HL7 Italia FHIR Implementation Guide (base)
0.1.1 - CI Build IT

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

## Resource Profile: Patient - base ( Experimental )

Official URL: http://hl7.it/fhir/StructureDefinition/Patient-it-base | Version: 0.1.1
Draft as of 2018-03-20 | Computable Name: PatientItBase

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

> Rappresentazione del codice comune/stato di nascita
> Questa versione del profilo include diverse opzioni di rappresentazione del codice comune/stato di nascita, descritte nella pagina confluence
> I lettori sono invitati a valutare queste opzioni e suggerire quali di opzioni è la più adeguata.

Usages:

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

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
Slices for extension |  |  |  | Content/Rules for all slices
extension: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
extension: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 |  | Extension Slice: Unordered, Open by value:url
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:$this
value[x]:valueAddress |  | 1..1 | AddressItBase | Indirizzo del luogo di Nascita
extension:luogoNascitaCodeable |  | 0..* | CodeableConcept | Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
extension:cittadinanza |  | 0..1 | (Complex) | Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:professione |  | 0..1 | CodeableConcept | ​Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: http://terminology.hl7.it/ValueSet/istat-professione (example)
extension:titoloStudio |  | 0..1 | CodeableConcept | ​Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: http://terminology.hl7.it/ValueSet/istat-titoloStudio (example)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 0..* | Identifier | Identificativo del paziente Slice: Unordered, Open by value:$this.system
identifier:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 | S Σ | 1..1 | string | ID del paziente (e.g. Codice Fiscale) Example General: 123456
identifier:codiceFiscale | S Σ | 0..* | Identifier | An identifier for this patient
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 .
system | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value | S Σ C | 1..1 | string | ID del paziente (e.g. Codice Fiscale) Constraints: pat-id-cf-1 Example General: 123456
identifier:anpr | Σ | 0..* | Identifier | An identifier for this patient
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 .
system | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/anpr
value | S Σ | 1..1 | string | ID del paziente (e.g. Codice Fiscale) Example General: 123456
identifier:idRegionale | Σ | 0..* | Identifier | An identifier for this patient
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 .
system | S Σ | 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 | S Σ | 1..1 | string | ID del paziente (e.g. Codice Fiscale) Example General: 123456
identifier:codiceENI | Σ | 0..* | Identifier | Codice ENI
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 .
system | S Σ | 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 | S Σ | 1..1 | string | ID del paziente (e.g. Codice Fiscale) Example General: 123456
identifier:codiceSTP | Σ | 0..* | Identifier | An identifier for this patient
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 .
system | S Σ | 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 | S Σ | 1..1 | string | ID del paziente (e.g. Codice Fiscale) Example General: 123456
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ C | 1..* | HumanName | A name associated with the patient Constraints: it-pat-1
Slices for extension |  |  |  | Content/Rules for all slices
extension:name-absent-reason |  | 0..1 | code | Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | S Σ | 0..1 | string | Text representation of the full name
family | S Σ | 0..1 | string | Family name (often called 'Surname')
given | S Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
telecom | S Σ | 0..* | ContactPoint | A contact detail for the individual
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | S Σ | 0..* | AddressItBase | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | ​Marital (civil) status of a patient Binding: http://terminology.hl7.it/ValueSet/statoCivile (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 | Status | Usage | ValueSet | Version | Source
Patient.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier.type | Base | extensible | ​ http://terminology.hl7.it/ValueSet/tipoIdentificatore | Not State | Unknown
Patient.identifier:codiceFiscale.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:anpr.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:idRegionale.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:idRegionale.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idRegionali | Not State | Unknown
Patient.identifier:codiceENI.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:codiceENI.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idEni | Not State | Unknown
Patient.identifier:codiceSTP.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:codiceSTP.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idStp | Not State | Unknown
Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.maritalStatus | Base | preferred | ​ http://terminology.hl7.it/ValueSet/statoCivile | Not State | Unknown
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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-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}$')`

This structure is derived from Patient

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | S | 0..* | Patient | Information about an individual or animal receiving health care services
Slices for extension |  |  |  | Content/Rules for all slices
extension: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
extension: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
extension:luogoNascitaCodeable |  | 0..* | CodeableConcept | ​Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace Binding: http://terminology.hl7.it/ValueSet/istat-luogoNascita (example)
extension:cittadinanza |  | 0..1 | (Complex) | ​Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Binding: http://terminology.hl7.it/ValueSet/istat-cittadinanza (example)
extension:professione |  | 0..1 | CodeableConcept | ​Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: http://terminology.hl7.it/ValueSet/istat-professione (example)
extension:titoloStudio |  | 0..1 | CodeableConcept | ​Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: http://terminology.hl7.it/ValueSet/istat-titoloStudio (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
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 | S C | 1..1 | string | ID del paziente (e.g. Codice Fiscale) Constraints: pat-id-cf-1
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 | S C | 1..* | HumanName | A name associated with the patient
Slices for extension |  |  |  | Content/Rules for all slices
extension:name-absent-reason |  | 0..1 | code | Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
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 | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | ​Marital (civil) status of a patient Binding: http://terminology.hl7.it/ValueSet/statoCivile (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 | Status | Usage | ValueSet | Version | Source
Patient.extension:luogoNascitaCodeable<br/>[CanonicalType[http://hl7.​it/fhir/StructureDefinition/patient-codeableBirthPlace]] | Base | example | ​ http://terminology.hl7.it/ValueSet/istat-luogoNascita | Not State | Unknown
Patient.extension:cittadinanza<br/>[CanonicalType[http://hl7.​org/fhir/StructureDefinition/patient-citizenship]] | Base | example | ​ http://terminology.hl7.it/ValueSet/istat-cittadinanza | Not State | Unknown
Patient.extension:professione<br/>[CanonicalType[http://hl7.​it/fhir/StructureDefinition/patient-occupation-it]] | Base | preferred | ​ http://terminology.hl7.it/ValueSet/istat-professione | Not State | Unknown
Patient.extension:titoloStudio<br/>[CanonicalType[http://hl7.​it/fhir/StructureDefinition/patient-qualification-it]] | Base | preferred | ​ http://terminology.hl7.it/ValueSet/istat-titoloStudio | Not State | Unknown
Patient.identifier.type | Base | extensible | ​ http://terminology.hl7.it/ValueSet/tipoIdentificatore | Not State | Unknown
Patient.identifier:idRegionale.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idRegionali | Not State | Unknown
Patient.identifier:codiceENI.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idEni | Not State | Unknown
Patient.identifier:codiceSTP.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idStp | Not State | Unknown
Patient.maritalStatus | Base | preferred | ​ http://terminology.hl7.it/ValueSet/statoCivile | Not State | Unknown

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension: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
extension: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 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
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:$this
value[x]:valueAddress |  | 1..1 | AddressItBase | Indirizzo del luogo di Nascita
extension:luogoNascitaCodeable |  | 0..* | CodeableConcept | Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
extension:cittadinanza |  | 0..1 | (Complex) | Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:professione |  | 0..1 | CodeableConcept | ​Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: http://terminology.hl7.it/ValueSet/istat-professione (example)
extension:titoloStudio |  | 0..1 | CodeableConcept | ​Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: http://terminology.hl7.it/ValueSet/istat-titoloStudio (example)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 0..* | Identifier | Identificativo del paziente Slice: Unordered, Open by value:$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
extension: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 | S Σ | 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 | S Σ | 0..* | Identifier | An identifier for this patient
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension: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 | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value | S Σ C | 1..1 | string | ID del paziente (e.g. Codice Fiscale) Constraints: pat-id-cf-1 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
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension: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 | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/anpr
value | S Σ | 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:idRegionale | Σ | 0..* | Identifier | An identifier for this patient
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension: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 | S Σ | 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 | S Σ | 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:codiceENI | Σ | 0..* | Identifier | Codice ENI
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension: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 | S Σ | 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 | S Σ | 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:codiceSTP | Σ | 0..* | Identifier | An identifier for this patient
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension: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 | S Σ | 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 | S Σ | 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)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ C | 1..* | HumanName | A name associated with the patient Constraints: it-pat-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:name-absent-reason |  | 0..1 | code | Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | S Σ | 0..1 | string | Text representation of the full name
family | S Σ | 0..1 | string | Family name (often called 'Surname')
given | S Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ | 0..1 | Period | Time period when name was/is in use
telecom | S Σ | 0..* | ContactPoint | A contact detail for the individual
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | S Σ | 0..* | AddressItBase | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | ​Marital (civil) status of a patient Binding: http://terminology.hl7.it/ValueSet/statoCivile (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 Constraints: pat-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relationship |  | 0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name |  | 0..1 | HumanName | A name associated with the contact person
telecom |  | 0..* | ContactPoint | A contact detail for the person
address |  | 0..1 | Address | Address for the contact person
gender |  | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
preferred |  | 0..1 | boolean | Language preference indicator
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 | Status | Usage | ValueSet | Version | Source
Patient.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier.type | Base | extensible | ​ http://terminology.hl7.it/ValueSet/tipoIdentificatore | Not State | Unknown
Patient.identifier:codiceFiscale.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:codiceFiscale.​type | Base | extensible | ​ http://terminology.hl7.it/ValueSet/tipoIdentificatore | Not State | Unknown
Patient.identifier:anpr.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:anpr.​type | Base | extensible | ​ http://terminology.hl7.it/ValueSet/tipoIdentificatore | Not State | Unknown
Patient.identifier:idRegionale.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:idRegionale.​type | Base | extensible | ​ http://terminology.hl7.it/ValueSet/tipoIdentificatore | Not State | Unknown
Patient.identifier:idRegionale.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idRegionali | Not State | Unknown
Patient.identifier:codiceENI.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:codiceENI.​type | Base | extensible | ​ http://terminology.hl7.it/ValueSet/tipoIdentificatore | Not State | Unknown
Patient.identifier:codiceENI.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idEni | Not State | Unknown
Patient.identifier:codiceSTP.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:codiceSTP.​type | Base | extensible | ​ http://terminology.hl7.it/ValueSet/tipoIdentificatore | Not State | Unknown
Patient.identifier:codiceSTP.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idStp | Not State | Unknown
Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.maritalStatus | Base | preferred | ​ http://terminology.hl7.it/ValueSet/statoCivile | Not State | Unknown
Patient.contact.relationship | Base | extensible | Patient Contact Relationship | 📍4.0.1 | FHIR Std.
Patient.contact.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.communication.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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-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

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
Slices for extension |  |  |  | Content/Rules for all slices
extension: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
extension: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 |  | Extension Slice: Unordered, Open by value:url
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:$this
value[x]:valueAddress |  | 1..1 | AddressItBase | Indirizzo del luogo di Nascita
extension:luogoNascitaCodeable |  | 0..* | CodeableConcept | Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
extension:cittadinanza |  | 0..1 | (Complex) | Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:professione |  | 0..1 | CodeableConcept | ​Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: http://terminology.hl7.it/ValueSet/istat-professione (example)
extension:titoloStudio |  | 0..1 | CodeableConcept | ​Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: http://terminology.hl7.it/ValueSet/istat-titoloStudio (example)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 0..* | Identifier | Identificativo del paziente Slice: Unordered, Open by value:$this.system
identifier:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 | S Σ | 1..1 | string | ID del paziente (e.g. Codice Fiscale) Example General: 123456
identifier:codiceFiscale | S Σ | 0..* | Identifier | An identifier for this patient
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 .
system | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value | S Σ C | 1..1 | string | ID del paziente (e.g. Codice Fiscale) Constraints: pat-id-cf-1 Example General: 123456
identifier:anpr | Σ | 0..* | Identifier | An identifier for this patient
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 .
system | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/anpr
value | S Σ | 1..1 | string | ID del paziente (e.g. Codice Fiscale) Example General: 123456
identifier:idRegionale | Σ | 0..* | Identifier | An identifier for this patient
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 .
system | S Σ | 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 | S Σ | 1..1 | string | ID del paziente (e.g. Codice Fiscale) Example General: 123456
identifier:codiceENI | Σ | 0..* | Identifier | Codice ENI
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 .
system | S Σ | 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 | S Σ | 1..1 | string | ID del paziente (e.g. Codice Fiscale) Example General: 123456
identifier:codiceSTP | Σ | 0..* | Identifier | An identifier for this patient
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 .
system | S Σ | 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 | S Σ | 1..1 | string | ID del paziente (e.g. Codice Fiscale) Example General: 123456
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ C | 1..* | HumanName | A name associated with the patient Constraints: it-pat-1
Slices for extension |  |  |  | Content/Rules for all slices
extension:name-absent-reason |  | 0..1 | code | Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | S Σ | 0..1 | string | Text representation of the full name
family | S Σ | 0..1 | string | Family name (often called 'Surname')
given | S Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
telecom | S Σ | 0..* | ContactPoint | A contact detail for the individual
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | S Σ | 0..* | AddressItBase | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | ​Marital (civil) status of a patient Binding: http://terminology.hl7.it/ValueSet/statoCivile (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 | Status | Usage | ValueSet | Version | Source
Patient.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier.type | Base | extensible | ​ http://terminology.hl7.it/ValueSet/tipoIdentificatore | Not State | Unknown
Patient.identifier:codiceFiscale.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:anpr.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:idRegionale.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:idRegionale.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idRegionali | Not State | Unknown
Patient.identifier:codiceENI.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:codiceENI.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idEni | Not State | Unknown
Patient.identifier:codiceSTP.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:codiceSTP.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idStp | Not State | Unknown
Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.maritalStatus | Base | preferred | ​ http://terminology.hl7.it/ValueSet/statoCivile | Not State | Unknown
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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-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}$')`

Differential View

This structure is derived from Patient

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | S | 0..* | Patient | Information about an individual or animal receiving health care services
Slices for extension |  |  |  | Content/Rules for all slices
extension: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
extension: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
extension:luogoNascitaCodeable |  | 0..* | CodeableConcept | ​Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace Binding: http://terminology.hl7.it/ValueSet/istat-luogoNascita (example)
extension:cittadinanza |  | 0..1 | (Complex) | ​Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Binding: http://terminology.hl7.it/ValueSet/istat-cittadinanza (example)
extension:professione |  | 0..1 | CodeableConcept | ​Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: http://terminology.hl7.it/ValueSet/istat-professione (example)
extension:titoloStudio |  | 0..1 | CodeableConcept | ​Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: http://terminology.hl7.it/ValueSet/istat-titoloStudio (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
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 | S C | 1..1 | string | ID del paziente (e.g. Codice Fiscale) Constraints: pat-id-cf-1
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 | S C | 1..* | HumanName | A name associated with the patient
Slices for extension |  |  |  | Content/Rules for all slices
extension:name-absent-reason |  | 0..1 | code | Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
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 | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | ​Marital (civil) status of a patient Binding: http://terminology.hl7.it/ValueSet/statoCivile (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 | Status | Usage | ValueSet | Version | Source
Patient.extension:luogoNascitaCodeable<br/>[CanonicalType[http://hl7.​it/fhir/StructureDefinition/patient-codeableBirthPlace]] | Base | example | ​ http://terminology.hl7.it/ValueSet/istat-luogoNascita | Not State | Unknown
Patient.extension:cittadinanza<br/>[CanonicalType[http://hl7.​org/fhir/StructureDefinition/patient-citizenship]] | Base | example | ​ http://terminology.hl7.it/ValueSet/istat-cittadinanza | Not State | Unknown
Patient.extension:professione<br/>[CanonicalType[http://hl7.​it/fhir/StructureDefinition/patient-occupation-it]] | Base | preferred | ​ http://terminology.hl7.it/ValueSet/istat-professione | Not State | Unknown
Patient.extension:titoloStudio<br/>[CanonicalType[http://hl7.​it/fhir/StructureDefinition/patient-qualification-it]] | Base | preferred | ​ http://terminology.hl7.it/ValueSet/istat-titoloStudio | Not State | Unknown
Patient.identifier.type | Base | extensible | ​ http://terminology.hl7.it/ValueSet/tipoIdentificatore | Not State | Unknown
Patient.identifier:idRegionale.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idRegionali | Not State | Unknown
Patient.identifier:codiceENI.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idEni | Not State | Unknown
Patient.identifier:codiceSTP.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idStp | Not State | Unknown
Patient.maritalStatus | Base | preferred | ​ http://terminology.hl7.it/ValueSet/statoCivile | Not State | Unknown

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension: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
extension: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 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
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:$this
value[x]:valueAddress |  | 1..1 | AddressItBase | Indirizzo del luogo di Nascita
extension:luogoNascitaCodeable |  | 0..* | CodeableConcept | Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
extension:cittadinanza |  | 0..1 | (Complex) | Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:professione |  | 0..1 | CodeableConcept | ​Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: http://terminology.hl7.it/ValueSet/istat-professione (example)
extension:titoloStudio |  | 0..1 | CodeableConcept | ​Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: http://terminology.hl7.it/ValueSet/istat-titoloStudio (example)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 0..* | Identifier | Identificativo del paziente Slice: Unordered, Open by value:$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
extension: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 | S Σ | 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 | S Σ | 0..* | Identifier | An identifier for this patient
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension: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 | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value | S Σ C | 1..1 | string | ID del paziente (e.g. Codice Fiscale) Constraints: pat-id-cf-1 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
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension: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 | S Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/anpr
value | S Σ | 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:idRegionale | Σ | 0..* | Identifier | An identifier for this patient
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension: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 | S Σ | 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 | S Σ | 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:codiceENI | Σ | 0..* | Identifier | Codice ENI
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension: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 | S Σ | 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 | S Σ | 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:codiceSTP | Σ | 0..* | Identifier | An identifier for this patient
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension: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 | S Σ | 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 | S Σ | 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)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ C | 1..* | HumanName | A name associated with the patient Constraints: it-pat-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:name-absent-reason |  | 0..1 | code | Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | S Σ | 0..1 | string | Text representation of the full name
family | S Σ | 0..1 | string | Family name (often called 'Surname')
given | S Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ | 0..1 | Period | Time period when name was/is in use
telecom | S Σ | 0..* | ContactPoint | A contact detail for the individual
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | S Σ | 0..* | AddressItBase | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | ​Marital (civil) status of a patient Binding: http://terminology.hl7.it/ValueSet/statoCivile (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 Constraints: pat-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relationship |  | 0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name |  | 0..1 | HumanName | A name associated with the contact person
telecom |  | 0..* | ContactPoint | A contact detail for the person
address |  | 0..1 | Address | Address for the contact person
gender |  | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
preferred |  | 0..1 | boolean | Language preference indicator
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 | Status | Usage | ValueSet | Version | Source
Patient.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier.type | Base | extensible | ​ http://terminology.hl7.it/ValueSet/tipoIdentificatore | Not State | Unknown
Patient.identifier:codiceFiscale.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:codiceFiscale.​type | Base | extensible | ​ http://terminology.hl7.it/ValueSet/tipoIdentificatore | Not State | Unknown
Patient.identifier:anpr.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:anpr.​type | Base | extensible | ​ http://terminology.hl7.it/ValueSet/tipoIdentificatore | Not State | Unknown
Patient.identifier:idRegionale.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:idRegionale.​type | Base | extensible | ​ http://terminology.hl7.it/ValueSet/tipoIdentificatore | Not State | Unknown
Patient.identifier:idRegionale.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idRegionali | Not State | Unknown
Patient.identifier:codiceENI.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:codiceENI.​type | Base | extensible | ​ http://terminology.hl7.it/ValueSet/tipoIdentificatore | Not State | Unknown
Patient.identifier:codiceENI.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idEni | Not State | Unknown
Patient.identifier:codiceSTP.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:codiceSTP.​type | Base | extensible | ​ http://terminology.hl7.it/ValueSet/tipoIdentificatore | Not State | Unknown
Patient.identifier:codiceSTP.​system | Base | required | ​ http://terminology.hl7.it/ValueSet/uri-idStp | Not State | Unknown
Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.maritalStatus | Base | preferred | ​ http://terminology.hl7.it/ValueSet/statoCivile | Not State | Unknown
Patient.contact.relationship | Base | extensible | Patient Contact Relationship | 📍4.0.1 | FHIR Std.
Patient.contact.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.communication.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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-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

Other representations of profile: CSV, Excel, Schematron