data elements.  Many of them are not relevant to this use case.  When reviewing the Profile Snapshot, several data elements previously hidden are now exposed.  Fields intended for consideration to be provided in the API are marked as Must Support; i.e., a red S or have a minimum cardinality of 1.  All other data elements are not expected to be sent by a Responder; if they are sent a Requestor can choose to ignore them
  • The Member Id is the identifier payers assign to a beneficiary for a contract; it may be different for various lines of business; ie. QHP vs MA. The Unique Member Id is a mastered identifier across all lines of business.
  • Payers may decide to provide either the data that was in effect as of the date of service or the current data.
  • .meta.lastUpdated: Payers SHALL provide the last time the data was updated or the date of creation in the payer’s system of record, whichever comes last. Apps will use the meta.lastUpdated value to determine if the Reference resources are as of the current date or date of service.
  • The CPCDS data elements are defined in the data element comments.  The numbers, e.g. (1), following the data element descriptions in the comments correlate to the MapID in the CPCDS Data Dictionary and the Mapping Worksheet as described here.
  • meta.profile is required as a matter of convenience of receiving systems. The meta.profile should be used by the Server to hint/assert/declare that this instance conforms to one (or more) stated profiles (with business versions). meta.profile does not capture any business logic, processing directives, or semantics (for example, inpatient or outpatient). Clients should not assume that the Server will exhaustively indicate all profiles with all versions that this instance conforms to. Clients can (and should) perform their own validation of conformance to the indicated profile(s) and to any other profiles of interest.

 

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from USCorePatientProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C 0..* USCorePatientProfile(6.1.0) Information about an individual or animal receiving health care services
This profile also complies with the profile US Core Patient Profile (3.1.1)
patient-meta-profile-version: Patient: meta.profile with canonical and major.minor. version required.
... meta S 1..1 Meta Metadata about the resource
.... lastUpdated S 1..1 instant When the resource version last changed
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for identifier 1..* Identifier (USCDI) An identifier for this patient
Slice: Unordered, Open by pattern:type
.... identifier:All Slices Content/Rules for all slices
..... type 0..1 CodeableConcept Description of identifier
Binding: C4BB Patient Identifier Type Value Set (extensible)
.... identifier:memberid S 1..* Identifier Member ID
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MB
.... identifier:uniquememberid S 0..* Identifier Unique Member ID
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: um
... name 1..* HumanName (USCDI) A name associated with the patient
... birthDate 0..1 date (USCDI) The date of birth for the individual
... Slices for deceased[x] S 0..1 boolean, dateTime (USCDI) Indicates if the individual is deceased or not
Slice: Unordered, Open by type:$this
.... deceased[x]:deceasedDateTime 0..1 dateTime (USCDI) Indicates if the individual is deceased or not
... address
.... line 0..* string (USCDI) Street name, number, direction & P.O. Box etc.
.... city 0..1 string (USCDI) Name of city, town etc.
.... state 0..1 string (USCDI) Sub-unit of country (abbreviations ok)
.... postalCode 0..1 string (USCDI) US Zip Codes
.... country S 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Patient.identifier.typeextensibleC4BBPatientIdentifierType
http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPatientIdentifierType
from this IG

Constraints

IdGradePath(s)DetailsRequirements
patient-meta-profile-versionwarningPatientPatient: meta.profile with canonical and major.minor. version required.
: meta.profile.exists($this.startsWith('http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient|2.1'))
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C 0..* USCorePatientProfile(6.1.0) Information about an individual or animal receiving health care services
This profile also complies with the profile US Core Patient Profile (3.1.1)
patient-meta-profile-version: Patient: meta.profile with canonical and major.minor. version required.
... meta SΣ 1..1 Meta Metadata about the resource
.... lastUpdated SΣ 1..1 instant When the resource version last changed
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... race 0..1 (Complex) (USCDI) US Core Race Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
.... ethnicity 0..1 (Complex) (USCDI) US Core ethnicity Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
.... tribalAffiliation 0..* (Complex) (USCDI) Tribal Affiliation Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation
.... birthsex 0..1 code Birth Sex Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
Binding: Birth Sex (required): Code for sex assigned at birth


.... sex 0..1 code (USCDI) Sex Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex
Binding: Sex . (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined.


.... genderIdentity 0..* CodeableConcept (USCDI) The individual's gender identity
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
Binding: Gender Identity . (extensible)
... Slices for identifier SΣ 1..* Identifier (USCDI) An identifier for this patient
Slice: Unordered, Open by pattern:type
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: C4BB Patient Identifier Type Value Set (extensible)
..... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string (USCDI) The value that is unique within the system.
Example General: 123456
.... identifier:memberid SΣ 1..* Identifier Member ID
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MB
..... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string (USCDI) The value that is unique within the system.
Example General: 123456
.... identifier:uniquememberid SΣ 0..* Identifier Unique Member ID
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: um
..... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string (USCDI) The value that is unique within the system.
Example General: 123456
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... name SΣC 1..* HumanName (USCDI) A name associated with the patient
us-core-6: At least name.given and/or name.family are present or, if neither is available, the Data Absent Reason Extension is present.
.... use ?!Σ 0..1 code (USCDI) usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

.... family SΣC 0..1 string (USCDI) Family name (often called 'Surname')
.... given SΣC 0..* string (USCDI) Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
... telecom Σ 0..* ContactPoint (USCDI) A contact detail for the individual
.... system SΣC 1..1 code (USCDI) phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ 1..1 string (USCDI) The actual contact point details
.... use ?!SΣ 0..1 code (USCDI) home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required)
... gender SΣ 1..1 code (USCDI) male | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate SΣ 0..1 date (USCDI) The date of birth for the individual
... Slices for deceased[x] ?!SΣ 0..1 (USCDI) Indicates if the individual is deceased or not
Slice: Unordered, Open by type:$this
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
.... deceased[x]:deceasedDateTime ?!Σ 0..1 dateTime (USCDI) Indicates if the individual is deceased or not
... address SΣ 0..* Address (USCDI) An address for the individual
.... use ?!Σ 0..1 code (USCDI) home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... line SΣ 0..* string (USCDI) Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string (USCDI) Name of city, town etc.
Example General: Erewhon
.... state SΣ 0..1 string (USCDI) Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.

.... postalCode SΣ 0..1 string (USCDI) US Zip Codes
Example General: 9132
.... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
... communication 0..* BackboneElement (USCDI) A language which may be used to communicate with the patient about his or her health
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... language S 1..1 CodeableConcept (USCDI) The language which can be used to communicate with the patient about his or her health
Binding: Language codes with language and optionally a region modifier (extensible)
... link ?!Σ 0..* BackboneElement Link to another patient 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier.typeextensibleC4BBPatientIdentifierType
http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPatientIdentifierType
from this IG
Patient.identifier:memberid.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:memberid.typeextensiblePattern: MB
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:uniquememberid.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:uniquememberid.typeextensiblePattern: um
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system
from the FHIR Standard
Patient.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender
from the FHIR Standard
Patient.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Patient.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Patient.communication.languageextensibleLanguageCodesWithLanguageAndOptionallyARegionModifier
http://hl7.org/fhir/us/core/ValueSet/simple-language
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
patient-meta-profile-versionwarningPatientPatient: meta.profile with canonical and major.minor. version required.
: meta.profile.exists($this.startsWith('http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient|2.1'))
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C 0..* USCorePatientProfile(6.1.0) Information about an individual or animal receiving health care services
This profile also complies with the profile US Core Patient Profile (3.1.1)
patient-meta-profile-version: Patient: meta.profile with canonical and major.minor. version required.
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 1..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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
.... race 0..1 (Complex) (USCDI) US Core Race Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
.... ethnicity 0..1 (Complex) (USCDI) US Core ethnicity Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
.... tribalAffiliation 0..* (Complex) (USCDI) Tribal Affiliation Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation
.... birthsex 0..1 code Birth Sex Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
Binding: Birth Sex (required): Code for sex assigned at birth


.... sex 0..1 code (USCDI) Sex Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex
Binding: Sex . (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined.


.... genderIdentity 0..* CodeableConcept (USCDI) The individual's gender identity
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
Binding: Gender Identity . (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier (USCDI) An identifier for this patient
Slice: Unordered, Open by pattern:type
.... identifier:All Slices Content/Rules for all slices
..... 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 ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: C4BB Patient Identifier Type Value Set (extensible)
..... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string (USCDI) The value that is unique within the system.
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:memberid SΣ 1..* Identifier Member ID
..... 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 ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MB
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string (USCDI) The value that is unique within the system.
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:uniquememberid SΣ 0..* Identifier Unique Member ID
..... 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 ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: um
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string (USCDI) The value that is unique within the system.
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... name SΣC 1..* HumanName (USCDI) A name associated with the patient
us-core-6: At least name.given and/or name.family are present or, if neither is available, the Data Absent Reason Extension is present.
.... 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 ?!Σ 0..1 code (USCDI) usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

.... text Σ 0..1 string Text representation of the full name
.... family SΣC 0..1 string (USCDI) Family name (often called 'Surname')
.... given SΣC 0..* string (USCDI) Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... 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 (USCDI) 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 (USCDI) Time period when name was/is in use
... telecom Σ 0..* ContactPoint (USCDI) A contact detail for the individual
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣC 1..1 code (USCDI) phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ 1..1 string (USCDI) The actual contact point details
.... use ?!SΣ 0..1 code (USCDI) home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required)
.... rank Σ 0..1 positiveInt Specify preferred order of use (1 = highest)
.... period Σ 0..1 Period Time period when the contact point was/is in use
... gender SΣ 1..1 code (USCDI) male | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate SΣ 0..1 date (USCDI) The date of birth for the individual
... Slices for deceased[x] ?!SΣ 0..1 (USCDI) Indicates if the individual is deceased or not
Slice: Unordered, Open by type:$this
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
.... deceased[x]:deceasedDateTime ?!Σ 0..1 dateTime (USCDI) Indicates if the individual is deceased or not
... address SΣ 0..* Address (USCDI) An address for the individual
.... 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 ?!Σ 0..1 code (USCDI) home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..* string (USCDI) Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string (USCDI) Name of city, town etc.
Example General: Erewhon
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state SΣ 0..1 string (USCDI) Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.

.... postalCode SΣ 0..1 string (USCDI) US Zip Codes
Example General: 9132
.... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period (USCDI) Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... 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: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.


.... name 0..1 HumanName A name associated with the contact person
.... telecom 0..* ContactPoint A contact detail for the person
.... address 0..1 Address 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 0..* BackboneElement (USCDI) A language which may be used to communicate with the patient about his or her health
.... 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 S 1..1 CodeableConcept (USCDI) The language which can be used to communicate with the patient about his or her health
Binding: Language codes with language and optionally a region modifier (extensible)
.... preferred 0..1 boolean Language preference indicator
... generalPractitioner 0..* Reference(Organization | Practitioner | 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 another patient 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Patient.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier.typeextensibleC4BBPatientIdentifierType
http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPatientIdentifierType
from this IG
Patient.identifier:memberid.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:memberid.typeextensiblePattern: MB
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:uniquememberid.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:uniquememberid.typeextensiblePattern: um
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system
from the FHIR Standard
Patient.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender
from the FHIR Standard
Patient.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Patient.address.typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
from the FHIR Standard
Patient.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Patient.maritalStatusextensibleMarital Status Codes
http://hl7.org/fhir/ValueSet/marital-status
from the FHIR Standard
Patient.contact.relationshipextensiblePatientContactRelationship
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.communication.languageextensibleLanguageCodesWithLanguageAndOptionallyARegionModifier
http://hl7.org/fhir/us/core/ValueSet/simple-language
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
patient-meta-profile-versionwarningPatientPatient: meta.profile with canonical and major.minor. version required.
: meta.profile.exists($this.startsWith('http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient|2.1'))

This structure is derived from USCorePatientProfile

Summary

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 6 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Patient.identifier
  • The element 1 is sliced based on the value of Patient.deceased[x]

Differential View

This structure is derived from USCorePatientProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C 0..* USCorePatientProfile(6.1.0) Information about an individual or animal receiving health care services
This profile also complies with the profile US Core Patient Profile (3.1.1)
patient-meta-profile-version: Patient: meta.profile with canonical and major.minor. version required.
... meta S 1..1 Meta Metadata about the resource
.... lastUpdated S 1..1 instant When the resource version last changed
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for identifier 1..* Identifier (USCDI) An identifier for this patient
Slice: Unordered, Open by pattern:type
.... identifier:All Slices Content/Rules for all slices
..... type 0..1 CodeableConcept Description of identifier
Binding: C4BB Patient Identifier Type Value Set (extensible)
.... identifier:memberid S 1..* Identifier Member ID
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MB
.... identifier:uniquememberid S 0..* Identifier Unique Member ID
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: um
... name 1..* HumanName (USCDI) A name associated with the patient
... birthDate 0..1 date (USCDI) The date of birth for the individual
... Slices for deceased[x] S 0..1 boolean, dateTime (USCDI) Indicates if the individual is deceased or not
Slice: Unordered, Open by type:$this
.... deceased[x]:deceasedDateTime 0..1 dateTime (USCDI) Indicates if the individual is deceased or not
... address
.... line 0..* string (USCDI) Street name, number, direction & P.O. Box etc.
.... city 0..1 string (USCDI) Name of city, town etc.
.... state 0..1 string (USCDI) Sub-unit of country (abbreviations ok)
.... postalCode 0..1 string (USCDI) US Zip Codes
.... country S 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Patient.identifier.typeextensibleC4BBPatientIdentifierType
http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPatientIdentifierType
from this IG

Constraints

IdGradePath(s)DetailsRequirements
patient-meta-profile-versionwarningPatientPatient: meta.profile with canonical and major.minor. version required.
: meta.profile.exists($this.startsWith('http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient|2.1'))

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C 0..* USCorePatientProfile(6.1.0) Information about an individual or animal receiving health care services
This profile also complies with the profile US Core Patient Profile (3.1.1)
patient-meta-profile-version: Patient: meta.profile with canonical and major.minor. version required.
... meta SΣ 1..1 Meta Metadata about the resource
.... lastUpdated SΣ 1..1 instant When the resource version last changed
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... race 0..1 (Complex) (USCDI) US Core Race Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
.... ethnicity 0..1 (Complex) (USCDI) US Core ethnicity Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
.... tribalAffiliation 0..* (Complex) (USCDI) Tribal Affiliation Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation
.... birthsex 0..1 code Birth Sex Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
Binding: Birth Sex (required): Code for sex assigned at birth


.... sex 0..1 code (USCDI) Sex Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex
Binding: Sex . (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined.


.... genderIdentity 0..* CodeableConcept (USCDI) The individual's gender identity
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
Binding: Gender Identity . (extensible)
... Slices for identifier SΣ 1..* Identifier (USCDI) An identifier for this patient
Slice: Unordered, Open by pattern:type
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: C4BB Patient Identifier Type Value Set (extensible)
..... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string (USCDI) The value that is unique within the system.
Example General: 123456
.... identifier:memberid SΣ 1..* Identifier Member ID
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MB
..... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string (USCDI) The value that is unique within the system.
Example General: 123456
.... identifier:uniquememberid SΣ 0..* Identifier Unique Member ID
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: um
..... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string (USCDI) The value that is unique within the system.
Example General: 123456
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... name SΣC 1..* HumanName (USCDI) A name associated with the patient
us-core-6: At least name.given and/or name.family are present or, if neither is available, the Data Absent Reason Extension is present.
.... use ?!Σ 0..1 code (USCDI) usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

.... family SΣC 0..1 string (USCDI) Family name (often called 'Surname')
.... given SΣC 0..* string (USCDI) Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
... telecom Σ 0..* ContactPoint (USCDI) A contact detail for the individual
.... system SΣC 1..1 code (USCDI) phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ 1..1 string (USCDI) The actual contact point details
.... use ?!SΣ 0..1 code (USCDI) home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required)
... gender SΣ 1..1 code (USCDI) male | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate SΣ 0..1 date (USCDI) The date of birth for the individual
... Slices for deceased[x] ?!SΣ 0..1 (USCDI) Indicates if the individual is deceased or not
Slice: Unordered, Open by type:$this
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
.... deceased[x]:deceasedDateTime ?!Σ 0..1 dateTime (USCDI) Indicates if the individual is deceased or not
... address SΣ 0..* Address (USCDI) An address for the individual
.... use ?!Σ 0..1 code (USCDI) home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... line SΣ 0..* string (USCDI) Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string (USCDI) Name of city, town etc.
Example General: Erewhon
.... state SΣ 0..1 string (USCDI) Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.

.... postalCode SΣ 0..1 string (USCDI) US Zip Codes
Example General: 9132
.... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
... communication 0..* BackboneElement (USCDI) A language which may be used to communicate with the patient about his or her health
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... language S 1..1 CodeableConcept (USCDI) The language which can be used to communicate with the patient about his or her health
Binding: Language codes with language and optionally a region modifier (extensible)
... link ?!Σ 0..* BackboneElement Link to another patient 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier.typeextensibleC4BBPatientIdentifierType
http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPatientIdentifierType
from this IG
Patient.identifier:memberid.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:memberid.typeextensiblePattern: MB
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:uniquememberid.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:uniquememberid.typeextensiblePattern: um
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system
from the FHIR Standard
Patient.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender
from the FHIR Standard
Patient.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Patient.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Patient.communication.languageextensibleLanguageCodesWithLanguageAndOptionallyARegionModifier
http://hl7.org/fhir/us/core/ValueSet/simple-language
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
patient-meta-profile-versionwarningPatientPatient: meta.profile with canonical and major.minor. version required.
: meta.profile.exists($this.startsWith('http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient|2.1'))

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C 0..* USCorePatientProfile(6.1.0) Information about an individual or animal receiving health care services
This profile also complies with the profile US Core Patient Profile (3.1.1)
patient-meta-profile-version: Patient: meta.profile with canonical and major.minor. version required.
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 1..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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
.... race 0..1 (Complex) (USCDI) US Core Race Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
.... ethnicity 0..1 (Complex) (USCDI) US Core ethnicity Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
.... tribalAffiliation 0..* (Complex) (USCDI) Tribal Affiliation Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation
.... birthsex 0..1 code Birth Sex Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
Binding: Birth Sex (required): Code for sex assigned at birth


.... sex 0..1 code (USCDI) Sex Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex
Binding: Sex . (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined.


.... genderIdentity 0..* CodeableConcept (USCDI) The individual's gender identity
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
Binding: Gender Identity . (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier (USCDI) An identifier for this patient
Slice: Unordered, Open by pattern:type
.... identifier:All Slices Content/Rules for all slices
..... 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 ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: C4BB Patient Identifier Type Value Set (extensible)
..... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string (USCDI) The value that is unique within the system.
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:memberid SΣ 1..* Identifier Member ID
..... 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 ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MB
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string (USCDI) The value that is unique within the system.
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:uniquememberid SΣ 0..* Identifier Unique Member ID
..... 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 ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: um
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string (USCDI) The value that is unique within the system.
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... name SΣC 1..* HumanName (USCDI) A name associated with the patient
us-core-6: At least name.given and/or name.family are present or, if neither is available, the Data Absent Reason Extension is present.
.... 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 ?!Σ 0..1 code (USCDI) usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

.... text Σ 0..1 string Text representation of the full name
.... family SΣC 0..1 string (USCDI) Family name (often called 'Surname')
.... given SΣC 0..* string (USCDI) Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... 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 (USCDI) 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 (USCDI) Time period when name was/is in use
... telecom Σ 0..* ContactPoint (USCDI) A contact detail for the individual
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣC 1..1 code (USCDI) phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ 1..1 string (USCDI) The actual contact point details
.... use ?!SΣ 0..1 code (USCDI) home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required)
.... rank Σ 0..1 positiveInt Specify preferred order of use (1 = highest)
.... period Σ 0..1 Period Time period when the contact point was/is in use
... gender SΣ 1..1 code (USCDI) male | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate SΣ 0..1 date (USCDI) The date of birth for the individual
... Slices for deceased[x] ?!SΣ 0..1 (USCDI) Indicates if the individual is deceased or not
Slice: Unordered, Open by type:$this
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
.... deceased[x]:deceasedDateTime ?!Σ 0..1 dateTime (USCDI) Indicates if the individual is deceased or not
... address SΣ 0..* Address (USCDI) An address for the individual
.... 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 ?!Σ 0..1 code (USCDI) home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..* string (USCDI) Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string (USCDI) Name of city, town etc.
Example General: Erewhon
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state SΣ 0..1 string (USCDI) Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.

.... postalCode SΣ 0..1 string (USCDI) US Zip Codes
Example General: 9132
.... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period (USCDI) Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... 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: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.


.... name 0..1 HumanName A name associated with the contact person
.... telecom 0..* ContactPoint A contact detail for the person
.... address 0..1 Address 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 0..* BackboneElement (USCDI) A language which may be used to communicate with the patient about his or her health
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension