CH EPR FHIR (R4)
4.0.0-ci-build - DSTU3 Switzerland flag

CH EPR FHIR (R4), published by eHealth Suisse. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ehealthsuisse/ch-epr-mhealth/ and changes regularly. See the Directory of published versions

Resource Profile: CH PDQm Patient

Official URL: http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-pdqm-patient Version: 4.0.0-ci-build
Draft as of 2024-01-09 Computable Name: CHPDQmPatient

Copyright/Legal: CC0-1.0

The patient demographics and identifier information which can be provided in the PDQm response according to the EPR. If the patient is already registered in a community, the MPI-PID SHALL be provided as an identifier. The EPR-SPID as an identifier MAY be added. The birthname can be added with the ISO 21090 qualifier extension.

Usage:

Formal Views of Profile Content

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

This structure is derived from CHCorePatient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*CHCorePatientPDQm Patient
... religion 0..0CodeableConcept
... Slices for identifier S1..*IdentifierAn identifier for this patient
Slice: Unordered, Open by pattern:$this
.... identifier:EPR-SPID S1..1EPRSPIDIdentifierAn identifier intended for computation
.... identifier:LocalPid S0..*IdentifierLocal patient identifier(s)

Required Pattern: At least the following
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
... Slices for name S1..*CHCoreHumanNameName of a human - parts and usage
Slice: Unordered, Open by profile:$this
.... name:HumanName S1..*ChEprFhirHumanNameA name associated with the patient
.... name:BirthName S0..1ChEprFhirBirthNameThe birthname of the patient

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*CHCorePatientPDQm Patient
ch-pat-1: At least one HumanName with given and family name must be provided.
ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... placeOfBirth 0..1CHCoreAddressEch11PlaceOfBirthPlace of birth of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
... placeOfOrigin 0..*CHCoreAddressECH11PlaceOfOriginPlace of origin(s) of patient
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierAn identifier for this patient
Slice: Unordered, Open by pattern:$this
.... identifier:EPR-SPID S1..1EPRSPIDIdentifierAn identifier intended for computation

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
.... identifier:AHVN13 0..*AHVN13IdentifierAHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points)

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.32
.... identifier:LocalPid SΣ0..*IdentifierLocal patient identifier(s)

Required Pattern: At least the following
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
.... identifier:insuranceCardNumber 0..*VEKAIdentifierInsurance card number of the patient (20 digits)

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
... active ?!Σ0..1booleanWhether this patient's record is in active use
... Slices for name SC1..*CHCoreHumanNameName of a human - parts and usage
Slice: Unordered, Open by profile:$this
ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name
ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
.... name:HumanName SC1..*ChEprFhirHumanNameA name associated with the patient
ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name
ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
ch-epr-fhir-1: For birth name (iso21090-EN-qualifier BR) use slice 'name:BirthName'
.... name:BirthName SC0..1ChEprFhirBirthNameThe birthname of the patient
ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name
ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
... Slices for telecom Σ0..*ContactPointA contact detail for the individual
Slice: Unordered, Open by value:system
.... telecom:All Slices Content/Rules for all slices
..... system ΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

..... value Σ1..1stringThe actual contact point details
..... use ?!Σ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

.... telecom:email C0..*CHCoreContactPointECH46EmailCH Core ContactPoint eCH-0046 Email
cpt-2: A system is required if a value is provided.
.... telecom:phone C0..*CHCoreContactPointECH46PhoneCH Core ContactPoint eCH-0046 Phone
cpt-2: A system is required if a value is provided.
.... telecom:internet C0..*CHCoreContactPointECH46InternetCH Core ContactPoint eCH-0046 Internet
cpt-2: A system is required if a value is provided.
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... Slices for contact C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
Slice: Unordered, Open by value:relationship
pat-1: SHALL at least contain a contact's details or a reference to an organization
.... contact:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... contact:contact C0..1BackboneElementContact data if it is not address of patient
pat-1: SHALL at least contain a contact's details or a reference to an organization
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 1..1CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.



Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: contactData
..... address C1..1CHCoreAddressECH10An address expressed using postal conventions (as opposed to GPS or other location definition formats)
ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
.... contact:nameOfParent C0..*BackboneElementName of parent
pat-1: SHALL at least contain a contact's details or a reference to an organization
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 1..1CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.



Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PRN
..... name 1..1HumanNameA name associated with the contact person
... Slices for communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
Slice: Unordered, Open by value:preferred
.... communication:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
.... communication:languageOfCorrespondence 0..1BackboneElementLanguage of correspondence
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
..... preferred 1..1booleanLanguage preference indicator
Fixed Value: true
... managingOrganization SΣ0..1Reference(CH PDQm Provider Organization)Provider organization of the patient
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Patient.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard
Patient.contact:contact.relationshipextensiblePattern: contactData
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.contact:nameOfParent.relationshipextensiblePattern: PRN
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.communication:languageOfCorrespondence.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-addr-2errorPatient.contact:contact.addressFor a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
: country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').empty() or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH') = false) or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH').exists() and (state.empty() or state.memberOf('http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation')))
ch-core-hm-1errorPatient.name, Patient.name:HumanName, Patient.name:BirthNameif officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
: family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').exists() and use='official')
ch-core-hm-2errorPatient.name, Patient.name:HumanName, Patient.name:BirthNameif orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
: family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').exists() and use='maiden'))
ch-core-hm-3errorPatient.name, Patient.name:HumanName, Patient.name:BirthNamech-ext-ech-11-name can only be put on a family name
: descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()
ch-core-hm-4errorPatient.name, Patient.name:HumanName, Patient.name:BirthNamech-ext-ech-11-firstname can only be put on a given name
: descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()
ch-epr-fhir-1errorPatient.name:HumanNameFor birth name (iso21090-EN-qualifier BR) use slice 'name:BirthName'
: family.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier' and value='BR').exists()=false
ch-pat-1errorPatientAt least one HumanName with given and family name must be provided.
: name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-2warningPatientgender unknown is currently not used in Switzerland in eCH and the EPR
: gender.empty() or gender!='unknown'
ch-pat-3errorPatient.extension:citizenshipISO Country Alpha-2 or ISO Country Alpha-3 code
: ((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
cpt-2errorPatient.telecom:email, Patient.telecom:phone, Patient.telecom:internetA system is required if a value is provided.
: value.empty() or system.exists()
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contact, Patient.contact:contact, Patient.contact:nameOfParentSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*CHCorePatientPDQm Patient
ch-pat-1: At least one HumanName with given and family name must be provided.
ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... placeOfBirth 0..1CHCoreAddressEch11PlaceOfBirthPlace of birth of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
... placeOfOrigin 0..*CHCoreAddressECH11PlaceOfOriginPlace of origin(s) of patient
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
... citizenship C0..*(Complex)Citizenship(s) of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierAn identifier for this patient
Slice: Unordered, Open by pattern:$this
.... identifier:EPR-SPID S1..1EPRSPIDIdentifierAn identifier intended for computation

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:AHVN13 0..*AHVN13IdentifierAHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.32
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:LocalPid SΣ0..*IdentifierLocal patient identifier(s)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system0..1uriThe namespace for the identifier value
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:insuranceCardNumber 0..*VEKAIdentifierInsurance card number of the patient (20 digits)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!Σ0..1booleanWhether this patient's record is in active use
... Slices for name SC1..*CHCoreHumanNameName of a human - parts and usage
Slice: Unordered, Open by profile:$this
ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name
ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
.... name:HumanName SC1..*ChEprFhirHumanNameA name associated with the patient
ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name
ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
ch-epr-fhir-1: For birth name (iso21090-EN-qualifier BR) use slice 'name:BirthName'
.... name:BirthName SC0..1ChEprFhirBirthNameThe birthname of the patient
ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name
ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
... Slices for telecom Σ0..*ContactPointA contact detail for the individual
Slice: Unordered, Open by value:system
.... telecom:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

..... value Σ1..1stringThe actual contact point details
..... use ?!Σ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

..... rank Σ0..1positiveIntSpecify preferred order of use (1 = highest)
..... period Σ0..1PeriodTime period when the contact point was/is in use
.... telecom:email C0..*CHCoreContactPointECH46EmailCH Core ContactPoint eCH-0046 Email
cpt-2: A system is required if a value is provided.
.... telecom:phone C0..*CHCoreContactPointECH46PhoneCH Core ContactPoint eCH-0046 Phone
cpt-2: A system is required if a value is provided.
.... telecom:internet C0..*CHCoreContactPointECH46InternetCH Core ContactPoint eCH-0046 Internet
cpt-2: A system is required if a value is provided.
... gender Σ0..1codemale | female | other
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ0..1dateThe date of birth for the individual
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address C0..*CHCoreAddressAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: ChCoreMaritalStatus (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... maritalDataSeparation 0..1CodeableConceptMaritalData Separation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-maritaldata-separation
Binding: eCH-011 MaritalData Separation (extensible): ValueSet separation type


.... coding Σ0..*CodingCode defined by a terminology system
.... text Σ0..1stringPlain text representation of the concept
... multipleBirth[x] 0..1Whether patient is part of a multiple birth
.... multipleBirthBooleanboolean
.... multipleBirthIntegerinteger
... photo 0..*AttachmentImage of the patient
... Slices for contact C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
Slice: Unordered, Open by value:relationship
pat-1: SHALL at least contain a contact's details or a reference to an organization
.... contact:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 0..*CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.


..... name 0..1HumanNameA name associated with the contact person
..... telecom 0..*ContactPointA contact detail for the person
..... address 0..1AddressAddress for the contact person
..... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

..... organization C0..1Reference(Organization)Organization that is associated with the contact
..... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
.... contact:contact C0..1BackboneElementContact data if it is not address of patient
pat-1: SHALL at least contain a contact's details or a reference to an organization
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 1..1CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.



Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: contactData
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... name 0..1HumanNameA name associated with the contact person
..... address C1..1CHCoreAddressECH10An address expressed using postal conventions (as opposed to GPS or other location definition formats)
ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
..... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

..... organization C0..1Reference(Organization)Organization that is associated with the contact
..... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
.... contact:nameOfParent C0..*BackboneElementName of parent
pat-1: SHALL at least contain a contact's details or a reference to an organization
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 1..1CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.



Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PRN
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... name 1..1HumanNameA name associated with the contact person
..... telecom 0..*ContactPointA contact detail for the person
..... address 0..1AddressAddress for the contact person
..... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

..... organization C0..1Reference(Organization)Organization that is associated with the contact
..... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
... Slices for communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
Slice: Unordered, Open by value:preferred
.... communication:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
..... preferred 0..1booleanLanguage preference indicator
.... communication:languageOfCorrespondence 0..1BackboneElementLanguage of correspondence
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
..... preferred 1..1booleanLanguage preference indicator
Fixed Value: true
... generalPractitioner 0..*Reference(Organization | Practitioner | PractitionerRole)Patient's nominated primary care provider
... managingOrganization SΣ0..1Reference(CH PDQm Provider Organization)Provider organization of the patient
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Patient.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.maritalStatusextensibleChCoreMaritalStatus
http://fhir.ch/ig/ch-core/ValueSet/ch-core-maritalstatus
from this IG
Patient.contact.relationshipextensiblePatientContactRelationship
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.contact:contact.relationshipextensiblePattern: contactData
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.contact:contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.contact:nameOfParent.relationshipextensiblePattern: PRN
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.contact:nameOfParent.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.communication:languageOfCorrespondence.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-addr-2errorPatient.address, Patient.contact:contact.addressFor a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
: country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').empty() or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH') = false) or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH').exists() and (state.empty() or state.memberOf('http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation')))
ch-core-hm-1errorPatient.name, Patient.name:HumanName, Patient.name:BirthNameif officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
: family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').exists() and use='official')
ch-core-hm-2errorPatient.name, Patient.name:HumanName, Patient.name:BirthNameif orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
: family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').exists() and use='maiden'))
ch-core-hm-3errorPatient.name, Patient.name:HumanName, Patient.name:BirthNamech-ext-ech-11-name can only be put on a family name
: descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()
ch-core-hm-4errorPatient.name, Patient.name:HumanName, Patient.name:BirthNamech-ext-ech-11-firstname can only be put on a given name
: descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()
ch-epr-fhir-1errorPatient.name:HumanNameFor birth name (iso21090-EN-qualifier BR) use slice 'name:BirthName'
: family.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier' and value='BR').exists()=false
ch-pat-1errorPatientAt least one HumanName with given and family name must be provided.
: name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-2warningPatientgender unknown is currently not used in Switzerland in eCH and the EPR
: gender.empty() or gender!='unknown'
ch-pat-3errorPatient.extension:citizenshipISO Country Alpha-2 or ISO Country Alpha-3 code
: ((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
cpt-2errorPatient.telecom:email, Patient.telecom:phone, Patient.telecom:internetA system is required if a value is provided.
: value.empty() or system.exists()
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contact, Patient.contact:contact, Patient.contact:nameOfParentSHALL 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 CHCorePatient

Summary

Mandatory: 4 elements
Must-Support: 7 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Patient.identifier is sliced based on the value of pattern:$this
  • The element Patient.name is sliced based on the value of profile:$this

Differential View

This structure is derived from CHCorePatient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*CHCorePatientPDQm Patient
... religion 0..0CodeableConcept
... Slices for identifier S1..*IdentifierAn identifier for this patient
Slice: Unordered, Open by pattern:$this
.... identifier:EPR-SPID S1..1EPRSPIDIdentifierAn identifier intended for computation
.... identifier:LocalPid S0..*IdentifierLocal patient identifier(s)

Required Pattern: At least the following
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
... Slices for name S1..*CHCoreHumanNameName of a human - parts and usage
Slice: Unordered, Open by profile:$this
.... name:HumanName S1..*ChEprFhirHumanNameA name associated with the patient
.... name:BirthName S0..1ChEprFhirBirthNameThe birthname of the patient

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*CHCorePatientPDQm Patient
ch-pat-1: At least one HumanName with given and family name must be provided.
ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... placeOfBirth 0..1CHCoreAddressEch11PlaceOfBirthPlace of birth of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
... placeOfOrigin 0..*CHCoreAddressECH11PlaceOfOriginPlace of origin(s) of patient
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierAn identifier for this patient
Slice: Unordered, Open by pattern:$this
.... identifier:EPR-SPID S1..1EPRSPIDIdentifierAn identifier intended for computation

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
.... identifier:AHVN13 0..*AHVN13IdentifierAHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points)

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.32
.... identifier:LocalPid SΣ0..*IdentifierLocal patient identifier(s)

Required Pattern: At least the following
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
.... identifier:insuranceCardNumber 0..*VEKAIdentifierInsurance card number of the patient (20 digits)

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
... active ?!Σ0..1booleanWhether this patient's record is in active use
... Slices for name SC1..*CHCoreHumanNameName of a human - parts and usage
Slice: Unordered, Open by profile:$this
ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name
ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
.... name:HumanName SC1..*ChEprFhirHumanNameA name associated with the patient
ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name
ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
ch-epr-fhir-1: For birth name (iso21090-EN-qualifier BR) use slice 'name:BirthName'
.... name:BirthName SC0..1ChEprFhirBirthNameThe birthname of the patient
ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name
ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
... Slices for telecom Σ0..*ContactPointA contact detail for the individual
Slice: Unordered, Open by value:system
.... telecom:All Slices Content/Rules for all slices
..... system ΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

..... value Σ1..1stringThe actual contact point details
..... use ?!Σ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

.... telecom:email C0..*CHCoreContactPointECH46EmailCH Core ContactPoint eCH-0046 Email
cpt-2: A system is required if a value is provided.
.... telecom:phone C0..*CHCoreContactPointECH46PhoneCH Core ContactPoint eCH-0046 Phone
cpt-2: A system is required if a value is provided.
.... telecom:internet C0..*CHCoreContactPointECH46InternetCH Core ContactPoint eCH-0046 Internet
cpt-2: A system is required if a value is provided.
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... Slices for contact C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
Slice: Unordered, Open by value:relationship
pat-1: SHALL at least contain a contact's details or a reference to an organization
.... contact:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... contact:contact C0..1BackboneElementContact data if it is not address of patient
pat-1: SHALL at least contain a contact's details or a reference to an organization
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 1..1CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.



Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: contactData
..... address C1..1CHCoreAddressECH10An address expressed using postal conventions (as opposed to GPS or other location definition formats)
ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
.... contact:nameOfParent C0..*BackboneElementName of parent
pat-1: SHALL at least contain a contact's details or a reference to an organization
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 1..1CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.



Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PRN
..... name 1..1HumanNameA name associated with the contact person
... Slices for communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
Slice: Unordered, Open by value:preferred
.... communication:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
.... communication:languageOfCorrespondence 0..1BackboneElementLanguage of correspondence
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
..... preferred 1..1booleanLanguage preference indicator
Fixed Value: true
... managingOrganization SΣ0..1Reference(CH PDQm Provider Organization)Provider organization of the patient
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Patient.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard
Patient.contact:contact.relationshipextensiblePattern: contactData
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.contact:nameOfParent.relationshipextensiblePattern: PRN
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.communication:languageOfCorrespondence.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-addr-2errorPatient.contact:contact.addressFor a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
: country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').empty() or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH') = false) or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH').exists() and (state.empty() or state.memberOf('http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation')))
ch-core-hm-1errorPatient.name, Patient.name:HumanName, Patient.name:BirthNameif officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
: family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').exists() and use='official')
ch-core-hm-2errorPatient.name, Patient.name:HumanName, Patient.name:BirthNameif orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
: family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').exists() and use='maiden'))
ch-core-hm-3errorPatient.name, Patient.name:HumanName, Patient.name:BirthNamech-ext-ech-11-name can only be put on a family name
: descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()
ch-core-hm-4errorPatient.name, Patient.name:HumanName, Patient.name:BirthNamech-ext-ech-11-firstname can only be put on a given name
: descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()
ch-epr-fhir-1errorPatient.name:HumanNameFor birth name (iso21090-EN-qualifier BR) use slice 'name:BirthName'
: family.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier' and value='BR').exists()=false
ch-pat-1errorPatientAt least one HumanName with given and family name must be provided.
: name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-2warningPatientgender unknown is currently not used in Switzerland in eCH and the EPR
: gender.empty() or gender!='unknown'
ch-pat-3errorPatient.extension:citizenshipISO Country Alpha-2 or ISO Country Alpha-3 code
: ((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
cpt-2errorPatient.telecom:email, Patient.telecom:phone, Patient.telecom:internetA system is required if a value is provided.
: value.empty() or system.exists()
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contact, Patient.contact:contact, Patient.contact:nameOfParentSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*CHCorePatientPDQm Patient
ch-pat-1: At least one HumanName with given and family name must be provided.
ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... placeOfBirth 0..1CHCoreAddressEch11PlaceOfBirthPlace of birth of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
... placeOfOrigin 0..*CHCoreAddressECH11PlaceOfOriginPlace of origin(s) of patient
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
... citizenship C0..*(Complex)Citizenship(s) of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierAn identifier for this patient
Slice: Unordered, Open by pattern:$this
.... identifier:EPR-SPID S1..1EPRSPIDIdentifierAn identifier intended for computation

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:AHVN13 0..*AHVN13IdentifierAHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.32
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:LocalPid SΣ0..*IdentifierLocal patient identifier(s)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system0..1uriThe namespace for the identifier value
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:insuranceCardNumber 0..*VEKAIdentifierInsurance card number of the patient (20 digits)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!Σ0..1booleanWhether this patient's record is in active use
... Slices for name SC1..*CHCoreHumanNameName of a human - parts and usage
Slice: Unordered, Open by profile:$this
ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name
ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
.... name:HumanName SC1..*ChEprFhirHumanNameA name associated with the patient
ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name
ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
ch-epr-fhir-1: For birth name (iso21090-EN-qualifier BR) use slice 'name:BirthName'
.... name:BirthName SC0..1ChEprFhirBirthNameThe birthname of the patient
ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name
ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
... Slices for telecom Σ0..*ContactPointA contact detail for the individual
Slice: Unordered, Open by value:system
.... telecom:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

..... value Σ1..1stringThe actual contact point details
..... use ?!Σ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

..... rank Σ0..1positiveIntSpecify preferred order of use (1 = highest)
..... period Σ0..1PeriodTime period when the contact point was/is in use
.... telecom:email C0..*CHCoreContactPointECH46EmailCH Core ContactPoint eCH-0046 Email
cpt-2: A system is required if a value is provided.
.... telecom:phone C0..*CHCoreContactPointECH46PhoneCH Core ContactPoint eCH-0046 Phone
cpt-2: A system is required if a value is provided.
.... telecom:internet C0..*CHCoreContactPointECH46InternetCH Core ContactPoint eCH-0046 Internet
cpt-2: A system is required if a value is provided.
... gender Σ0..1codemale | female | other
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ0..1dateThe date of birth for the individual
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address C0..*CHCoreAddressAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: ChCoreMaritalStatus (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... maritalDataSeparation 0..1CodeableConceptMaritalData Separation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-maritaldata-separation
Binding: eCH-011 MaritalData Separation (extensible): ValueSet separation type


.... coding Σ0..*CodingCode defined by a terminology system
.... text Σ0..1stringPlain text representation of the concept
... multipleBirth[x] 0..1Whether patient is part of a multiple birth
.... multipleBirthBooleanboolean
.... multipleBirthIntegerinteger
... photo 0..*AttachmentImage of the patient
... Slices for contact C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
Slice: Unordered, Open by value:relationship
pat-1: SHALL at least contain a contact's details or a reference to an organization
.... contact:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 0..*CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.


..... name 0..1HumanNameA name associated with the contact person
..... telecom 0..*ContactPointA contact detail for the person
..... address 0..1AddressAddress for the contact person
..... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

..... organization C0..1Reference(Organization)Organization that is associated with the contact
..... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
.... contact:contact C0..1BackboneElementContact data if it is not address of patient
pat-1: SHALL at least contain a contact's details or a reference to an organization
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 1..1CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.



Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: contactData
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... name 0..1HumanNameA name associated with the contact person
..... address C1..1CHCoreAddressECH10An address expressed using postal conventions (as opposed to GPS or other location definition formats)
ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
..... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

..... organization C0..1Reference(Organization)Organization that is associated with the contact
..... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
.... contact:nameOfParent C0..*BackboneElementName of parent
pat-1: SHALL at least contain a contact's details or a reference to an organization
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 1..1CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.



Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PRN
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
.....