<?xml version="1.0" encoding="UTF-8"?>
<!-- 
 * #%L
 * org.hl7.fhir.r5
 * %%
 * Copyright (C) 2014 - 2019 Health Level 7
 * %%
 * Licensed under the Apache License, Version 2.0 (the "License");
 * you may not use this file except in compliance with the License.
 * You may obtain a copy of the License at
 * 
 *      http://www.apache.org/licenses/LICENSE-2.0
 * 
 * Unless required by applicable law or agreed to in writing, software
 * distributed under the License is distributed on an "AS IS" BASIS,
 * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
 * See the License for the specific language governing permissions and
 * limitations under the License.
 * #L%
 */

/*
  Copyright (c) 2011+, HL7, Inc.
  All rights reserved.
  
  Redistribution and use in source and binary forms, with or without modification, 
  are permitted provided that the following conditions are met:
  
   * Redistributions of source code must retain the above copyright notice, this 
     list of conditions and the following disclaimer.
   * Redistributions in binary form must reproduce the above copyright notice, 
     this list of conditions and the following disclaimer in the documentation 
     and/or other materials provided with the distribution.
   * Neither the name of HL7 nor the names of its contributors may be used to 
     endorse or promote products derived from this software without specific 
     prior written permission.
  
  THIS SOFTWARE IS PROVIDED BY THE COPYRIGHT HOLDERS AND CONTRIBUTORS "AS IS" AND 
  ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED 
  WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE ARE DISCLAIMED. 
  IN NO EVENT SHALL THE COPYRIGHT HOLDER OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT, 
  INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT 
  NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATA, OR 
  PROFITS; OR BUSINESS INTERRUPTION) HOWEVER CAUSED AND ON ANY THEORY OF LIABILITY, 
  WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR OTHERWISE) 
  ARISING IN ANY WAY OUT OF THE USE OF THIS SOFTWARE, EVEN IF ADVISED OF THE 
  POSSIBILITY OF SUCH DAMAGE.
  

  Generated on Thu, Apr 9, 2026 17:12+0000 for FHIR v6.0.0-ballot4 

  Note: the schemas &amp; schematrons do not contain all of the rules about what makes resources
  valid. Implementers will still need to be familiar with the content of the specification and with
  any profiles that apply to the resources in order to make a conformant implementation.

-->
<xs:schema xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns="http://hl7.org/fhir" xmlns:xhtml="http://www.w3.org/1999/xhtml" targetNamespace="http://hl7.org/fhir" elementFormDefault="qualified" version="1.0">
  <xs:include schemaLocation="fhir-base.xsd"/>
  <xs:element name="Patient" type="Patient">
    <xs:annotation>
      <xs:documentation xml:lang="en">Demographics and other administrative information about an individual or animal that is the subject of potential, past, current, or future health-related care, services, or processes.</xs:documentation>
    </xs:annotation>
  </xs:element>
  <xs:complexType name="Patient">
    <xs:annotation>
      <xs:documentation xml:lang="en">Demographics and other administrative information about an individual or animal that is the subject of potential, past, current, or future health-related care, services, or processes.</xs:documentation>
      <xs:documentation xml:lang="en">If the element is present, it must have either a @value, an @id, or extensions</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="DomainResource">
        <xs:sequence>
          <xs:element name="identifier" minOccurs="0" maxOccurs="unbounded" type="Identifier">
            <xs:annotation>
              <xs:documentation xml:lang="en">An identifier for this patient.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="active" minOccurs="0" maxOccurs="1" type="boolean">
            <xs:annotation>
              <xs:documentation xml:lang="en">Whether this patient record is in active use. 
Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

It is often used to filter patient lists to exclude inactive patients

Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="name" minOccurs="0" maxOccurs="unbounded" type="HumanName">
            <xs:annotation>
              <xs:documentation xml:lang="en">A name associated with the individual.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="telecom" minOccurs="0" maxOccurs="unbounded" type="ContactPoint">
            <xs:annotation>
              <xs:documentation xml:lang="en">A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="gender" minOccurs="0" maxOccurs="1" type="AdministrativeGender">
            <xs:annotation>
              <xs:documentation xml:lang="en">Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.

See the [Patient Gender and Sex section](patient.html#gender) for additional information about communicating patient gender and sex.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="birthDate" minOccurs="0" maxOccurs="1" type="date">
            <xs:annotation>
              <xs:documentation xml:lang="en">The date of birth for the individual.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:choice minOccurs="0" maxOccurs="1" >
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates the date when the individual died, or, if the date is not known or cannot be estimated, a flag indicating the patient is known to be deceased.</xs:documentation>
            </xs:annotation>
            <xs:element name="deceasedBoolean" type="boolean"/>
            <xs:element name="deceasedDateTime" type="dateTime"/>
          </xs:choice>
          <xs:element name="address" minOccurs="0" maxOccurs="unbounded" type="Address">
            <xs:annotation>
              <xs:documentation xml:lang="en">An address for the individual.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="maritalStatus" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">This field contains a patient's most recent marital (civil) status.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:choice minOccurs="0" maxOccurs="1" >
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).  This count is relative to the total of live births and fetal losses, which MAY be tracked in the `patient-multipleBirthTotal` extension.

The boolean option for this property can also be used to track that there are known to be multiple fetuses prior to birth.</xs:documentation>
            </xs:annotation>
            <xs:element name="multipleBirthBoolean" type="boolean"/>
            <xs:element name="multipleBirthInteger" type="integer"/>
          </xs:choice>
          <xs:element name="photo" minOccurs="0" maxOccurs="unbounded" type="Attachment">
            <xs:annotation>
              <xs:documentation xml:lang="en">Image of the patient.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="contact" type="Patient.Contact" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">A contact party (e.g. guardian, partner, friend) for the patient.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="communication" type="Patient.Communication" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">A language which may be used to communicate with the patient about his or her health.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="generalPractitioner" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Patient's nominated care provider.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="managingOrganization" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Organization that is the custodian of the patient record.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="link" type="Patient.Link" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">Link to a Patient or RelatedPerson resource that concerns the same actual individual.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="Patient.Contact">
    <xs:annotation>
      <xs:documentation xml:lang="en">Demographics and other administrative information about an individual or animal that is the subject of potential, past, current, or future health-related care, services, or processes.</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="relationship" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">The nature of the personal relationship between the patient and the contact person.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="role" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">The nature of the functional role between the patient and the contact person.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="name" minOccurs="0" maxOccurs="1" type="HumanName">
            <xs:annotation>
              <xs:documentation xml:lang="en">A name associated with the contact person. Alternate/additional names for this contact can be found in the `additionalName` property.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="additionalName" minOccurs="0" maxOccurs="unbounded" type="HumanName">
            <xs:annotation>
              <xs:documentation xml:lang="en">Additional names for the contact person.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="telecom" minOccurs="0" maxOccurs="unbounded" type="ContactPoint">
            <xs:annotation>
              <xs:documentation xml:lang="en">A contact detail for the person, e.g. a telephone number or an email address.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="address" minOccurs="0" maxOccurs="1" type="Address">
            <xs:annotation>
              <xs:documentation xml:lang="en">Address for the contact person. Alternate/additional addresses for this contact can be found in the `additionalAddress` property.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="additionalAddress" minOccurs="0" maxOccurs="unbounded" type="Address">
            <xs:annotation>
              <xs:documentation xml:lang="en">Additional addresses for the contact person.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="gender" minOccurs="0" maxOccurs="1" type="AdministrativeGender">
            <xs:annotation>
              <xs:documentation xml:lang="en">Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="organization" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Organization on behalf of which the contact is acting or for which the contact is working.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="period" minOccurs="0" maxOccurs="1" type="Period">
            <xs:annotation>
              <xs:documentation xml:lang="en">The period during which this contact person or organization is valid to be contacted relating to this patient.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="Patient.Communication">
    <xs:annotation>
      <xs:documentation xml:lang="en">Demographics and other administrative information about an individual or animal that is the subject of potential, past, current, or future health-related care, services, or processes.</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="language" minOccurs="1" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">The language which may be used to communicate with the individual.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="preferred" minOccurs="0" maxOccurs="1" type="boolean">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="Patient.Link">
    <xs:annotation>
      <xs:documentation xml:lang="en">Demographics and other administrative information about an individual or animal that is the subject of potential, past, current, or future health-related care, services, or processes.</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="other" minOccurs="1" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Link to a Patient or RelatedPerson resource that concerns the same actual individual.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="type" minOccurs="1" maxOccurs="1" type="LinkType">
            <xs:annotation>
              <xs:documentation xml:lang="en">The type of link between this patient resource and another patient resource.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:simpleType name="LinkTypeEnum">
    <xs:restriction base="code-primitive">
      <xs:enumeration value="replaced-by">
        <xs:annotation>
          <xs:documentation xml:lang="en">Replaced-by</xs:documentation>
          <xs:documentation xml:lang="nl">Vervangen door</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="replaces">
        <xs:annotation>
          <xs:documentation xml:lang="en">Replaces</xs:documentation>
          <xs:documentation xml:lang="nl">Vervangt</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="refer">
        <xs:annotation>
          <xs:documentation xml:lang="en">Refer</xs:documentation>
          <xs:documentation xml:lang="nl">Verwijzing</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="seealso">
        <xs:annotation>
          <xs:documentation xml:lang="en">See also</xs:documentation>
          <xs:documentation xml:lang="nl">Zie ook</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
    </xs:restriction>
  </xs:simpleType>
  <xs:complexType name="LinkType">
    <xs:annotation>
      <xs:documentation xml:lang="en"></xs:documentation>
      <xs:documentation xml:lang="en">If the element is present, it must have either a @value, an @id, or extensions</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="Element">
        <xs:attribute name="value" type="LinkTypeEnum" use="optional"/>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
</xs:schema>
