Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services Constraints: nz-pat-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ethnicity		0..*	CodeableConcept	NZ Ethnicity URL: http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity Binding: Ethnicity of a person (L4) (preferred)
extension:nzCitizen		0..1	(Complex)	Is this person a New Zealand citizen URL: http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship
extension:dhb		0..1	CodeableConcept	District Health Board linked to a NZ Healthcare Service, Location or Patient URL: http://hl7.org.nz/fhir/StructureDefinition/dhb Binding: District Health Board Identifer (extensible): NZ HPI-ORG Values for DHBs
extension:domicile-code		0..1	CodeableConcept	NZ Domicile Code URL: http://hl7.org.nz/fhir/StructureDefinition/domicile-code Binding: Domicile Code (preferred)
extension:pho		0..1	CodeableConcept	Primary Healthcare Organisation URL: http://hl7.org.nz/fhir/StructureDefinition/pho Binding: PHO (extensible): NZ HPI-ORG Values for PHOs
extension:sex-at-birth		0..1	CodeableConcept	Sex At Birth URL: http://hl7.org.nz/fhir/StructureDefinition/sex-at-birth Binding: AdministrativeGender (required)
extension:iwi		0..*	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-iwi Binding: Iwi (preferred)
extension:acc-patient-occupation		0..1	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation Binding: ACC Patient Occupation (example)
extension:messaging-address		0..*	(Complex)	Messaging Address URL: http://hl7.org.nz/fhir/StructureDefinition/messaging-address
extension:nz-residency		0..1	(Complex)	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-residency
extension:interpreter-required		0..1	boolean	Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:NHI	Σ	0..*	Identifier	An identifier for this patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: Valid use values for NHI (required)
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/nhi-id
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
telecom	Σ	0..*	NzContactPoint	A contact detail for the individual
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Indicates if the individual is deceased or not
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
address	Σ	0..*	NzAddress	An address for the individual
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier:NHI.​use	Base	required	Valid use values for NHI	📦1.0.0	This IG
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
nz-pat-1	error	Patient	only a single official NHI	Patient.identifier.where(system='https://standards.digital.health.nz/ns/nhi-id' and use='official').count() < 2

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services Constraints: nz-pat-1
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ethnicity		0..*	CodeableConcept	NZ Ethnicity URL: http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity Binding: Ethnicity of a person (L4) (preferred)
extension:nzCitizen		0..1	(Complex)	Is this person a New Zealand citizen URL: http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship
extension:dhb		0..1	CodeableConcept	District Health Board linked to a NZ Healthcare Service, Location or Patient URL: http://hl7.org.nz/fhir/StructureDefinition/dhb Binding: District Health Board Identifer (extensible): NZ HPI-ORG Values for DHBs
extension:domicile-code		0..1	CodeableConcept	NZ Domicile Code URL: http://hl7.org.nz/fhir/StructureDefinition/domicile-code Binding: Domicile Code (preferred)
extension:pho		0..1	CodeableConcept	Primary Healthcare Organisation URL: http://hl7.org.nz/fhir/StructureDefinition/pho Binding: PHO (extensible): NZ HPI-ORG Values for PHOs
extension:sex-at-birth		0..1	CodeableConcept	Sex At Birth URL: http://hl7.org.nz/fhir/StructureDefinition/sex-at-birth Binding: AdministrativeGender (required)
extension:iwi		0..*	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-iwi Binding: Iwi (preferred)
extension:acc-patient-occupation		0..1	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation Binding: ACC Patient Occupation (example)
extension:messaging-address		0..*	(Complex)	Messaging Address URL: http://hl7.org.nz/fhir/StructureDefinition/messaging-address
extension:nz-residency		0..1	(Complex)	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-residency
extension:interpreter-required		0..1	boolean	Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
Slices for identifier		0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:NHI		0..*	Identifier	An identifier for this patient
use		0..1	code	usual | official | temp | secondary | old (If known) Binding: Valid use values for NHI (required)
system		1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/nhi-id
name
Slices for extension				Content/Rules for all slices
extension:information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
telecom		0..*	NzContactPoint	A contact detail for the individual
gender
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:genderOriginalText		0..1	string	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/gender-original-text
birthDate
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
Slices for deceased[x]		0..1	boolean, dateTime	Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceased[x]:deceasedDateTime		0..1	dateTime	Indicates if the individual is deceased or not
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
address		0..*	NzAddress	An address for the individual
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier:NHI.​use	Base	required	Valid use values for NHI	📦1.0.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
nz-pat-1	error	Patient	only a single official NHI	Patient.identifier.where(system='https://standards.digital.health.nz/ns/nhi-id' and use='official').count() < 2

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services Constraints: nz-pat-1
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ethnicity		0..*	CodeableConcept	NZ Ethnicity URL: http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity Binding: Ethnicity of a person (L4) (preferred)
extension:nzCitizen		0..1	(Complex)	Is this person a New Zealand citizen URL: http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship
extension:dhb		0..1	CodeableConcept	District Health Board linked to a NZ Healthcare Service, Location or Patient URL: http://hl7.org.nz/fhir/StructureDefinition/dhb Binding: District Health Board Identifer (extensible): NZ HPI-ORG Values for DHBs
extension:domicile-code		0..1	CodeableConcept	NZ Domicile Code URL: http://hl7.org.nz/fhir/StructureDefinition/domicile-code Binding: Domicile Code (preferred)
extension:pho		0..1	CodeableConcept	Primary Healthcare Organisation URL: http://hl7.org.nz/fhir/StructureDefinition/pho Binding: PHO (extensible): NZ HPI-ORG Values for PHOs
extension:sex-at-birth		0..1	CodeableConcept	Sex At Birth URL: http://hl7.org.nz/fhir/StructureDefinition/sex-at-birth Binding: AdministrativeGender (required)
extension:iwi		0..*	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-iwi Binding: Iwi (preferred)
extension:acc-patient-occupation		0..1	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation Binding: ACC Patient Occupation (example)
extension:messaging-address		0..*	(Complex)	Messaging Address URL: http://hl7.org.nz/fhir/StructureDefinition/messaging-address
extension:nz-residency		0..1	(Complex)	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-residency
extension:interpreter-required		0..1	boolean	Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:NHI	Σ	0..*	Identifier	An identifier for this 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 | secondary | old (If known) Binding: Valid use values for NHI (required)
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/nhi-id
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	0..*	HumanName	A name associated with the 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
extension:information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
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	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	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	Σ	0..*	NzContactPoint	A contact detail for the individual
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:genderOriginalText		0..1	string	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/gender-original-text
value		0..1	string	Primitive value for code
birthDate	Σ	0..1	date	The date of birth for the individual
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
value		0..1	date	Primitive value for date
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Indicates if the individual is deceased or not
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
value		0..1	dateTime	Primitive value for dateTime
address	Σ	0..*	NzAddress	An address for the individual
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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	Status	Usage	ValueSet	Version	Source
Patient.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.identifier:NHI.​use	Base	required	Valid use values for NHI	📦1.0.0	This IG
Patient.identifier:NHI.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.maritalStatus	Base	extensible	MaritalStatus	📍4.0.1	FHIR Std.
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
nz-pat-1	error	Patient	only a single official NHI	Patient.identifier.where(system='https://standards.digital.health.nz/ns/nhi-id' and use='official').count() < 2

Summary

Mandatory: 0 element(1 nested mandatory element)
Fixed: 1 element

Structures

This structure refers to these other structures:

• Common NZ ContactPoint datatype (http://hl7.org.nz/fhir/StructureDefinition/NzContactpoint)
• Common NZ Address datatype (http://hl7.org.nz/fhir/StructureDefinition/NzAddress)

Extensions

This structure refers to these extensions:

• http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity
• http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship
• http://hl7.org.nz/fhir/StructureDefinition/dhb
• http://hl7.org.nz/fhir/StructureDefinition/domicile-code
• http://hl7.org.nz/fhir/StructureDefinition/pho
• http://hl7.org.nz/fhir/StructureDefinition/sex-at-birth
• http://hl7.org.nz/fhir/StructureDefinition/nz-iwi
• http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation
• http://hl7.org.nz/fhir/StructureDefinition/messaging-address
• http://hl7.org.nz/fhir/StructureDefinition/nz-residency
• http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired|4.0.1
• http://hl7.org.nz/fhir/StructureDefinition/information-source
• http://hl7.org.nz/fhir/StructureDefinition/gender-original-text

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services Constraints: nz-pat-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ethnicity		0..*	CodeableConcept	NZ Ethnicity URL: http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity Binding: Ethnicity of a person (L4) (preferred)
extension:nzCitizen		0..1	(Complex)	Is this person a New Zealand citizen URL: http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship
extension:dhb		0..1	CodeableConcept	District Health Board linked to a NZ Healthcare Service, Location or Patient URL: http://hl7.org.nz/fhir/StructureDefinition/dhb Binding: District Health Board Identifer (extensible): NZ HPI-ORG Values for DHBs
extension:domicile-code		0..1	CodeableConcept	NZ Domicile Code URL: http://hl7.org.nz/fhir/StructureDefinition/domicile-code Binding: Domicile Code (preferred)
extension:pho		0..1	CodeableConcept	Primary Healthcare Organisation URL: http://hl7.org.nz/fhir/StructureDefinition/pho Binding: PHO (extensible): NZ HPI-ORG Values for PHOs
extension:sex-at-birth		0..1	CodeableConcept	Sex At Birth URL: http://hl7.org.nz/fhir/StructureDefinition/sex-at-birth Binding: AdministrativeGender (required)
extension:iwi		0..*	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-iwi Binding: Iwi (preferred)
extension:acc-patient-occupation		0..1	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation Binding: ACC Patient Occupation (example)
extension:messaging-address		0..*	(Complex)	Messaging Address URL: http://hl7.org.nz/fhir/StructureDefinition/messaging-address
extension:nz-residency		0..1	(Complex)	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-residency
extension:interpreter-required		0..1	boolean	Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:NHI	Σ	0..*	Identifier	An identifier for this patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: Valid use values for NHI (required)
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/nhi-id
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
telecom	Σ	0..*	NzContactPoint	A contact detail for the individual
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Indicates if the individual is deceased or not
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
address	Σ	0..*	NzAddress	An address for the individual
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier:NHI.​use	Base	required	Valid use values for NHI	📦1.0.0	This IG
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
nz-pat-1	error	Patient	only a single official NHI	Patient.identifier.where(system='https://standards.digital.health.nz/ns/nhi-id' and use='official').count() < 2

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services Constraints: nz-pat-1
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ethnicity		0..*	CodeableConcept	NZ Ethnicity URL: http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity Binding: Ethnicity of a person (L4) (preferred)
extension:nzCitizen		0..1	(Complex)	Is this person a New Zealand citizen URL: http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship
extension:dhb		0..1	CodeableConcept	District Health Board linked to a NZ Healthcare Service, Location or Patient URL: http://hl7.org.nz/fhir/StructureDefinition/dhb Binding: District Health Board Identifer (extensible): NZ HPI-ORG Values for DHBs
extension:domicile-code		0..1	CodeableConcept	NZ Domicile Code URL: http://hl7.org.nz/fhir/StructureDefinition/domicile-code Binding: Domicile Code (preferred)
extension:pho		0..1	CodeableConcept	Primary Healthcare Organisation URL: http://hl7.org.nz/fhir/StructureDefinition/pho Binding: PHO (extensible): NZ HPI-ORG Values for PHOs
extension:sex-at-birth		0..1	CodeableConcept	Sex At Birth URL: http://hl7.org.nz/fhir/StructureDefinition/sex-at-birth Binding: AdministrativeGender (required)
extension:iwi		0..*	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-iwi Binding: Iwi (preferred)
extension:acc-patient-occupation		0..1	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation Binding: ACC Patient Occupation (example)
extension:messaging-address		0..*	(Complex)	Messaging Address URL: http://hl7.org.nz/fhir/StructureDefinition/messaging-address
extension:nz-residency		0..1	(Complex)	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-residency
extension:interpreter-required		0..1	boolean	Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
Slices for identifier		0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:NHI		0..*	Identifier	An identifier for this patient
use		0..1	code	usual | official | temp | secondary | old (If known) Binding: Valid use values for NHI (required)
system		1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/nhi-id
name
Slices for extension				Content/Rules for all slices
extension:information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
telecom		0..*	NzContactPoint	A contact detail for the individual
gender
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:genderOriginalText		0..1	string	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/gender-original-text
birthDate
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
Slices for deceased[x]		0..1	boolean, dateTime	Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceased[x]:deceasedDateTime		0..1	dateTime	Indicates if the individual is deceased or not
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
address		0..*	NzAddress	An address for the individual
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier:NHI.​use	Base	required	Valid use values for NHI	📦1.0.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
nz-pat-1	error	Patient	only a single official NHI	Patient.identifier.where(system='https://standards.digital.health.nz/ns/nhi-id' and use='official').count() < 2

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services Constraints: nz-pat-1
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ethnicity		0..*	CodeableConcept	NZ Ethnicity URL: http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity Binding: Ethnicity of a person (L4) (preferred)
extension:nzCitizen		0..1	(Complex)	Is this person a New Zealand citizen URL: http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship
extension:dhb		0..1	CodeableConcept	District Health Board linked to a NZ Healthcare Service, Location or Patient URL: http://hl7.org.nz/fhir/StructureDefinition/dhb Binding: District Health Board Identifer (extensible): NZ HPI-ORG Values for DHBs
extension:domicile-code		0..1	CodeableConcept	NZ Domicile Code URL: http://hl7.org.nz/fhir/StructureDefinition/domicile-code Binding: Domicile Code (preferred)
extension:pho		0..1	CodeableConcept	Primary Healthcare Organisation URL: http://hl7.org.nz/fhir/StructureDefinition/pho Binding: PHO (extensible): NZ HPI-ORG Values for PHOs
extension:sex-at-birth		0..1	CodeableConcept	Sex At Birth URL: http://hl7.org.nz/fhir/StructureDefinition/sex-at-birth Binding: AdministrativeGender (required)
extension:iwi		0..*	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-iwi Binding: Iwi (preferred)
extension:acc-patient-occupation		0..1	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation Binding: ACC Patient Occupation (example)
extension:messaging-address		0..*	(Complex)	Messaging Address URL: http://hl7.org.nz/fhir/StructureDefinition/messaging-address
extension:nz-residency		0..1	(Complex)	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-residency
extension:interpreter-required		0..1	boolean	Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:NHI	Σ	0..*	Identifier	An identifier for this 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 | secondary | old (If known) Binding: Valid use values for NHI (required)
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/nhi-id
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	0..*	HumanName	A name associated with the 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
extension:information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
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	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	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	Σ	0..*	NzContactPoint	A contact detail for the individual
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:genderOriginalText		0..1	string	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/gender-original-text
value		0..1	string	Primitive value for code
birthDate	Σ	0..1	date	The date of birth for the individual
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
value		0..1	date	Primitive value for date
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Indicates if the individual is deceased or not
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
value		0..1	dateTime	Primitive value for dateTime
address	Σ	0..*	NzAddress	An address for the individual
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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	Status	Usage	ValueSet	Version	Source
Patient.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.identifier:NHI.​use	Base	required	Valid use values for NHI	📦1.0.0	This IG
Patient.identifier:NHI.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.maritalStatus	Base	extensible	MaritalStatus	📍4.0.1	FHIR Std.
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
nz-pat-1	error	Patient	only a single official NHI	Patient.identifier.where(system='https://standards.digital.health.nz/ns/nhi-id' and use='official').count() < 2

Summary

Mandatory: 0 element(1 nested mandatory element)
Fixed: 1 element

Structures

This structure refers to these other structures:

• Common NZ ContactPoint datatype (http://hl7.org.nz/fhir/StructureDefinition/NzContactpoint)
• Common NZ Address datatype (http://hl7.org.nz/fhir/StructureDefinition/NzAddress)

Extensions

This structure refers to these extensions:

• http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity
• http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship
• http://hl7.org.nz/fhir/StructureDefinition/dhb
• http://hl7.org.nz/fhir/StructureDefinition/domicile-code
• http://hl7.org.nz/fhir/StructureDefinition/pho
• http://hl7.org.nz/fhir/StructureDefinition/sex-at-birth
• http://hl7.org.nz/fhir/StructureDefinition/nz-iwi
• http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation
• http://hl7.org.nz/fhir/StructureDefinition/messaging-address
• http://hl7.org.nz/fhir/StructureDefinition/nz-residency
• http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired|4.0.1
• http://hl7.org.nz/fhir/StructureDefinition/information-source
• http://hl7.org.nz/fhir/StructureDefinition/gender-original-text

Slices

This structure defines the following Slices:

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