Da Vinci Clinical Data Exchange (CDex)
2.1.0 - STU 2.1 United States of America flag

Da Vinci Clinical Data Exchange (CDex), published by HL7 International / Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ecdx/ and changes regularly. See the Directory of published versions

Resource Profile: CDex Patient Demographics Profile

Official URL: http://hl7.org/fhir/us/davinci-cdex/StructureDefinition/cdex-patient-demographics Version: 2.1.0
Standards status: Trial-use Maturity Level: 2 Computable Name: CDexPatientDemographics
Other Identifiers: OID:2.16.840.1.113883.4.642.40.21.42.2

Copyright/Legal: Used by permission of HL7 International all rights reserved Creative Commons License

This Profile is defined as a contained resource within the CDex Task Attachment Request Profile or CDex Task Data Request Profile. It is referenced when additional patient demographic data is communicated for a clinical data request (such as verifying patient identity for HIPAA compliance regulations). It constrains the following elements to be mandatory (min=1):

  • A default resource ID of "patient"
  • A member ID identifier slice
  • A patient's name

and the following element to be must support (min=0):

  • A patient account number identifier slice
  • A date of birth

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient 0..* Patient(4.0.1) Information about an individual or animal receiving health care services
... id SΣ 1..1 id Resource ID Default Value
Fixed Value: patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... Slices for identifier SΣ 1..* Identifier An identifier for this patient
Slice: Unordered, Open by value:$this
.... 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 .
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:mb SΣ 1..1 Identifier Unique Member Identifier

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... 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 0..1 uri The namespace for the identifier value
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:pat SΣ 0..1 Identifier Provider Assigned Patient Account Number

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... 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: pat
....... 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 0..1 uri The namespace for the identifier value
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... name SΣ 1..1 HumanName A name associated with the patient
... birthDate SΣ 1..1 date The date of birth for the individual
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... 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
Constraints: ext-1
.... 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

Path Status Usage ValueSet Version Source
Patient.identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:mb.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:pat.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Patient If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Patient A resource should have narrative for robust management text.`div`.exists()
ele-1 error Patient.implicitRules, Patient.modifierExtension, Patient.identifier, Patient.identifier.use, Patient.identifier.value, Patient.identifier:mb, Patient.identifier:mb.use, Patient.identifier:mb.value, Patient.identifier:pat, Patient.identifier:pat.use, Patient.identifier:pat.value, Patient.active, Patient.name, Patient.birthDate, Patient.deceased[x], Patient.link, Patient.link.modifierExtension, Patient.link.other, Patient.link.type All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Patient.modifierExtension, Patient.link.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient 0..* Patient(4.0.1) Information about an individual or animal receiving health care services
... id S 1..1 id Resource ID Default Value
Fixed Value: patient
... Slices for identifier S 1..* Identifier An identifier for this patient
Slice: Unordered, Open by value:$this
.... identifier:All Slices Content/Rules for all slices
..... value S 1..1 string The value that is unique
.... identifier:mb S 1..1 Identifier Unique Member Identifier
Required Pattern: At least the following
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... 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:pat S 0..1 Identifier Provider Assigned Patient Account Number
Required Pattern: At least the following
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... 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: pat
... name S 1..1 HumanName A name associated with the patient
... birthDate S 1..1 date The date of birth for the individual

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient 0..* Patient(4.0.1) Information about an individual or animal receiving health care services
... id SΣ 1..1 id Resource ID Default Value
Fixed Value: patient
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... Slices for identifier SΣ 1..* Identifier An identifier for this patient
Slice: Unordered, Open by value:$this
.... 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
Constraints: ext-1
..... 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: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
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:mb SΣ 1..1 Identifier Unique Member Identifier

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... 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: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Fixed Value: (Complex)
...... 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 Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
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:pat SΣ 0..1 Identifier Provider Assigned Patient Account Number

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... 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: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Fixed Value: (Complex)
...... 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: pat
....... 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 Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
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 SΣ 1..1 HumanName A name associated with the patient
... telecom Σ 0..* ContactPoint A contact detail for the individual
... gender Σ 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
... birthDate SΣ 1..1 date The date of birth for the individual
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address Σ 0..* Address An address for the individual
... 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
Constraints: pat-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... language 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
.... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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

Path Status Usage ValueSet Version Source
Patient.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Patient.identifier:mb.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:mb.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Patient.identifier:pat.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:pat.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Patient.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.maritalStatus Base extensible MaritalStatus 📍4.0.1 FHIR Std.
Patient.contact.relationship Base extensible Patient Contact Relationship 📍4.0.1 FHIR Std.
Patient.contact.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.communication.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Patient If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Patient A resource should have narrative for robust management text.`div`.exists()
ele-1 error Patient.meta, Patient.implicitRules, Patient.language, Patient.text, Patient.extension, Patient.modifierExtension, Patient.identifier, Patient.identifier.extension, Patient.identifier.use, Patient.identifier.type, Patient.identifier.system, Patient.identifier.value, Patient.identifier.period, Patient.identifier.assigner, Patient.identifier:mb, Patient.identifier:mb.extension, Patient.identifier:mb.use, Patient.identifier:mb.type, Patient.identifier:mb.system, Patient.identifier:mb.value, Patient.identifier:mb.period, Patient.identifier:mb.assigner, Patient.identifier:pat, Patient.identifier:pat.extension, Patient.identifier:pat.use, Patient.identifier:pat.type, Patient.identifier:pat.system, Patient.identifier:pat.value, Patient.identifier:pat.period, Patient.identifier:pat.assigner, Patient.active, Patient.name, Patient.telecom, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.address, Patient.maritalStatus, Patient.multipleBirth[x], Patient.photo, Patient.contact, Patient.contact.extension, Patient.contact.modifierExtension, Patient.contact.relationship, Patient.contact.name, Patient.contact.telecom, Patient.contact.address, Patient.contact.gender, Patient.contact.organization, Patient.contact.period, Patient.communication, Patient.communication.extension, Patient.communication.modifierExtension, Patient.communication.language, Patient.communication.preferred, Patient.generalPractitioner, Patient.managingOrganization, Patient.link, Patient.link.extension, Patient.link.modifierExtension, Patient.link.other, Patient.link.type All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Patient.extension, Patient.modifierExtension, Patient.identifier.extension, Patient.identifier:mb.extension, Patient.identifier:pat.extension, Patient.contact.extension, Patient.contact.modifierExtension, Patient.communication.extension, Patient.communication.modifierExtension, Patient.link.extension, Patient.link.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
pat-1 error Patient.contact SHALL at least contain a contact's details or a reference to an organization name.exists() or telecom.exists() or address.exists() or organization.exists()

Summary

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 7 elements
Fixed: 1 element

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Patient.identifier

Maturity: 2

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient 0..* Patient(4.0.1) Information about an individual or animal receiving health care services
... id SΣ 1..1 id Resource ID Default Value
Fixed Value: patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... Slices for identifier SΣ 1..* Identifier An identifier for this patient
Slice: Unordered, Open by value:$this
.... 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 .
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:mb SΣ 1..1 Identifier Unique Member Identifier

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... 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 0..1 uri The namespace for the identifier value
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:pat SΣ 0..1 Identifier Provider Assigned Patient Account Number

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... 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: pat
....... 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 0..1 uri The namespace for the identifier value
..... period 0..1 Period Time period when id is/was valid for use
..... assigner 0..1 Reference(Organization) Organization that issued id (may be just text)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... name SΣ 1..1 HumanName A name associated with the patient
... birthDate SΣ 1..1 date The date of birth for the individual
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... 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
Constraints: ext-1
.... 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

Path Status Usage ValueSet Version Source
Patient.identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:mb.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:pat.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Patient If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Patient A resource should have narrative for robust management text.`div`.exists()
ele-1 error Patient.implicitRules, Patient.modifierExtension, Patient.identifier, Patient.identifier.use, Patient.identifier.value, Patient.identifier:mb, Patient.identifier:mb.use, Patient.identifier:mb.value, Patient.identifier:pat, Patient.identifier:pat.use, Patient.identifier:pat.value, Patient.active, Patient.name, Patient.birthDate, Patient.deceased[x], Patient.link, Patient.link.modifierExtension, Patient.link.other, Patient.link.type All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Patient.modifierExtension, Patient.link.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient 0..* Patient(4.0.1) Information about an individual or animal receiving health care services
... id S 1..1 id Resource ID Default Value
Fixed Value: patient
... Slices for identifier S 1..* Identifier An identifier for this patient
Slice: Unordered, Open by value:$this
.... identifier:All Slices Content/Rules for all slices
..... value S 1..1 string The value that is unique
.... identifier:mb S 1..1 Identifier Unique Member Identifier
Required Pattern: At least the following
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... 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:pat S 0..1 Identifier Provider Assigned Patient Account Number
Required Pattern: At least the following
..... type 1..1 CodeableConcept Description of identifier
Fixed Value: (Complex)
...... 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: pat
... name S 1..1 HumanName A name associated with the patient
... birthDate S 1..1 date The date of birth for the individual

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient 0..* Patient(4.0.1) Information about an individual or animal receiving health care services
... id SΣ 1..1 id Resource ID Default Value
Fixed Value: patient
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... Slices for identifier SΣ 1..* Identifier An identifier for this patient
Slice: Unordered, Open by value:$this
.... 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
Constraints: ext-1
..... 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: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
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:mb SΣ 1..1 Identifier Unique Member Identifier

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... 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: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Fixed Value: (Complex)
...... 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 Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
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:pat SΣ 0..1 Identifier Provider Assigned Patient Account Number

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... 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: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Fixed Value: (Complex)
...... 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: pat
....... 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 Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
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 SΣ 1..1 HumanName A name associated with the patient
... telecom Σ 0..* ContactPoint A contact detail for the individual
... gender Σ 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
... birthDate SΣ 1..1 date The date of birth for the individual
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address Σ 0..* Address An address for the individual
... 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
Constraints: pat-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... language 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
.... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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

Path Status Usage ValueSet Version Source
Patient.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Patient.identifier:mb.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:mb.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Patient.identifier:pat.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:pat.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Patient.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.maritalStatus Base extensible MaritalStatus 📍4.0.1 FHIR Std.
Patient.contact.relationship Base extensible Patient Contact Relationship 📍4.0.1 FHIR Std.
Patient.contact.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.communication.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Patient If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Patient A resource should have narrative for robust management text.`div`.exists()
ele-1 error Patient.meta, Patient.implicitRules, Patient.language, Patient.text, Patient.extension, Patient.modifierExtension, Patient.identifier, Patient.identifier.extension, Patient.identifier.use, Patient.identifier.type, Patient.identifier.system, Patient.identifier.value, Patient.identifier.period, Patient.identifier.assigner, Patient.identifier:mb, Patient.identifier:mb.extension, Patient.identifier:mb.use, Patient.identifier:mb.type, Patient.identifier:mb.system, Patient.identifier:mb.value, Patient.identifier:mb.period, Patient.identifier:mb.assigner, Patient.identifier:pat, Patient.identifier:pat.extension, Patient.identifier:pat.use, Patient.identifier:pat.type, Patient.identifier:pat.system, Patient.identifier:pat.value, Patient.identifier:pat.period, Patient.identifier:pat.assigner, Patient.active, Patient.name, Patient.telecom, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.address, Patient.maritalStatus, Patient.multipleBirth[x], Patient.photo, Patient.contact, Patient.contact.extension, Patient.contact.modifierExtension, Patient.contact.relationship, Patient.contact.name, Patient.contact.telecom, Patient.contact.address, Patient.contact.gender, Patient.contact.organization, Patient.contact.period, Patient.communication, Patient.communication.extension, Patient.communication.modifierExtension, Patient.communication.language, Patient.communication.preferred, Patient.generalPractitioner, Patient.managingOrganization, Patient.link, Patient.link.extension, Patient.link.modifierExtension, Patient.link.other, Patient.link.type All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Patient.extension, Patient.modifierExtension, Patient.identifier.extension, Patient.identifier:mb.extension, Patient.identifier:pat.extension, Patient.contact.extension, Patient.contact.modifierExtension, Patient.communication.extension, Patient.communication.modifierExtension, Patient.link.extension, Patient.link.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
pat-1 error Patient.contact SHALL at least contain a contact's details or a reference to an organization name.exists() or telecom.exists() or address.exists() or organization.exists()

Summary

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 7 elements
Fixed: 1 element

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Patient.identifier

Maturity: 2

 

Other representations of profile: CSV, Excel, Schematron