CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 2.0.1-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CARA-ch/ch-emed-epr/ and changes regularly. See the Directory of published versions

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

Resource Profile: CH EMED EPR Patient

Definition of the patient for the eMedication context

Usages:

• Use this Profile: PMLC Document, DIS Document, PML Document, PRE Document... Show 2 more, MTP Document and PADV Document
• Refer to this Profile: PMLC Composition, DIS Composition, PML Composition, PRE Composition... Show 16 more, MTP Composition, PADV Composition, PML Changed Medication Request, PML MedicationDispense, DIS MedicationDispense, PADV Changed MedicationRequest, PML MedicationRequest, PRE MedicationRequest, PMLC MedicationStatement, PML Changed MedicationStatement, PADV Changed MedicationStatement, PML MedicationStatement, MTP MedicationStatement, Body Weight Observation, PML Observation and PADV Observation
• Examples for this Profile: Patient/PatientCARAPMP004 and Patient/PatientDupont

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	C	0..*	CHCorePatientEPR	CH Core Patient EPR (to include the patient in an EPR document) Constraints: ch-pat-1, ch-pat-2, ch-pat-1-epr
Slices for extension				Content/Rules for all slices
extension:placeOfBirth		0..1	CHCoreAddressEch11PlaceOfBirth	Place of birth of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
extension:placeOfOrigin		0..*	CHCoreAddressECH11PlaceOfOrigin	Place of origin(s) of the patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
extension:citizenship	C	0..*	(Complex)	Information on nationality data (eCH: Staatsangehörigkeit/Nationalité) of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Constraints: ch-pat-3
extension:religion		0..1	CodeableConcept	Religion of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (preferred)
Slices for identifier	Σ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:$this
identifier:All Slices				Content/Rules for all slices
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
period	ΣD	0..1	Period	✕ This element is not supported
assigner	ΣD	0..1	Reference(CH EMED EPR Organization)	✕ This element will be removed in PML(C) documents
identifier:LocalPid	Σ	0..*	Identifier	Local patient identifier(s) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
assigner	Σ	0..1	Reference(CH EMED EPR Organization)	Organization that issued id (may be just text)
identifier:insuranceCardNumber	Σ	0..*	VEKAIdentifier	Insurance card number of the patient (20 digits) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
value	ΣC	1..1	string	The value that is unique Constraints: veka-length, veka-startswith807560, veka-length-error, veka-startswith807560-error Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	1..*	CHCoreHumanName	A name associated with the patient
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system
telecom:All Slices				Content/Rules for all slices
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:email	Σ	0..*	CHCoreContactPointECH46Email	A contact detail for the individual
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Slices for extension				Content/Rules for all slices
extension:emailCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-emailcategory Binding: eCH-0046 Email Category (extensible)
telecom:phone	Σ	0..*	CHCoreContactPointECH46Phone	A contact detail for the individual
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Slices for extension				Content/Rules for all slices
extension:phoneCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-phonecategory Binding: eCH-0046 Phone Category (extensible)
telecom:internet	Σ	0..*	CHCoreContactPointECH46Internet	A contact detail for the individual
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: url
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Slices for extension				Content/Rules for all slices
extension:internetCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-internetcategory Binding: eCH-0046 Internet Category (extensible)
gender	Σ	1..1	code	male | female | other | unknown* (* see warning 'ch-pat-2') Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	1..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
Slices for contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Slice: Unordered, Open by value:relationship Constraints: pat-1
contact:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
organization	CD	0..1	Reference(Organization)	✕ This element will be removed in PML(C) documents
contact:contact	C	0..1	BackboneElement	Contact data if it is not the address of the patient Constraints: pat-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		1..1	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: contactData
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
address		1..1	CHCoreAddressECH10	Address for the contact person
contact:nameOfParent	C	0..*	BackboneElement	Name of parent Constraints: pat-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		1..1	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
name		1..1	HumanName	A name associated with the contact person
Slices for communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Slice: Unordered, Open by value:preferred
communication:All Slices				Content/Rules for all slices
modifierExtension	?!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
communication:languageOfCorrespondence		0..1	BackboneElement	Language of correspondence
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		1..1	boolean	Language preference indicator Fixed Value: true
generalPractitioner	D	0..*	Reference(Organization | Practitioner | PractitionerRole)	✕ This element will be removed in PML(C) documents
managingOrganization	ΣD	0..1	Reference(Organization)	✕ This element will be removed in PML(C) documents
link	?!ΣD	0..*	BackboneElement	✕ This element will be removed in PML(C) documents
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Patient.identifier:EPR-SPID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:AHVN13.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:LocalPid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:insuranceCardNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.telecom:email.system	required	Fixed Value: email http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom:email.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.telecom:phone.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom:phone.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.telecom:internet.system	required	Fixed Value: url http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom:internet.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.contact:contact.relationship	extensible	Pattern Value: contactData http://hl7.org/fhir/ValueSet/patient-contactrelationship From the FHIR Standard
Patient.contact:nameOfParent.relationship	extensible	Pattern Value: PRN http://hl7.org/fhir/ValueSet/patient-contactrelationship From the FHIR Standard
Patient.communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.communication:languageOfCorrespondence.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ahvn13-digit-check	warning	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must pass digit check - https://www.gs1.org/services/how-calculate-check-digit-manually : (((10-(28+(substring(3,1).toInteger()*3)+(substring(4,1).toInteger()*1)+(substring(5,1).toInteger()*3)+(substring(6,1).toInteger()*1)+(substring(7,1).toInteger()*3)+(substring(8,1).toInteger()*1)+(substring(9,1).toInteger()*3)+(substring(10,1).toInteger()*1)+(substring(11,1).toInteger()*3))mod(10))mod(10))=substring(12,1).toInteger())
ahvn13-digit-check-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must pass digit check - https://www.gs1.org/services/how-calculate-check-digit-manually : true and (((10-(28+(substring(3,1).toInteger()*3)+(substring(4,1).toInteger()*1)+(substring(5,1).toInteger()*3)+(substring(6,1).toInteger()*1)+(substring(7,1).toInteger()*3)+(substring(8,1).toInteger()*1)+(substring(9,1).toInteger()*3)+(substring(10,1).toInteger()*1)+(substring(11,1).toInteger()*3))mod(10))mod(10))=substring(12,1).toInteger())
ahvn13-length	warning	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must be exactly 13 characters long : matches('^[0-9]{13}$')
ahvn13-length-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must be exactly 13 characters long : true and matches('^[0-9]{13}$')
ahvn13-startswith756	warning	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must start with 756 : startsWith('756')
ahvn13-startswith756-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must start with 756 : true and startsWith('756')
ch-pat-1	warning	Patient	If one ore more human names are provided, at least one human name should have a family and a given name. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-1-epr	error	Patient	At least one human name shall have a family and a given name. : name.where(family.exists() and given.exists()).count()>0
ch-pat-2	warning	Patient	gender 'unknown' is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
ch-pat-3	warning	Patient.extension:citizenship	ISO Country Alpha-2 or ISO Country Alpha-3 code : ((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
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())
epr-spid-length	warning	Patient.identifier:EPR-SPID.value	EPR-SPID must be exactly 18 characters long : matches('^[0-9]{18}$')
epr-spid-length-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must be exactly 18 characters long : true and matches('^[0-9]{18}$')
epr-spid-modulus-10	warning	Patient.identifier:EPR-SPID.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : (((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-modulus-10-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : true and (((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-startswith76133761	warning	Patient.identifier:EPR-SPID.value	EPR-SPID must start with 76133761 : startsWith('76133761')
epr-spid-startswith76133761-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must start with 76133761 : true and startsWith('76133761')
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact, Patient.contact:contact, Patient.contact:nameOfParent	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()
veka-length	warning	Patient.identifier:insuranceCardNumber.value	Insurance card number must be exactly 20 characters long : matches('^[0-9]{20}$')
veka-length-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must be exactly 20 characters long : true and matches('^[0-9]{20}$')
veka-startswith807560	warning	Patient.identifier:insuranceCardNumber.value	Insurance card number must start with 807560 : startsWith('807560')
veka-startswith807560-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must start with 807560 : true and startsWith('807560')

This structure is derived from CHCorePatientEPR

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient			CHCorePatientEPR
meta
extension	D	0..*	Extension	✕ This element is not supported
versionId	D	0..1	id	✕ This element is not supported
lastUpdated	D	0..1	instant	✕ This element is not supported
source	D	0..1	uri	✕ This element is not supported
security	D	0..*	Coding	✕ This element is not supported
tag	D	0..*	Coding	✕ This element is not supported
implicitRules		0..0
modifierExtension		0..0
identifier		1..*	Identifier	An identifier for this patient
extension	D	0..*	Extension	✕ This element is not supported
type	D	0..1	CodeableConcept	✕ This element is not supported
period	D	0..1	Period	✕ This element is not supported
assigner	D	0..1	Reference(CH EMED EPR Organization)	✕ This element will be removed in PML(C) documents
Slices for identifier				Content/Rules for all slices
identifier:EPR-SPID		0..0	EPRSPIDIdentifier
identifier:AHVN13		0..0	AHVN13Identifier
identifier:LocalPid		0..*	Identifier	Local patient identifier(s)
assigner		0..1	Reference(CH EMED EPR Organization)	Organization that issued id (may be just text)
identifier:insuranceCardNumber		0..*	VEKAIdentifier	Insurance card number of the patient (20 digits)
value	C	1..1	string	The value that is unique Constraints: veka-length-error, veka-startswith807560-error
contact		0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
organization	D	0..1	Reference(Organization)	✕ This element will be removed in PML(C) documents
generalPractitioner	D	0..*	Reference(Organization | Practitioner | PractitionerRole)	✕ This element will be removed in PML(C) documents
managingOrganization	D	0..1	Reference(Organization)	✕ This element will be removed in PML(C) documents
link	D	0..*	BackboneElement	✕ This element will be removed in PML(C) documents
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
ahvn13-digit-check-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must pass digit check - https://www.gs1.org/services/how-calculate-check-digit-manually : true and (((10-(28+(substring(3,1).toInteger()*3)+(substring(4,1).toInteger()*1)+(substring(5,1).toInteger()*3)+(substring(6,1).toInteger()*1)+(substring(7,1).toInteger()*3)+(substring(8,1).toInteger()*1)+(substring(9,1).toInteger()*3)+(substring(10,1).toInteger()*1)+(substring(11,1).toInteger()*3))mod(10))mod(10))=substring(12,1).toInteger())
ahvn13-length-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must be exactly 13 characters long : true and matches('^[0-9]{13}$')
ahvn13-startswith756-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must start with 756 : true and startsWith('756')
epr-spid-length-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must be exactly 18 characters long : true and matches('^[0-9]{18}$')
epr-spid-modulus-10-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : true and (((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-startswith76133761-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must start with 76133761 : true and startsWith('76133761')
veka-length-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must be exactly 20 characters long : true and matches('^[0-9]{20}$')
veka-startswith807560-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must start with 807560 : true and startsWith('807560')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	CHCorePatientEPR	CH Core Patient EPR (to include the patient in an EPR document) Constraints: ch-pat-1, ch-pat-2, ch-pat-1-epr
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
versionId	ΣD	0..1	id	✕ This element is not supported
lastUpdated	ΣD	0..1	instant	✕ This element is not supported
source	ΣD	0..1	uri	✕ This element is not supported
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	ΣD	0..*	Coding	✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	ΣD	0..*	Coding	✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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:placeOfBirth		0..1	CHCoreAddressEch11PlaceOfBirth	Place of birth of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
extension:placeOfOrigin		0..*	CHCoreAddressECH11PlaceOfOrigin	Place of origin(s) of the patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
extension:citizenship	C	0..*	(Complex)	Information on nationality data (eCH: Staatsangehörigkeit/Nationalité) of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Constraints: ch-pat-3
extension:religion		0..1	CodeableConcept	Religion of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (preferred)
Slices for identifier	Σ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:$this
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	ΣD	0..1	Period	✕ This element is not supported
assigner	ΣD	0..1	Reference(CH EMED EPR Organization)	✕ This element will be removed in PML(C) documents
identifier:LocalPid	Σ	0..*	Identifier	Local patient identifier(s) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CH EMED EPR Organization)	Organization that issued id (may be just text)
identifier:insuranceCardNumber	Σ	0..*	VEKAIdentifier	Insurance card number of the patient (20 digits) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
value	ΣC	1..1	string	The value that is unique Constraints: veka-length, veka-startswith807560, veka-length-error, veka-startswith807560-error Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	Expiration date of the insurance card
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	1..*	CHCoreHumanName	A name associated with the patient
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system
telecom:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:email	Σ	0..*	CHCoreContactPointECH46Email	A contact detail for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:emailCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-emailcategory Binding: eCH-0046 Email Category (extensible)
value		0..1	string	Primitive value for code
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
telecom:phone	Σ	0..*	CHCoreContactPointECH46Phone	A contact detail for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:phoneCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-phonecategory Binding: eCH-0046 Phone Category (extensible)
value		0..1	string	Primitive value for code
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
telecom:internet	Σ	0..*	CHCoreContactPointECH46Internet	A contact detail for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: url
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:internetCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-internetcategory Binding: eCH-0046 Internet Category (extensible)
value		0..1	string	Primitive value for code
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
gender	Σ	1..1	code	male | female | other | unknown* (* see warning 'ch-pat-2') Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	1..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	Σ	0..*	CHCoreAddress	An address for the individual
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: ChCoreMaritalStatus (extensible)
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:maritalDataSeparation		0..1	CodeableConcept	MaritalData Separation URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-maritaldata-separation Binding: eCH-011 MaritalData Separation (extensible): ValueSet separation type
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
Slices for contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Slice: Unordered, Open by value:relationship Constraints: pat-1
contact:All Slices				Content/Rules for all slices
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	CD	0..1	Reference(Organization)	✕ This element will be removed in PML(C) documents
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
contact:contact	C	0..1	BackboneElement	Contact data if it is not the address of 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		1..1	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: contactData
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
name		0..1	HumanName	A name associated with the contact person
address		1..1	CHCoreAddressECH10	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
contact:nameOfParent	C	0..*	BackboneElement	Name of parent 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		1..1	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
name		1..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
Slices for communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Slice: Unordered, Open by value:preferred
communication:All Slices				Content/Rules for all slices
id		0..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
communication:languageOfCorrespondence		0..1	BackboneElement	Language of correspondence
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		1..1	boolean	Language preference indicator Fixed Value: true
generalPractitioner	D	0..*	Reference(Organization | Practitioner | PractitionerRole)	✕ This element will be removed in PML(C) documents
managingOrganization	ΣD	0..1	Reference(Organization)	✕ This element will be removed in PML(C) documents
link	?!ΣD	0..*	BackboneElement	✕ This element will be removed in PML(C) documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Patient.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Patient.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Patient.identifier:EPR-SPID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:EPR-SPID.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Patient.identifier:AHVN13.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:AHVN13.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Patient.identifier:LocalPid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:LocalPid.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Patient.identifier:insuranceCardNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:insuranceCardNumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.telecom:email.system	required	Fixed Value: email http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom:email.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.telecom:phone.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom:phone.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.telecom:internet.system	required	Fixed Value: url http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom:internet.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.maritalStatus	extensible	ChCoreMaritalStatus http://fhir.ch/ig/ch-core/ValueSet/ch-core-maritalstatus
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship From the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.contact:contact.relationship	extensible	Pattern Value: contactData http://hl7.org/fhir/ValueSet/patient-contactrelationship From the FHIR Standard
Patient.contact:contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.contact:nameOfParent.relationship	extensible	Pattern Value: PRN http://hl7.org/fhir/ValueSet/patient-contactrelationship From the FHIR Standard
Patient.contact:nameOfParent.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.communication:languageOfCorrespondence.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ahvn13-digit-check	warning	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must pass digit check - https://www.gs1.org/services/how-calculate-check-digit-manually : (((10-(28+(substring(3,1).toInteger()*3)+(substring(4,1).toInteger()*1)+(substring(5,1).toInteger()*3)+(substring(6,1).toInteger()*1)+(substring(7,1).toInteger()*3)+(substring(8,1).toInteger()*1)+(substring(9,1).toInteger()*3)+(substring(10,1).toInteger()*1)+(substring(11,1).toInteger()*3))mod(10))mod(10))=substring(12,1).toInteger())
ahvn13-digit-check-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must pass digit check - https://www.gs1.org/services/how-calculate-check-digit-manually : true and (((10-(28+(substring(3,1).toInteger()*3)+(substring(4,1).toInteger()*1)+(substring(5,1).toInteger()*3)+(substring(6,1).toInteger()*1)+(substring(7,1).toInteger()*3)+(substring(8,1).toInteger()*1)+(substring(9,1).toInteger()*3)+(substring(10,1).toInteger()*1)+(substring(11,1).toInteger()*3))mod(10))mod(10))=substring(12,1).toInteger())
ahvn13-length	warning	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must be exactly 13 characters long : matches('^[0-9]{13}$')
ahvn13-length-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must be exactly 13 characters long : true and matches('^[0-9]{13}$')
ahvn13-startswith756	warning	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must start with 756 : startsWith('756')
ahvn13-startswith756-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must start with 756 : true and startsWith('756')
ch-pat-1	warning	Patient	If one ore more human names are provided, at least one human name should have a family and a given name. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-1-epr	error	Patient	At least one human name shall have a family and a given name. : name.where(family.exists() and given.exists()).count()>0
ch-pat-2	warning	Patient	gender 'unknown' is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
ch-pat-3	warning	Patient.extension:citizenship	ISO Country Alpha-2 or ISO Country Alpha-3 code : ((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
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())
epr-spid-length	warning	Patient.identifier:EPR-SPID.value	EPR-SPID must be exactly 18 characters long : matches('^[0-9]{18}$')
epr-spid-length-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must be exactly 18 characters long : true and matches('^[0-9]{18}$')
epr-spid-modulus-10	warning	Patient.identifier:EPR-SPID.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : (((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-modulus-10-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : true and (((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-startswith76133761	warning	Patient.identifier:EPR-SPID.value	EPR-SPID must start with 76133761 : startsWith('76133761')
epr-spid-startswith76133761-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must start with 76133761 : true and startsWith('76133761')
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact, Patient.contact:contact, Patient.contact:nameOfParent	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()
veka-length	warning	Patient.identifier:insuranceCardNumber.value	Insurance card number must be exactly 20 characters long : matches('^[0-9]{20}$')
veka-length-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must be exactly 20 characters long : true and matches('^[0-9]{20}$')
veka-startswith807560	warning	Patient.identifier:insuranceCardNumber.value	Insurance card number must start with 807560 : startsWith('807560')
veka-startswith807560-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must start with 807560 : true and startsWith('807560')

This structure is derived from CHCorePatientEPR

Summary

Prohibited: 2 elements

Structures

This structure refers to these other structures:

• CH EMED EPR Organization (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-organization)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	CHCorePatientEPR	CH Core Patient EPR (to include the patient in an EPR document) Constraints: ch-pat-1, ch-pat-2, ch-pat-1-epr
Slices for extension				Content/Rules for all slices
extension:placeOfBirth		0..1	CHCoreAddressEch11PlaceOfBirth	Place of birth of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
extension:placeOfOrigin		0..*	CHCoreAddressECH11PlaceOfOrigin	Place of origin(s) of the patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
extension:citizenship	C	0..*	(Complex)	Information on nationality data (eCH: Staatsangehörigkeit/Nationalité) of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Constraints: ch-pat-3
extension:religion		0..1	CodeableConcept	Religion of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (preferred)
Slices for identifier	Σ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:$this
identifier:All Slices				Content/Rules for all slices
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
period	ΣD	0..1	Period	✕ This element is not supported
assigner	ΣD	0..1	Reference(CH EMED EPR Organization)	✕ This element will be removed in PML(C) documents
identifier:LocalPid	Σ	0..*	Identifier	Local patient identifier(s) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
assigner	Σ	0..1	Reference(CH EMED EPR Organization)	Organization that issued id (may be just text)
identifier:insuranceCardNumber	Σ	0..*	VEKAIdentifier	Insurance card number of the patient (20 digits) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
value	ΣC	1..1	string	The value that is unique Constraints: veka-length, veka-startswith807560, veka-length-error, veka-startswith807560-error Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	1..*	CHCoreHumanName	A name associated with the patient
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system
telecom:All Slices				Content/Rules for all slices
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:email	Σ	0..*	CHCoreContactPointECH46Email	A contact detail for the individual
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Slices for extension				Content/Rules for all slices
extension:emailCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-emailcategory Binding: eCH-0046 Email Category (extensible)
telecom:phone	Σ	0..*	CHCoreContactPointECH46Phone	A contact detail for the individual
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Slices for extension				Content/Rules for all slices
extension:phoneCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-phonecategory Binding: eCH-0046 Phone Category (extensible)
telecom:internet	Σ	0..*	CHCoreContactPointECH46Internet	A contact detail for the individual
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: url
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Slices for extension				Content/Rules for all slices
extension:internetCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-internetcategory Binding: eCH-0046 Internet Category (extensible)
gender	Σ	1..1	code	male | female | other | unknown* (* see warning 'ch-pat-2') Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	1..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
Slices for contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Slice: Unordered, Open by value:relationship Constraints: pat-1
contact:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
organization	CD	0..1	Reference(Organization)	✕ This element will be removed in PML(C) documents
contact:contact	C	0..1	BackboneElement	Contact data if it is not the address of the patient Constraints: pat-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		1..1	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: contactData
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
address		1..1	CHCoreAddressECH10	Address for the contact person
contact:nameOfParent	C	0..*	BackboneElement	Name of parent Constraints: pat-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		1..1	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
name		1..1	HumanName	A name associated with the contact person
Slices for communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Slice: Unordered, Open by value:preferred
communication:All Slices				Content/Rules for all slices
modifierExtension	?!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
communication:languageOfCorrespondence		0..1	BackboneElement	Language of correspondence
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		1..1	boolean	Language preference indicator Fixed Value: true
generalPractitioner	D	0..*	Reference(Organization | Practitioner | PractitionerRole)	✕ This element will be removed in PML(C) documents
managingOrganization	ΣD	0..1	Reference(Organization)	✕ This element will be removed in PML(C) documents
link	?!ΣD	0..*	BackboneElement	✕ This element will be removed in PML(C) documents
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Patient.identifier:EPR-SPID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:AHVN13.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:LocalPid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:insuranceCardNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.telecom:email.system	required	Fixed Value: email http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom:email.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.telecom:phone.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom:phone.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.telecom:internet.system	required	Fixed Value: url http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom:internet.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.contact:contact.relationship	extensible	Pattern Value: contactData http://hl7.org/fhir/ValueSet/patient-contactrelationship From the FHIR Standard
Patient.contact:nameOfParent.relationship	extensible	Pattern Value: PRN http://hl7.org/fhir/ValueSet/patient-contactrelationship From the FHIR Standard
Patient.communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.communication:languageOfCorrespondence.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ahvn13-digit-check	warning	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must pass digit check - https://www.gs1.org/services/how-calculate-check-digit-manually : (((10-(28+(substring(3,1).toInteger()*3)+(substring(4,1).toInteger()*1)+(substring(5,1).toInteger()*3)+(substring(6,1).toInteger()*1)+(substring(7,1).toInteger()*3)+(substring(8,1).toInteger()*1)+(substring(9,1).toInteger()*3)+(substring(10,1).toInteger()*1)+(substring(11,1).toInteger()*3))mod(10))mod(10))=substring(12,1).toInteger())
ahvn13-digit-check-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must pass digit check - https://www.gs1.org/services/how-calculate-check-digit-manually : true and (((10-(28+(substring(3,1).toInteger()*3)+(substring(4,1).toInteger()*1)+(substring(5,1).toInteger()*3)+(substring(6,1).toInteger()*1)+(substring(7,1).toInteger()*3)+(substring(8,1).toInteger()*1)+(substring(9,1).toInteger()*3)+(substring(10,1).toInteger()*1)+(substring(11,1).toInteger()*3))mod(10))mod(10))=substring(12,1).toInteger())
ahvn13-length	warning	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must be exactly 13 characters long : matches('^[0-9]{13}$')
ahvn13-length-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must be exactly 13 characters long : true and matches('^[0-9]{13}$')
ahvn13-startswith756	warning	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must start with 756 : startsWith('756')
ahvn13-startswith756-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must start with 756 : true and startsWith('756')
ch-pat-1	warning	Patient	If one ore more human names are provided, at least one human name should have a family and a given name. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-1-epr	error	Patient	At least one human name shall have a family and a given name. : name.where(family.exists() and given.exists()).count()>0
ch-pat-2	warning	Patient	gender 'unknown' is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
ch-pat-3	warning	Patient.extension:citizenship	ISO Country Alpha-2 or ISO Country Alpha-3 code : ((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
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())
epr-spid-length	warning	Patient.identifier:EPR-SPID.value	EPR-SPID must be exactly 18 characters long : matches('^[0-9]{18}$')
epr-spid-length-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must be exactly 18 characters long : true and matches('^[0-9]{18}$')
epr-spid-modulus-10	warning	Patient.identifier:EPR-SPID.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : (((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-modulus-10-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : true and (((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-startswith76133761	warning	Patient.identifier:EPR-SPID.value	EPR-SPID must start with 76133761 : startsWith('76133761')
epr-spid-startswith76133761-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must start with 76133761 : true and startsWith('76133761')
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact, Patient.contact:contact, Patient.contact:nameOfParent	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()
veka-length	warning	Patient.identifier:insuranceCardNumber.value	Insurance card number must be exactly 20 characters long : matches('^[0-9]{20}$')
veka-length-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must be exactly 20 characters long : true and matches('^[0-9]{20}$')
veka-startswith807560	warning	Patient.identifier:insuranceCardNumber.value	Insurance card number must start with 807560 : startsWith('807560')
veka-startswith807560-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must start with 807560 : true and startsWith('807560')

Differential View

This structure is derived from CHCorePatientEPR

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient			CHCorePatientEPR
meta
extension	D	0..*	Extension	✕ This element is not supported
versionId	D	0..1	id	✕ This element is not supported
lastUpdated	D	0..1	instant	✕ This element is not supported
source	D	0..1	uri	✕ This element is not supported
security	D	0..*	Coding	✕ This element is not supported
tag	D	0..*	Coding	✕ This element is not supported
implicitRules		0..0
modifierExtension		0..0
identifier		1..*	Identifier	An identifier for this patient
extension	D	0..*	Extension	✕ This element is not supported
type	D	0..1	CodeableConcept	✕ This element is not supported
period	D	0..1	Period	✕ This element is not supported
assigner	D	0..1	Reference(CH EMED EPR Organization)	✕ This element will be removed in PML(C) documents
Slices for identifier				Content/Rules for all slices
identifier:EPR-SPID		0..0	EPRSPIDIdentifier
identifier:AHVN13		0..0	AHVN13Identifier
identifier:LocalPid		0..*	Identifier	Local patient identifier(s)
assigner		0..1	Reference(CH EMED EPR Organization)	Organization that issued id (may be just text)
identifier:insuranceCardNumber		0..*	VEKAIdentifier	Insurance card number of the patient (20 digits)
value	C	1..1	string	The value that is unique Constraints: veka-length-error, veka-startswith807560-error
contact		0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
organization	D	0..1	Reference(Organization)	✕ This element will be removed in PML(C) documents
generalPractitioner	D	0..*	Reference(Organization | Practitioner | PractitionerRole)	✕ This element will be removed in PML(C) documents
managingOrganization	D	0..1	Reference(Organization)	✕ This element will be removed in PML(C) documents
link	D	0..*	BackboneElement	✕ This element will be removed in PML(C) documents
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
ahvn13-digit-check-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must pass digit check - https://www.gs1.org/services/how-calculate-check-digit-manually : true and (((10-(28+(substring(3,1).toInteger()*3)+(substring(4,1).toInteger()*1)+(substring(5,1).toInteger()*3)+(substring(6,1).toInteger()*1)+(substring(7,1).toInteger()*3)+(substring(8,1).toInteger()*1)+(substring(9,1).toInteger()*3)+(substring(10,1).toInteger()*1)+(substring(11,1).toInteger()*3))mod(10))mod(10))=substring(12,1).toInteger())
ahvn13-length-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must be exactly 13 characters long : true and matches('^[0-9]{13}$')
ahvn13-startswith756-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must start with 756 : true and startsWith('756')
epr-spid-length-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must be exactly 18 characters long : true and matches('^[0-9]{18}$')
epr-spid-modulus-10-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : true and (((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-startswith76133761-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must start with 76133761 : true and startsWith('76133761')
veka-length-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must be exactly 20 characters long : true and matches('^[0-9]{20}$')
veka-startswith807560-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must start with 807560 : true and startsWith('807560')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	CHCorePatientEPR	CH Core Patient EPR (to include the patient in an EPR document) Constraints: ch-pat-1, ch-pat-2, ch-pat-1-epr
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
versionId	ΣD	0..1	id	✕ This element is not supported
lastUpdated	ΣD	0..1	instant	✕ This element is not supported
source	ΣD	0..1	uri	✕ This element is not supported
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	ΣD	0..*	Coding	✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	ΣD	0..*	Coding	✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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:placeOfBirth		0..1	CHCoreAddressEch11PlaceOfBirth	Place of birth of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
extension:placeOfOrigin		0..*	CHCoreAddressECH11PlaceOfOrigin	Place of origin(s) of the patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
extension:citizenship	C	0..*	(Complex)	Information on nationality data (eCH: Staatsangehörigkeit/Nationalité) of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Constraints: ch-pat-3
extension:religion		0..1	CodeableConcept	Religion of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (preferred)
Slices for identifier	Σ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:$this
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	ΣD	0..1	Period	✕ This element is not supported
assigner	ΣD	0..1	Reference(CH EMED EPR Organization)	✕ This element will be removed in PML(C) documents
identifier:LocalPid	Σ	0..*	Identifier	Local patient identifier(s) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CH EMED EPR Organization)	Organization that issued id (may be just text)
identifier:insuranceCardNumber	Σ	0..*	VEKAIdentifier	Insurance card number of the patient (20 digits) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
value	ΣC	1..1	string	The value that is unique Constraints: veka-length, veka-startswith807560, veka-length-error, veka-startswith807560-error Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	Expiration date of the insurance card
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	1..*	CHCoreHumanName	A name associated with the patient
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system
telecom:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:email	Σ	0..*	CHCoreContactPointECH46Email	A contact detail for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:emailCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-emailcategory Binding: eCH-0046 Email Category (extensible)
value		0..1	string	Primitive value for code
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
telecom:phone	Σ	0..*	CHCoreContactPointECH46Phone	A contact detail for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:phoneCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-phonecategory Binding: eCH-0046 Phone Category (extensible)
value		0..1	string	Primitive value for code
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
telecom:internet	Σ	0..*	CHCoreContactPointECH46Internet	A contact detail for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: url
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:internetCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-internetcategory Binding: eCH-0046 Internet Category (extensible)
value		0..1	string	Primitive value for code
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
gender	Σ	1..1	code	male | female | other | unknown* (* see warning 'ch-pat-2') Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	1..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	Σ	0..*	CHCoreAddress	An address for the individual
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: ChCoreMaritalStatus (extensible)
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:maritalDataSeparation		0..1	CodeableConcept	MaritalData Separation URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-maritaldata-separation Binding: eCH-011 MaritalData Separation (extensible): ValueSet separation type
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
Slices for contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Slice: Unordered, Open by value:relationship Constraints: pat-1
contact:All Slices				Content/Rules for all slices
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	CD	0..1	Reference(Organization)	✕ This element will be removed in PML(C) documents
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
contact:contact	C	0..1	BackboneElement	Contact data if it is not the address of 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		1..1	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: contactData
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
name		0..1	HumanName	A name associated with the contact person
address		1..1	CHCoreAddressECH10	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
contact:nameOfParent	C	0..*	BackboneElement	Name of parent 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		1..1	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
name		1..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
Slices for communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Slice: Unordered, Open by value:preferred
communication:All Slices				Content/Rules for all slices
id		0..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
communication:languageOfCorrespondence		0..1	BackboneElement	Language of correspondence
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		1..1	boolean	Language preference indicator Fixed Value: true
generalPractitioner	D	0..*	Reference(Organization | Practitioner | PractitionerRole)	✕ This element will be removed in PML(C) documents
managingOrganization	ΣD	0..1	Reference(Organization)	✕ This element will be removed in PML(C) documents
link	?!ΣD	0..*	BackboneElement	✕ This element will be removed in PML(C) documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Patient.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Patient.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Patient.identifier:EPR-SPID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:EPR-SPID.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Patient.identifier:AHVN13.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:AHVN13.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Patient.identifier:LocalPid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:LocalPid.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Patient.identifier:insuranceCardNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:insuranceCardNumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.telecom:email.system	required	Fixed Value: email http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom:email.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.telecom:phone.system	required	Fixed Value: phone http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom:phone.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.telecom:internet.system	required	Fixed Value: url http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom:internet.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.maritalStatus	extensible	ChCoreMaritalStatus http://fhir.ch/ig/ch-core/ValueSet/ch-core-maritalstatus
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship From the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.contact:contact.relationship	extensible	Pattern Value: contactData http://hl7.org/fhir/ValueSet/patient-contactrelationship From the FHIR Standard
Patient.contact:contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.contact:nameOfParent.relationship	extensible	Pattern Value: PRN http://hl7.org/fhir/ValueSet/patient-contactrelationship From the FHIR Standard
Patient.contact:nameOfParent.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.communication:languageOfCorrespondence.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ahvn13-digit-check	warning	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must pass digit check - https://www.gs1.org/services/how-calculate-check-digit-manually : (((10-(28+(substring(3,1).toInteger()*3)+(substring(4,1).toInteger()*1)+(substring(5,1).toInteger()*3)+(substring(6,1).toInteger()*1)+(substring(7,1).toInteger()*3)+(substring(8,1).toInteger()*1)+(substring(9,1).toInteger()*3)+(substring(10,1).toInteger()*1)+(substring(11,1).toInteger()*3))mod(10))mod(10))=substring(12,1).toInteger())
ahvn13-digit-check-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must pass digit check - https://www.gs1.org/services/how-calculate-check-digit-manually : true and (((10-(28+(substring(3,1).toInteger()*3)+(substring(4,1).toInteger()*1)+(substring(5,1).toInteger()*3)+(substring(6,1).toInteger()*1)+(substring(7,1).toInteger()*3)+(substring(8,1).toInteger()*1)+(substring(9,1).toInteger()*3)+(substring(10,1).toInteger()*1)+(substring(11,1).toInteger()*3))mod(10))mod(10))=substring(12,1).toInteger())
ahvn13-length	warning	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must be exactly 13 characters long : matches('^[0-9]{13}$')
ahvn13-length-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must be exactly 13 characters long : true and matches('^[0-9]{13}$')
ahvn13-startswith756	warning	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must start with 756 : startsWith('756')
ahvn13-startswith756-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must start with 756 : true and startsWith('756')
ch-pat-1	warning	Patient	If one ore more human names are provided, at least one human name should have a family and a given name. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-1-epr	error	Patient	At least one human name shall have a family and a given name. : name.where(family.exists() and given.exists()).count()>0
ch-pat-2	warning	Patient	gender 'unknown' is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
ch-pat-3	warning	Patient.extension:citizenship	ISO Country Alpha-2 or ISO Country Alpha-3 code : ((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
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())
epr-spid-length	warning	Patient.identifier:EPR-SPID.value	EPR-SPID must be exactly 18 characters long : matches('^[0-9]{18}$')
epr-spid-length-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must be exactly 18 characters long : true and matches('^[0-9]{18}$')
epr-spid-modulus-10	warning	Patient.identifier:EPR-SPID.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : (((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-modulus-10-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : true and (((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-startswith76133761	warning	Patient.identifier:EPR-SPID.value	EPR-SPID must start with 76133761 : startsWith('76133761')
epr-spid-startswith76133761-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must start with 76133761 : true and startsWith('76133761')
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact, Patient.contact:contact, Patient.contact:nameOfParent	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()
veka-length	warning	Patient.identifier:insuranceCardNumber.value	Insurance card number must be exactly 20 characters long : matches('^[0-9]{20}$')
veka-length-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must be exactly 20 characters long : true and matches('^[0-9]{20}$')
veka-startswith807560	warning	Patient.identifier:insuranceCardNumber.value	Insurance card number must start with 807560 : startsWith('807560')
veka-startswith807560-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must start with 807560 : true and startsWith('807560')

This structure is derived from CHCorePatientEPR

Summary

Prohibited: 2 elements

Structures

This structure refers to these other structures:

• CH EMED EPR Organization (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-organization)