Da Vinci Health Record Exchange (HRex)
1.2.0-cibuild - STU 1.1

Da Vinci Health Record Exchange (HRex), published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 1.2.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ehrx/ and changes regularly. See the Directory of published versions

## Resource Profile: HRex Member Match Patient

Official URL: http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics | Version: 1.2.0-cibuild
Standards status: Draft | Maturity Level: 0 | Computable Name: HRexPatientDemographics
Other Identifiers: OID:2.16.840.1.113883.4.642.40.19.42.11

Defines constraints on the patient resource for transmission of minimal demographic information needed for $member-match.

This profile is intended exclusively for use as part of the HRex Coverage profile, which in turn is intended exclusively for use with the $member-match operation. This profile diverges from US Core in that it does not require the inclusion of a patient identifier.

The profile is used in two contexts:

- In the initial request to the operation no identifier will be present.
- In the response to the operation, the payer's "unique member identifier" for the member will be present. This is an identifier that spans all coverages the payer manages for the patient and can be used to request information about the member independent of their coverage. (This is not the same as a 'member number' which is typically specific to a particular coverage.)

In most places in Da Vinci, the US Core Patient profile will be used. (Implementations adhering to the 7.0.0 profile will automatically also be conformant with the 6.1.0 and 3.1.1 versions.)

Usage:

- Use this Resource Profile: HRex Parameters - Member Match Request Profile
- Refer to this Resource Profile: HRex Member Match Coverage Profile and HRex Parameters - Member Match Response Profile

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management hrex-pat-1: Patient gender or birthSex extension SHALL be present
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:us-core-birthSex | S | 0..1 | code | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier | Σ | 0..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
identifier:umb | S Σ | 0..1 | Identifier | Unique Member Identifier. This is required to be present for the 'new' coverage and be absent for the 'old' coverage. ele-1: All FHIR elements must have a @value or children 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/davinci-hrex/CodeSystem/hrex-temp
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: UMB
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children
name | S Σ | 1..* | HumanName | A name associated with the patient ele-1: All FHIR elements must have a @value or children
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children
family | S Σ | 1..1 | string | Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children
given | S Σ | 1..* | string | Given names (not always 'first'). Includes middle names ele-1: All FHIR elements must have a @value or children This repeating element order: Given Names appear in the correct order for presenting the name
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required) ele-1: All FHIR elements must have a @value or children
birthDate | S Σ | 1..1 | date | The date of birth for the individual ele-1: All FHIR elements must have a @value or children
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | S Σ | 0..* | Address | An address for the individual ele-1: All FHIR elements must have a @value or children
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
line | S Σ | 0..* | string | Street name, number, direction & P.O. Box etc. ele-1: All FHIR elements must have a @value or children This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | S Σ | 0..1 | string | Name of city, town etc. ele-1: All FHIR elements must have a @value or children Example General: Erewhon
state | S Σ | 0..1 | string | Sub-unit of country (abbreviations ok) ele-1: All FHIR elements must have a @value or children
postalCode | S Σ | 0..1 | string | Postal code for area ele-1: All FHIR elements must have a @value or children Example General: 9132
period | S Σ | 0..1 | Period | Time period when address was/is in use ele-1: All FHIR elements must have a @value or children Example General: {"start":"2010-03-23","end":"2010-07-01"}
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Patient.name.use | required | NameUse `http://hl7.org/fhir/ValueSet/name-use|4.0.1` from the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender` from the FHIR Standard
Patient.address.use | required | AddressUse `http://hl7.org/fhir/ValueSet/address-use|4.0.1` from the FHIR Standard
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|4.0.1` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
hrex-pat-1 | error | Patient | Patient gender or birthSex extension SHALL be present : gender.exists() or extension('http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex').exists() |

This structure is derived from Patient

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services hrex-pat-1: Patient gender or birthSex extension SHALL be present
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:us-core-birthSex | S | 0..1 | code | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
Slices for identifier |  | 0..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:$this
identifier:umb | S | 0..1 | Identifier | Unique Member Identifier. This is required to be present for the 'new' coverage and be absent for the 'old' coverage. 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/davinci-hrex/CodeSystem/hrex-temp
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: UMB
name | S | 1..* | HumanName | A name associated with the patient
family | S | 1..1 | string | Family name (often called 'Surname')
given | S | 1..* | string | Given names (not always 'first'). Includes middle names
gender | S | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required)
birthDate | S | 1..1 | date | The date of birth for the individual
address | S | 0..* | Address | An address for the individual
line | S | 0..* | string | Street name, number, direction & P.O. Box etc.
city | S | 0..1 | string | Name of city, town etc.
state | S | 0..1 | string | Sub-unit of country (abbreviations ok)
postalCode | S | 0..1 | string | Postal code for area
period | S | 0..1 | Period | Time period when address was/is in use
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
hrex-pat-1 | error | Patient | Patient gender or birthSex extension SHALL be present : gender.exists() or extension('http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex').exists() |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services hrex-pat-1: Patient gender or birthSex extension SHALL be present
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:us-core-birthSex | S | 0..1 | code | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 0..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:$this
identifier:umb | S Σ | 0..1 | Identifier | Unique Member Identifier. This is required to be present for the 'new' coverage and be absent for the 'old' coverage. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
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/davinci-hrex/CodeSystem/hrex-temp
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: UMB
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
value |  | 0..1 | string | The value that is unique
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)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ | 1..* | HumanName | A name associated with the patient
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 | 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 | S Σ | 1..1 | string | Family name (often called 'Surname')
given | S Σ | 1..* | string | 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 | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ | 0..1 | Period | Time period when name was/is in use
telecom | Σ | 0..* | ContactPoint | A contact detail for the individual
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required)
birthDate | S Σ | 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 | S Σ | 0..* | Address | 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 | 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 | S Σ | 0..* | string | 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 | S Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | S Σ | 0..1 | string | Sub-unit of country (abbreviations ok)
postalCode | S Σ | 0..1 | string | Postal code for area Example General: 9132
country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code)
period | S Σ | 0..1 | Period | 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 | 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 |  | 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 Bindings | Purpose
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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Patient.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Patient.name.use | required | NameUse `http://hl7.org/fhir/ValueSet/name-use|4.0.1` from the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender` from the FHIR Standard
Patient.address.use | required | AddressUse `http://hl7.org/fhir/ValueSet/address-use|4.0.1` from the FHIR Standard
Patient.address.type | required | AddressType `http://hl7.org/fhir/ValueSet/address-type|4.0.1` from the FHIR Standard
Patient.maritalStatus | extensible | Marital Status Codes `http://hl7.org/fhir/ValueSet/marital-status` from the FHIR Standard
Patient.contact.relationship | extensible | PatientContactRelationship `http://hl7.org/fhir/ValueSet/patient-contactrelationship` from the FHIR Standard
Patient.contact.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` from the FHIR Standard
Patient.communication.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|4.0.1` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
hrex-pat-1 | error | Patient | Patient gender or birthSex extension SHALL be present : gender.exists() or extension('http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex').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() |

This structure is derived from Patient

Summary

Mandatory: 4 elements
Must-Support: 13 elements

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex|7.0.0

Slices

This structure defines the following Slices:

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

Maturity: 0

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management hrex-pat-1: Patient gender or birthSex extension SHALL be present
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:us-core-birthSex | S | 0..1 | code | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier | Σ | 0..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
identifier:umb | S Σ | 0..1 | Identifier | Unique Member Identifier. This is required to be present for the 'new' coverage and be absent for the 'old' coverage. ele-1: All FHIR elements must have a @value or children 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/davinci-hrex/CodeSystem/hrex-temp
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: UMB
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children
name | S Σ | 1..* | HumanName | A name associated with the patient ele-1: All FHIR elements must have a @value or children
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children
family | S Σ | 1..1 | string | Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children
given | S Σ | 1..* | string | Given names (not always 'first'). Includes middle names ele-1: All FHIR elements must have a @value or children This repeating element order: Given Names appear in the correct order for presenting the name
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required) ele-1: All FHIR elements must have a @value or children
birthDate | S Σ | 1..1 | date | The date of birth for the individual ele-1: All FHIR elements must have a @value or children
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | S Σ | 0..* | Address | An address for the individual ele-1: All FHIR elements must have a @value or children
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
line | S Σ | 0..* | string | Street name, number, direction & P.O. Box etc. ele-1: All FHIR elements must have a @value or children This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | S Σ | 0..1 | string | Name of city, town etc. ele-1: All FHIR elements must have a @value or children Example General: Erewhon
state | S Σ | 0..1 | string | Sub-unit of country (abbreviations ok) ele-1: All FHIR elements must have a @value or children
postalCode | S Σ | 0..1 | string | Postal code for area ele-1: All FHIR elements must have a @value or children Example General: 9132
period | S Σ | 0..1 | Period | Time period when address was/is in use ele-1: All FHIR elements must have a @value or children Example General: {"start":"2010-03-23","end":"2010-07-01"}
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Patient.name.use | required | NameUse `http://hl7.org/fhir/ValueSet/name-use|4.0.1` from the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender` from the FHIR Standard
Patient.address.use | required | AddressUse `http://hl7.org/fhir/ValueSet/address-use|4.0.1` from the FHIR Standard
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|4.0.1` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
hrex-pat-1 | error | Patient | Patient gender or birthSex extension SHALL be present : gender.exists() or extension('http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex').exists() |

Differential View

This structure is derived from Patient

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services hrex-pat-1: Patient gender or birthSex extension SHALL be present
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:us-core-birthSex | S | 0..1 | code | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
Slices for identifier |  | 0..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:$this
identifier:umb | S | 0..1 | Identifier | Unique Member Identifier. This is required to be present for the 'new' coverage and be absent for the 'old' coverage. 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/davinci-hrex/CodeSystem/hrex-temp
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: UMB
name | S | 1..* | HumanName | A name associated with the patient
family | S | 1..1 | string | Family name (often called 'Surname')
given | S | 1..* | string | Given names (not always 'first'). Includes middle names
gender | S | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required)
birthDate | S | 1..1 | date | The date of birth for the individual
address | S | 0..* | Address | An address for the individual
line | S | 0..* | string | Street name, number, direction & P.O. Box etc.
city | S | 0..1 | string | Name of city, town etc.
state | S | 0..1 | string | Sub-unit of country (abbreviations ok)
postalCode | S | 0..1 | string | Postal code for area
period | S | 0..1 | Period | Time period when address was/is in use
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
hrex-pat-1 | error | Patient | Patient gender or birthSex extension SHALL be present : gender.exists() or extension('http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex').exists() |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services hrex-pat-1: Patient gender or birthSex extension SHALL be present
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:us-core-birthSex | S | 0..1 | code | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 0..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:$this
identifier:umb | S Σ | 0..1 | Identifier | Unique Member Identifier. This is required to be present for the 'new' coverage and be absent for the 'old' coverage. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
use |  | 0..1 | code | usual | official | temp | secondary | old (If known)
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/davinci-hrex/CodeSystem/hrex-temp
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: UMB
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
value |  | 0..1 | string | The value that is unique
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)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ | 1..* | HumanName | A name associated with the patient
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 | 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 | S Σ | 1..1 | string | Family name (often called 'Surname')
given | S Σ | 1..* | string | 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 | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ | 0..1 | Period | Time period when name was/is in use
telecom | Σ | 0..* | ContactPoint | A contact detail for the individual
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required)
birthDate | S Σ | 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 | S Σ | 0..* | Address | 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 | 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 | S Σ | 0..* | string | 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 | S Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | S Σ | 0..1 | string | Sub-unit of country (abbreviations ok)
postalCode | S Σ | 0..1 | string | Postal code for area Example General: 9132
country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code)
period | S Σ | 0..1 | Period | 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 | 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 |  | 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 Bindings | Purpose
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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Patient.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Patient.name.use | required | NameUse `http://hl7.org/fhir/ValueSet/name-use|4.0.1` from the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender` from the FHIR Standard
Patient.address.use | required | AddressUse `http://hl7.org/fhir/ValueSet/address-use|4.0.1` from the FHIR Standard
Patient.address.type | required | AddressType `http://hl7.org/fhir/ValueSet/address-type|4.0.1` from the FHIR Standard
Patient.maritalStatus | extensible | Marital Status Codes `http://hl7.org/fhir/ValueSet/marital-status` from the FHIR Standard
Patient.contact.relationship | extensible | PatientContactRelationship `http://hl7.org/fhir/ValueSet/patient-contactrelationship` from the FHIR Standard
Patient.contact.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` from the FHIR Standard
Patient.communication.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|4.0.1` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
hrex-pat-1 | error | Patient | Patient gender or birthSex extension SHALL be present : gender.exists() or extension('http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex').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() |

This structure is derived from Patient

Summary

Mandatory: 4 elements
Must-Support: 13 elements

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex|7.0.0

Slices

This structure defines the following Slices:

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

Maturity: 0

Other representations of profile: CSV, Excel, Schematron