HL7 Italia FHIR Implementation Guide (base), published by HL7 Italia. This guide is not an authorized publication; it is the continuous build for version 0.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/base/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Patient - base ( Experimental )

Profilo base generico per Patient: descrive come rappresentare in FHIR alcune informazioni tipiche per il contesto Italiano.

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

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

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient	S	0..*	Patient	Information about an individual or animal receiving health care services
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da uno specifico entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
luogoNascita		0..1	(Complex)	Indica il luogo di nascita. Tipicamente attraverso il codice comune o stato di nascita URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
valueAddress		1..1	AddressItBase	Indirizzo del luogo di Nascita
luogoNascitaCodeable		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace Binding: ISTAT - Comune/Stato di Nascita (example)
cittadinanza		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Binding: ISTAT - Cittadinanza (example)
professione		0..1	CodeableConcept	Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: ISTAT - Professioni (example)
titoloStudio		0..1	CodeableConcept	Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: ISTAT - Titolo Studio (example)
Slices for identifier	S	0..*	Identifier	Identificativo del paziente Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
type		0..1	CodeableConcept	​Description of identifier Binding: http://terminology.hl7.it/ValueSet/tipoIdentificatore (extensible)
value	S	1..1	string	ID del paziente (e.g. Codice Fiscale)
identifier:codiceFiscale	S	0..*	Identifier	An identifier for this patient
system	S	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value	SC	1..1	string	The value that is unique pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo
identifier:anpr		0..*	Identifier	An identifier for this patient
system	S	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/anpr
identifier:idRegionale		0..*	Identifier	An identifier for this patient
system	S	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idRegionali (required)
identifier:codiceENI		0..*	Identifier	Codice ENI
system	S	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idEni (required)
identifier:codiceSTP		0..*	Identifier	An identifier for this patient
system	S	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idStp (required)
name	SC	1..*	HumanName	A name associated with the patient it-pat-1: Patient.name.given or Patient.name.family or both SHALL be present
name-absent-reason		0..*	code	Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
text	S	0..1	string	Text representation of the full name
family	S	0..1	string	Family name (often called 'Surname')
given	S	0..*	string	Given names (not always 'first'). Includes middle names
telecom	S	0..*	ContactPoint	A contact detail for the individual
gender	S	0..1	code	male | female | other | unknown
birthDate	S	0..1	date	The date of birth for the individual
deceased[x]		0..1	boolean, dateTime	Indicates if the individual is deceased or not
address	S	0..*	AddressItBase	Indirizzo fisico o postale
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Stato Civile (preferred)
Slices for generalPractitioner	S	0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider Slice: Unordered, Open by profile:$this
generalPractitioner:mmgPlsRole	S	0..*	Reference(PractitionerRole - MMG/PLS)	Patient's nominated primary care provider
generalPractitioner:mmgPls	S	0..*	Reference(Practitioner - base)	Patient's nominated primary care provider
generalPractitioner:mmgPlsAzienda	S	0..*	Reference(Organization - Operatore sanitario/socio sanitario)	Patient's nominated primary care provider
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.extension:luogoNascitaCodeable [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace]]	example	VsIstatLuogoNascita http://terminology.hl7.it/ValueSet/istat-luogoNascita
Patient.extension:cittadinanza [CanonicalType[http://hl7.org/fhir/StructureDefinition/patient-citizenship]]	example	VsIstatCittadinanza http://terminology.hl7.it/ValueSet/istat-cittadinanza
Patient.extension:professione [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-occupation-it]]	preferred	VsIstatProfessionePaziente http://terminology.hl7.it/ValueSet/istat-professione
Patient.extension:titoloStudio [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-qualification-it]]	preferred	VsIstatTitoloStudio http://terminology.hl7.it/ValueSet/istat-titoloStudio
Patient.identifier.type	extensible	​http://terminology.hl7.it/ValueSet/tipoIdentificatore http://terminology.hl7.it/ValueSet/tipoIdentificatore
Patient.identifier:idRegionale.system	required	​http://terminology.hl7.it/ValueSet/uri-idRegionali http://terminology.hl7.it/ValueSet/uri-idRegionali
Patient.identifier:codiceENI.system	required	​http://terminology.hl7.it/ValueSet/uri-idEni http://terminology.hl7.it/ValueSet/uri-idEni
Patient.identifier:codiceSTP.system	required	​http://terminology.hl7.it/ValueSet/uri-idStp http://terminology.hl7.it/ValueSet/uri-idStp
Patient.maritalStatus	preferred	VsStatoCivile http://terminology.hl7.it/ValueSet/statoCivile

Constraints

Id	Grade	Path(s)	Details	Requirements
it-pat-1	error	Patient.name	Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

Name	Flags	Card.	Type	Description & Constraints
Patient	S	0..*	Patient	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da uno specifico entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
luogoNascita		0..1	(Complex)	Indica il luogo di nascita. Tipicamente attraverso il codice comune o stato di nascita URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
Slices for value[x]		1..1	Address	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueAddress	C	1..1	AddressItBase	Indirizzo del luogo di Nascita it-address-official: Se Address rappresenta la residenza allora city e line devono essere inclusi Example Completo: {"line":["Via dei Ciliegi 15"],"city":"Artimino","state":"PO","postalCode":"59015","country":"IT"}
luogoNascitaCodeable		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
cittadinanza		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
professione		0..1	CodeableConcept	Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: ISTAT - Professioni (example)
titoloStudio		0..1	CodeableConcept	Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: ISTAT - Titolo Studio (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Identificativo del paziente Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	​Description of identifier Binding: http://terminology.hl7.it/ValueSet/tipoIdentificatore (extensible)
value	SΣ	1..1	string	ID del paziente (e.g. Codice Fiscale) Example General: 123456
identifier:codiceFiscale	SΣ	0..*	Identifier	An identifier for this patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value	SΣC	1..1	string	The value that is unique pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo Example General: 123456
identifier:anpr	Σ	0..*	Identifier	An identifier for this patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/anpr
identifier:idRegionale	Σ	0..*	Identifier	An identifier for this patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idRegionali (required) Example General: http://www.acme.com/identifiers/patient
identifier:codiceENI	Σ	0..*	Identifier	Codice ENI
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idEni (required) Example General: http://www.acme.com/identifiers/patient
identifier:codiceSTP	Σ	0..*	Identifier	An identifier for this patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idStp (required) Example General: http://www.acme.com/identifiers/patient
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	A name associated with the patient it-pat-1: Patient.name.given or Patient.name.family or both SHALL be present
name-absent-reason		0..*	code	Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	0..1	string	Family name (often called 'Surname')
given	SΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SC	0..*	AddressItBase	Indirizzo fisico o postale it-address-official: Se Address rappresenta la residenza allora city e line devono essere inclusi Example Completo: {"line":["Via dei Ciliegi 15"],"city":"Artimino","state":"PO","postalCode":"59015","country":"IT"}
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Stato Civile (preferred)
Slices for generalPractitioner	S	0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider Slice: Unordered, Open by profile:$this
generalPractitioner:mmgPlsRole	S	0..*	Reference(PractitionerRole - MMG/PLS)	Patient's nominated primary care provider
generalPractitioner:mmgPls	S	0..*	Reference(Practitioner - base)	Patient's nominated primary care provider
generalPractitioner:mmgPlsAzienda	S	0..*	Reference(Organization - Operatore sanitario/socio sanitario)	Patient's nominated primary care provider
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	Conformance	ValueSet	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	​http://terminology.hl7.it/ValueSet/tipoIdentificatore http://terminology.hl7.it/ValueSet/tipoIdentificatore
Patient.identifier:codiceFiscale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:anpr.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.system	required	​http://terminology.hl7.it/ValueSet/uri-idRegionali http://terminology.hl7.it/ValueSet/uri-idRegionali
Patient.identifier:codiceENI.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceENI.system	required	​http://terminology.hl7.it/ValueSet/uri-idEni http://terminology.hl7.it/ValueSet/uri-idEni
Patient.identifier:codiceSTP.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceSTP.system	required	​http://terminology.hl7.it/ValueSet/uri-idStp http://terminology.hl7.it/ValueSet/uri-idStp
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.maritalStatus	preferred	VsStatoCivile http://terminology.hl7.it/ValueSet/statoCivile
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
it-address-official	error	Patient.extension:luogoNascita.value[x]:valueAddress, Patient.address	Se Address rappresenta la residenza allora city e line devono essere inclusi : extension.where(url = 'http://hl7.org/fhir/StructureDefinition/address-official').valueBoolean.where(true).empty() or ( line.exists() and city.exists() )
it-pat-1	error	Patient.name	Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

Name	Flags	Card.	Type	Description & Constraints
Patient	S	0..*	Patient	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da uno specifico entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
luogoNascita		0..1	(Complex)	Indica il luogo di nascita. Tipicamente attraverso il codice comune o stato di nascita URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
Slices for value[x]		1..1	Address	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueAddress	C	1..1	AddressItBase	Indirizzo del luogo di Nascita it-address-official: Se Address rappresenta la residenza allora city e line devono essere inclusi Example Completo: {"line":["Via dei Ciliegi 15"],"city":"Artimino","state":"PO","postalCode":"59015","country":"IT"}
luogoNascitaCodeable		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
cittadinanza		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
professione		0..1	CodeableConcept	Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: ISTAT - Professioni (example)
titoloStudio		0..1	CodeableConcept	Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: ISTAT - Titolo Studio (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Identificativo del paziente Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
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
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	​Description of identifier Binding: http://terminology.hl7.it/ValueSet/tipoIdentificatore (extensible)
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	ID del paziente (e.g. Codice Fiscale) Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:codiceFiscale	SΣ	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: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value	SΣC	1..1	string	The value that is unique pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:anpr	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: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/anpr
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)
identifier:idRegionale	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: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idRegionali (required) Example General: http://www.acme.com/identifiers/patient
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)
identifier:codiceENI	Σ	0..*	Identifier	Codice ENI
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: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idEni (required) Example General: http://www.acme.com/identifiers/patient
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)
identifier:codiceSTP	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: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idStp (required) Example General: http://www.acme.com/identifiers/patient
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	SΣC	1..*	HumanName	A name associated with the patient it-pat-1: Patient.name.given or Patient.name.family or both SHALL be present
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
name-absent-reason		0..*	code	Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	0..1	string	Family name (often called 'Surname')
given	SΣ	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	SΣ	0..*	ContactPoint	A contact detail for the individual
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SC	0..*	AddressItBase	Indirizzo fisico o postale it-address-official: Se Address rappresenta la residenza allora city e line devono essere inclusi Example Completo: {"line":["Via dei Ciliegi 15"],"city":"Artimino","state":"PO","postalCode":"59015","country":"IT"}
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Stato Civile (preferred)
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
Slices for generalPractitioner	S	0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider Slice: Unordered, Open by profile:$this
generalPractitioner:mmgPlsRole	S	0..*	Reference(PractitionerRole - MMG/PLS)	Patient's nominated primary care provider
generalPractitioner:mmgPls	S	0..*	Reference(Practitioner - base)	Patient's nominated primary care provider
generalPractitioner:mmgPlsAzienda	S	0..*	Reference(Organization - Operatore sanitario/socio sanitario)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	​http://terminology.hl7.it/ValueSet/tipoIdentificatore http://terminology.hl7.it/ValueSet/tipoIdentificatore
Patient.identifier:codiceFiscale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceFiscale.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:anpr.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:anpr.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:idRegionale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:idRegionale.system	required	​http://terminology.hl7.it/ValueSet/uri-idRegionali http://terminology.hl7.it/ValueSet/uri-idRegionali
Patient.identifier:codiceENI.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceENI.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:codiceENI.system	required	​http://terminology.hl7.it/ValueSet/uri-idEni http://terminology.hl7.it/ValueSet/uri-idEni
Patient.identifier:codiceSTP.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceSTP.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:codiceSTP.system	required	​http://terminology.hl7.it/ValueSet/uri-idStp http://terminology.hl7.it/ValueSet/uri-idStp
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.maritalStatus	preferred	VsStatoCivile http://terminology.hl7.it/ValueSet/statoCivile
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
it-address-official	error	Patient.extension:luogoNascita.value[x]:valueAddress, Patient.address	Se Address rappresenta la residenza allora city e line devono essere inclusi : extension.where(url = 'http://hl7.org/fhir/StructureDefinition/address-official').valueBoolean.where(true).empty() or ( line.exists() and city.exists() )
it-pat-1	error	Patient.name	Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

This structure is derived from Patient

Summary

Mandatory: 1 element(7 nested mandatory elements)
Must-Support: 21 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• Address - base (http://hl7.it/fhir/StructureDefinition/Address-it-base)
• PractitionerRole - MMG/PLS (http://hl7.it/fhir/StructureDefinition/PractitionerRole-it-mmg)
• Practitioner - base (http://hl7.it/fhir/StructureDefinition/Practitioner-it-base)
• Organization - Operatore sanitario/socio sanitario (http://hl7.it/fhir/StructureDefinition/Organization-it-hcp)

Extensions

This structure refers to these extensions:

• http://hl7.it/fhir/StructureDefinition/recordCertification
• http://hl7.org/fhir/StructureDefinition/patient-birthPlace
• http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
• http://hl7.org/fhir/StructureDefinition/patient-citizenship
• http://hl7.it/fhir/StructureDefinition/patient-occupation-it
• http://hl7.it/fhir/StructureDefinition/patient-qualification-it
• http://hl7.org/fhir/StructureDefinition/data-absent-reason

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.generalPractitioner

Differential View

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient	S	0..*	Patient	Information about an individual or animal receiving health care services
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da uno specifico entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
luogoNascita		0..1	(Complex)	Indica il luogo di nascita. Tipicamente attraverso il codice comune o stato di nascita URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
valueAddress		1..1	AddressItBase	Indirizzo del luogo di Nascita
luogoNascitaCodeable		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace Binding: ISTAT - Comune/Stato di Nascita (example)
cittadinanza		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Binding: ISTAT - Cittadinanza (example)
professione		0..1	CodeableConcept	Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: ISTAT - Professioni (example)
titoloStudio		0..1	CodeableConcept	Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: ISTAT - Titolo Studio (example)
Slices for identifier	S	0..*	Identifier	Identificativo del paziente Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
type		0..1	CodeableConcept	​Description of identifier Binding: http://terminology.hl7.it/ValueSet/tipoIdentificatore (extensible)
value	S	1..1	string	ID del paziente (e.g. Codice Fiscale)
identifier:codiceFiscale	S	0..*	Identifier	An identifier for this patient
system	S	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value	SC	1..1	string	The value that is unique pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo
identifier:anpr		0..*	Identifier	An identifier for this patient
system	S	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/anpr
identifier:idRegionale		0..*	Identifier	An identifier for this patient
system	S	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idRegionali (required)
identifier:codiceENI		0..*	Identifier	Codice ENI
system	S	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idEni (required)
identifier:codiceSTP		0..*	Identifier	An identifier for this patient
system	S	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idStp (required)
name	SC	1..*	HumanName	A name associated with the patient it-pat-1: Patient.name.given or Patient.name.family or both SHALL be present
name-absent-reason		0..*	code	Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
text	S	0..1	string	Text representation of the full name
family	S	0..1	string	Family name (often called 'Surname')
given	S	0..*	string	Given names (not always 'first'). Includes middle names
telecom	S	0..*	ContactPoint	A contact detail for the individual
gender	S	0..1	code	male | female | other | unknown
birthDate	S	0..1	date	The date of birth for the individual
deceased[x]		0..1	boolean, dateTime	Indicates if the individual is deceased or not
address	S	0..*	AddressItBase	Indirizzo fisico o postale
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Stato Civile (preferred)
Slices for generalPractitioner	S	0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider Slice: Unordered, Open by profile:$this
generalPractitioner:mmgPlsRole	S	0..*	Reference(PractitionerRole - MMG/PLS)	Patient's nominated primary care provider
generalPractitioner:mmgPls	S	0..*	Reference(Practitioner - base)	Patient's nominated primary care provider
generalPractitioner:mmgPlsAzienda	S	0..*	Reference(Organization - Operatore sanitario/socio sanitario)	Patient's nominated primary care provider
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.extension:luogoNascitaCodeable [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace]]	example	VsIstatLuogoNascita http://terminology.hl7.it/ValueSet/istat-luogoNascita
Patient.extension:cittadinanza [CanonicalType[http://hl7.org/fhir/StructureDefinition/patient-citizenship]]	example	VsIstatCittadinanza http://terminology.hl7.it/ValueSet/istat-cittadinanza
Patient.extension:professione [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-occupation-it]]	preferred	VsIstatProfessionePaziente http://terminology.hl7.it/ValueSet/istat-professione
Patient.extension:titoloStudio [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-qualification-it]]	preferred	VsIstatTitoloStudio http://terminology.hl7.it/ValueSet/istat-titoloStudio
Patient.identifier.type	extensible	​http://terminology.hl7.it/ValueSet/tipoIdentificatore http://terminology.hl7.it/ValueSet/tipoIdentificatore
Patient.identifier:idRegionale.system	required	​http://terminology.hl7.it/ValueSet/uri-idRegionali http://terminology.hl7.it/ValueSet/uri-idRegionali
Patient.identifier:codiceENI.system	required	​http://terminology.hl7.it/ValueSet/uri-idEni http://terminology.hl7.it/ValueSet/uri-idEni
Patient.identifier:codiceSTP.system	required	​http://terminology.hl7.it/ValueSet/uri-idStp http://terminology.hl7.it/ValueSet/uri-idStp
Patient.maritalStatus	preferred	VsStatoCivile http://terminology.hl7.it/ValueSet/statoCivile

Constraints

Id	Grade	Path(s)	Details	Requirements
it-pat-1	error	Patient.name	Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient	S	0..*	Patient	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da uno specifico entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
luogoNascita		0..1	(Complex)	Indica il luogo di nascita. Tipicamente attraverso il codice comune o stato di nascita URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
Slices for value[x]		1..1	Address	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueAddress	C	1..1	AddressItBase	Indirizzo del luogo di Nascita it-address-official: Se Address rappresenta la residenza allora city e line devono essere inclusi Example Completo: {"line":["Via dei Ciliegi 15"],"city":"Artimino","state":"PO","postalCode":"59015","country":"IT"}
luogoNascitaCodeable		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
cittadinanza		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
professione		0..1	CodeableConcept	Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: ISTAT - Professioni (example)
titoloStudio		0..1	CodeableConcept	Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: ISTAT - Titolo Studio (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Identificativo del paziente Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	​Description of identifier Binding: http://terminology.hl7.it/ValueSet/tipoIdentificatore (extensible)
value	SΣ	1..1	string	ID del paziente (e.g. Codice Fiscale) Example General: 123456
identifier:codiceFiscale	SΣ	0..*	Identifier	An identifier for this patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value	SΣC	1..1	string	The value that is unique pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo Example General: 123456
identifier:anpr	Σ	0..*	Identifier	An identifier for this patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/anpr
identifier:idRegionale	Σ	0..*	Identifier	An identifier for this patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idRegionali (required) Example General: http://www.acme.com/identifiers/patient
identifier:codiceENI	Σ	0..*	Identifier	Codice ENI
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idEni (required) Example General: http://www.acme.com/identifiers/patient
identifier:codiceSTP	Σ	0..*	Identifier	An identifier for this patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idStp (required) Example General: http://www.acme.com/identifiers/patient
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	A name associated with the patient it-pat-1: Patient.name.given or Patient.name.family or both SHALL be present
name-absent-reason		0..*	code	Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	0..1	string	Family name (often called 'Surname')
given	SΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SC	0..*	AddressItBase	Indirizzo fisico o postale it-address-official: Se Address rappresenta la residenza allora city e line devono essere inclusi Example Completo: {"line":["Via dei Ciliegi 15"],"city":"Artimino","state":"PO","postalCode":"59015","country":"IT"}
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Stato Civile (preferred)
Slices for generalPractitioner	S	0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider Slice: Unordered, Open by profile:$this
generalPractitioner:mmgPlsRole	S	0..*	Reference(PractitionerRole - MMG/PLS)	Patient's nominated primary care provider
generalPractitioner:mmgPls	S	0..*	Reference(Practitioner - base)	Patient's nominated primary care provider
generalPractitioner:mmgPlsAzienda	S	0..*	Reference(Organization - Operatore sanitario/socio sanitario)	Patient's nominated primary care provider
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	Conformance	ValueSet	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	​http://terminology.hl7.it/ValueSet/tipoIdentificatore http://terminology.hl7.it/ValueSet/tipoIdentificatore
Patient.identifier:codiceFiscale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:anpr.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.system	required	​http://terminology.hl7.it/ValueSet/uri-idRegionali http://terminology.hl7.it/ValueSet/uri-idRegionali
Patient.identifier:codiceENI.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceENI.system	required	​http://terminology.hl7.it/ValueSet/uri-idEni http://terminology.hl7.it/ValueSet/uri-idEni
Patient.identifier:codiceSTP.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceSTP.system	required	​http://terminology.hl7.it/ValueSet/uri-idStp http://terminology.hl7.it/ValueSet/uri-idStp
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.maritalStatus	preferred	VsStatoCivile http://terminology.hl7.it/ValueSet/statoCivile
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
it-address-official	error	Patient.extension:luogoNascita.value[x]:valueAddress, Patient.address	Se Address rappresenta la residenza allora city e line devono essere inclusi : extension.where(url = 'http://hl7.org/fhir/StructureDefinition/address-official').valueBoolean.where(true).empty() or ( line.exists() and city.exists() )
it-pat-1	error	Patient.name	Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient	S	0..*	Patient	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da uno specifico entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
luogoNascita		0..1	(Complex)	Indica il luogo di nascita. Tipicamente attraverso il codice comune o stato di nascita URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
Slices for value[x]		1..1	Address	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueAddress	C	1..1	AddressItBase	Indirizzo del luogo di Nascita it-address-official: Se Address rappresenta la residenza allora city e line devono essere inclusi Example Completo: {"line":["Via dei Ciliegi 15"],"city":"Artimino","state":"PO","postalCode":"59015","country":"IT"}
luogoNascitaCodeable		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
cittadinanza		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
professione		0..1	CodeableConcept	Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: ISTAT - Professioni (example)
titoloStudio		0..1	CodeableConcept	Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: ISTAT - Titolo Studio (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Identificativo del paziente Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
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
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	​Description of identifier Binding: http://terminology.hl7.it/ValueSet/tipoIdentificatore (extensible)
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	ID del paziente (e.g. Codice Fiscale) Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:codiceFiscale	SΣ	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: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value	SΣC	1..1	string	The value that is unique pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:anpr	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: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/anpr
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)
identifier:idRegionale	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: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idRegionali (required) Example General: http://www.acme.com/identifiers/patient
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)
identifier:codiceENI	Σ	0..*	Identifier	Codice ENI
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: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idEni (required) Example General: http://www.acme.com/identifiers/patient
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)
identifier:codiceSTP	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: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idStp (required) Example General: http://www.acme.com/identifiers/patient
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	SΣC	1..*	HumanName	A name associated with the patient it-pat-1: Patient.name.given or Patient.name.family or both SHALL be present
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
name-absent-reason		0..*	code	Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	0..1	string	Family name (often called 'Surname')
given	SΣ	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	SΣ	0..*	ContactPoint	A contact detail for the individual
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SC	0..*	AddressItBase	Indirizzo fisico o postale it-address-official: Se Address rappresenta la residenza allora city e line devono essere inclusi Example Completo: {"line":["Via dei Ciliegi 15"],"city":"Artimino","state":"PO","postalCode":"59015","country":"IT"}
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Stato Civile (preferred)
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
Slices for generalPractitioner	S	0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider Slice: Unordered, Open by profile:$this
generalPractitioner:mmgPlsRole	S	0..*	Reference(PractitionerRole - MMG/PLS)	Patient's nominated primary care provider
generalPractitioner:mmgPls	S	0..*	Reference(Practitioner - base)	Patient's nominated primary care provider
generalPractitioner:mmgPlsAzienda	S	0..*	Reference(Organization - Operatore sanitario/socio sanitario)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	​http://terminology.hl7.it/ValueSet/tipoIdentificatore http://terminology.hl7.it/ValueSet/tipoIdentificatore
Patient.identifier:codiceFiscale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceFiscale.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:anpr.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:anpr.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:idRegionale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:idRegionale.system	required	​http://terminology.hl7.it/ValueSet/uri-idRegionali http://terminology.hl7.it/ValueSet/uri-idRegionali
Patient.identifier:codiceENI.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceENI.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:codiceENI.system	required	​http://terminology.hl7.it/ValueSet/uri-idEni http://terminology.hl7.it/ValueSet/uri-idEni
Patient.identifier:codiceSTP.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceSTP.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:codiceSTP.system	required	​http://terminology.hl7.it/ValueSet/uri-idStp http://terminology.hl7.it/ValueSet/uri-idStp
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.maritalStatus	preferred	VsStatoCivile http://terminology.hl7.it/ValueSet/statoCivile
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
it-address-official	error	Patient.extension:luogoNascita.value[x]:valueAddress, Patient.address	Se Address rappresenta la residenza allora city e line devono essere inclusi : extension.where(url = 'http://hl7.org/fhir/StructureDefinition/address-official').valueBoolean.where(true).empty() or ( line.exists() and city.exists() )
it-pat-1	error	Patient.name	Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

This structure is derived from Patient

Summary

Mandatory: 1 element(7 nested mandatory elements)
Must-Support: 21 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• Address - base (http://hl7.it/fhir/StructureDefinition/Address-it-base)
• PractitionerRole - MMG/PLS (http://hl7.it/fhir/StructureDefinition/PractitionerRole-it-mmg)
• Practitioner - base (http://hl7.it/fhir/StructureDefinition/Practitioner-it-base)
• Organization - Operatore sanitario/socio sanitario (http://hl7.it/fhir/StructureDefinition/Organization-it-hcp)

Extensions

This structure refers to these extensions:

• http://hl7.it/fhir/StructureDefinition/recordCertification
• http://hl7.org/fhir/StructureDefinition/patient-birthPlace
• http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
• http://hl7.org/fhir/StructureDefinition/patient-citizenship
• http://hl7.it/fhir/StructureDefinition/patient-occupation-it
• http://hl7.it/fhir/StructureDefinition/patient-qualification-it
• http://hl7.org/fhir/StructureDefinition/data-absent-reason

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.generalPractitioner