QI-Core Implementation Guide
4.1.0 - release

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## Resource Profile: QICorePatient

Defining URL: | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Version: | 4.1.0
Name: | QICorePatient
Status: | Draft as of 8/22/18
Definition: | Profile of Patient for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
Publisher: | http://www.hl7.org/Special/committees/cqi/index.cfm
Source Resource: | XML / JSON / Turtle

The official URL for this profile is:

    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient

Usage

See the patterns page for implementation and usage patterns.

### Examples

Basic Patient Example

### Formal Views of Profile Content

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

- Text Summary
- Differential Table
- Snapshot Table
- Snapshot Table (Must Support)
- All

This structure is derived from USCorePatientProfile

Summary

Must-Support: 5 elements

Structures

This structure refers to these other structures:

- QICoreOrganization (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization)
- QICorePractitioner (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner)
- QICorePractitionerRole (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole)
- QICorePatient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/patient-religion
- http://hl7.org/fhir/StructureDefinition/patient-birthPlace
- http://hl7.org/fhir/StructureDefinition/patient-disability
- http://hl7.org/fhir/StructureDefinition/patient-nationality
- http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor
- http://hl7.org/fhir/StructureDefinition/patient-birthTime
- http://hl7.org/fhir/StructureDefinition/iso21090-preferred

This structure is derived from USCorePatientProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient |  | 0..* | USCorePatientProfile | Information about an individual or animal receiving health care services
patient-religion |  | 0..1 | CodeableConcept | The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (extensible)
patient-birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
patient-disability |  | 0..* | CodeableConcept | Condition(s) limiting movement, senses, or activities URL: http://hl7.org/fhir/StructureDefinition/patient-disability Binding: Disability Value Set (example)
patient-nationality |  | 0..* | (Complex) | Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
patient-cadavericDonor |  | 0..1 | boolean | Post-mortem donor status URL: http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor
patient-birthTime | S | 0..1 | dateTime | Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
telecom | S | 0..* | ContactPoint | A contact detail for the individual
iso21090-preferred |  | 0..1 | boolean | Preferred URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
birthDate | S | 0..1 | date | The date of birth for the individual
deceased[x] | S | 0..1 | boolean, dateTime | Indicates if the individual is deceased or not
address | S | 0..* | Address | An address for the individual
iso21090-preferred |  | 0..1 | boolean | Preferred URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
generalPractitioner |  | 0..* | Reference(QICoreOrganization | QICorePractitioner | QICorePractitionerRole) | Patient's nominated primary care provider
managingOrganization |  | 0..1 | Reference(QICoreOrganization) | Organization that is the custodian of the patient record
link |  | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
other |  | 1..1 | Reference(QICorePatient) | The other patient or related person resource that the link refers to
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient |  | 0..* | USCorePatientProfile | Information about an individual or animal receiving health care services
id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language.
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
us-core-race | S | 0..1 | (Complex) | US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
us-core-ethnicity | S | 0..1 | (Complex) | US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
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
patient-religion |  | 0..1 | CodeableConcept | The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (extensible)
patient-birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
patient-disability |  | 0..* | CodeableConcept | Condition(s) limiting movement, senses, or activities URL: http://hl7.org/fhir/StructureDefinition/patient-disability
patient-nationality |  | 0..* | (Complex) | Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
patient-cadavericDonor |  | 0..1 | boolean | Post-mortem donor status URL: http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor
patient-birthTime | S | 0..1 | dateTime | Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..* | Identifier | An identifier for this patient
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: 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 | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 1..1 | string | The value that is unique within the system. Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ I | 1..* | HumanName | A name associated with the patient us-core-8: Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for 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 I | 0..1 | string | Family name (often called 'Surname')
given | S Σ I | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
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 | S Σ | 0..* | ContactPoint | A contact detail for the individual
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
iso21090-preferred |  | 0..1 | boolean | Preferred URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
system | S Σ I | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | The actual contact point details
use | ?!S Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
gender | S Σ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required)
birthDate | S Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!S 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
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
iso21090-preferred |  | 0..1 | boolean | Preferred URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
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) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode | S Σ | 0..1 | string | US Zip Codes 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 | I | 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 | I | 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 | S | 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 | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
preferred |  | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(QICoreOrganization | QICorePractitioner | QICorePractitionerRole) | Patient's nominated primary care provider
managingOrganization | Σ | 0..1 | Reference(QICoreOrganization) | 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(QICorePatient) | 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

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient |  | 0..* | USCorePatientProfile | Information about an individual or animal receiving health care services
us-core-race |  | 0..1 | (Complex) | US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
us-core-ethnicity |  | 0..1 | (Complex) | US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
us-core-birthsex |  | 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
patient-birthTime |  | 0..1 | dateTime | Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
identifier | Σ | 1..* | Identifier | An identifier for this patient
system | Σ | 1..1 | uri | The namespace for the identifier value
value | Σ | 1..1 | string | The value that is unique within the system.
name | Σ I | 1..* | HumanName | A name associated with the patient us-core-8: Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.
family | Σ I | 0..1 | string | Family name (often called 'Surname')
given | Σ I | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
telecom | Σ | 0..* | ContactPoint | A contact detail for the individual
system | Σ I | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | Σ | 1..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
gender | Σ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required)
birthDate | Σ | 0..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
line | 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
city | Σ | 0..1 | string | Name of city, town etc.
state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode | Σ | 0..1 | string | US Zip Codes
period | Σ | 0..1 | Period | Time period when address was/is in use
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
Documentation for this format

This structure is derived from USCorePatientProfile

Summary

Must-Support: 5 elements

Structures

This structure refers to these other structures:

- QICoreOrganization (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization)
- QICorePractitioner (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner)
- QICorePractitionerRole (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole)
- QICorePatient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/patient-religion
- http://hl7.org/fhir/StructureDefinition/patient-birthPlace
- http://hl7.org/fhir/StructureDefinition/patient-disability
- http://hl7.org/fhir/StructureDefinition/patient-nationality
- http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor
- http://hl7.org/fhir/StructureDefinition/patient-birthTime
- http://hl7.org/fhir/StructureDefinition/iso21090-preferred

Differential View

This structure is derived from USCorePatientProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient |  | 0..* | USCorePatientProfile | Information about an individual or animal receiving health care services
patient-religion |  | 0..1 | CodeableConcept | The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (extensible)
patient-birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
patient-disability |  | 0..* | CodeableConcept | Condition(s) limiting movement, senses, or activities URL: http://hl7.org/fhir/StructureDefinition/patient-disability Binding: Disability Value Set (example)
patient-nationality |  | 0..* | (Complex) | Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
patient-cadavericDonor |  | 0..1 | boolean | Post-mortem donor status URL: http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor
patient-birthTime | S | 0..1 | dateTime | Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
telecom | S | 0..* | ContactPoint | A contact detail for the individual
iso21090-preferred |  | 0..1 | boolean | Preferred URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
birthDate | S | 0..1 | date | The date of birth for the individual
deceased[x] | S | 0..1 | boolean, dateTime | Indicates if the individual is deceased or not
address | S | 0..* | Address | An address for the individual
iso21090-preferred |  | 0..1 | boolean | Preferred URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
generalPractitioner |  | 0..* | Reference(QICoreOrganization | QICorePractitioner | QICorePractitionerRole) | Patient's nominated primary care provider
managingOrganization |  | 0..1 | Reference(QICoreOrganization) | Organization that is the custodian of the patient record
link |  | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
other |  | 1..1 | Reference(QICorePatient) | The other patient or related person resource that the link refers to
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient |  | 0..* | USCorePatientProfile | Information about an individual or animal receiving health care services
id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language.
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
us-core-race | S | 0..1 | (Complex) | US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
us-core-ethnicity | S | 0..1 | (Complex) | US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
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
patient-religion |  | 0..1 | CodeableConcept | The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (extensible)
patient-birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
patient-disability |  | 0..* | CodeableConcept | Condition(s) limiting movement, senses, or activities URL: http://hl7.org/fhir/StructureDefinition/patient-disability
patient-nationality |  | 0..* | (Complex) | Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
patient-cadavericDonor |  | 0..1 | boolean | Post-mortem donor status URL: http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor
patient-birthTime | S | 0..1 | dateTime | Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..* | Identifier | An identifier for this patient
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: 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 | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 1..1 | string | The value that is unique within the system. Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ I | 1..* | HumanName | A name associated with the patient us-core-8: Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for 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 I | 0..1 | string | Family name (often called 'Surname')
given | S Σ I | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
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 | S Σ | 0..* | ContactPoint | A contact detail for the individual
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
iso21090-preferred |  | 0..1 | boolean | Preferred URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
system | S Σ I | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | The actual contact point details
use | ?!S Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
gender | S Σ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required)
birthDate | S Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!S 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
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
iso21090-preferred |  | 0..1 | boolean | Preferred URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
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) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode | S Σ | 0..1 | string | US Zip Codes 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 | I | 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 | I | 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 | S | 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 | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
preferred |  | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(QICoreOrganization | QICorePractitioner | QICorePractitionerRole) | Patient's nominated primary care provider
managingOrganization | Σ | 0..1 | Reference(QICoreOrganization) | 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(QICorePatient) | 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

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet
Patient.language | preferred | CommonLanguages Max Binding: AllLanguages
Patient.identifier.use | required | IdentifierUse
Patient.identifier.type | extensible | Identifier Type Codes
Patient.name.use | required | NameUse
Patient.telecom.system | required | ContactPointSystem
Patient.telecom.use | required | ContactPointUse
Patient.gender | required | AdministrativeGender
Patient.address.use | required | AddressUse
Patient.address.type | required | AddressType
Patient.address.state | extensible | UspsTwoLetterAlphabeticCodes
Patient.maritalStatus | extensible | Marital Status Codes
Patient.contact.relationship | extensible | PatientContactRelationship
Patient.contact.gender | required | AdministrativeGender
Patient.communication.language | extensible | LanguageCodesWithLanguageAndOptionallyARegionModifier
Patient.link.type | required | LinkType

#### Constraints

Id | Grade | Path | 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 | Patient.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.extension:race | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.extension:race | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.extension:ethnicity | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.extension:ethnicity | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.extension:birthsex | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.extension:birthsex | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.extension:religion | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.extension:religion | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.extension:birthPlace | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.extension:birthPlace | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.extension:disability | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.extension:disability | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.extension:nationality | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.extension:nationality | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.extension:cadavericDonor | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.extension:cadavericDonor | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.extension:birthTime | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.extension:birthTime | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.identifier.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.identifier.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.identifier.use | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.identifier.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.identifier.system | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.identifier.value | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.identifier.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.identifier.assigner | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.active | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.name | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
us-core-8 | error | Patient.name | Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present. : (family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() |
ele-1 | error | Patient.name.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.name.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.name.use | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.name.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.name.family | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.name.given | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.name.prefix | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.name.suffix | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.name.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.telecom | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.telecom.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.telecom.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.telecom.extension:telecom-preferred | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.telecom.extension:telecom-preferred | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.telecom.system | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.telecom.value | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.telecom.use | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.telecom.rank | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.telecom.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.gender | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.birthDate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.deceased[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.address | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.address.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.address.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.address.extension:address-preferred | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.address.extension:address-preferred | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.address.use | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.address.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.address.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.address.line | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.address.city | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.address.district | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.address.state | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.address.postalCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.address.country | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.address.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.maritalStatus | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.multipleBirth[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.photo | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.contact | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
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() |
ele-1 | error | Patient.contact.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.contact.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.contact.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.contact.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.contact.relationship | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.contact.name | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.contact.telecom | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.contact.address | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.contact.gender | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.contact.organization | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.contact.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.communication | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.communication.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.communication.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.communication.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.communication.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.communication.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.communication.preferred | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.generalPractitioner | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.managingOrganization | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.link | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.link.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.link.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.link.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | Patient.link.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | Patient.link.other | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | Patient.link.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |