CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/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

Usage:

• Use this Resource Profile: PMLC Document, DIS Document, PML Document, PRE Document... Show 2 more, MTP Document and PADV Document
• Refer to this Resource 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 Resource Profile: Patient/PatientCARAPMP004 and Patient/PatientDupont

Formal Views of Profile Content

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

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

This structure is derived from CHCorePatientEPR

Name	Flags	Card.	Type	Description & Constraints
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 veka-length-error: Insurance card number must be exactly 20 characters long veka-startswith807560-error: Insurance card number must start with 807560
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 : (((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 : matches('^[0-9]{13}$')
ahvn13-startswith756-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must start with 756 : startsWith('756')
epr-spid-length-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must be exactly 18 characters long : matches('^[0-9]{18}$')
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 : (((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 : startsWith('76133761')
veka-length-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must be exactly 20 characters long : matches('^[0-9]{20}$')
veka-startswith807560-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must start with 807560 : startsWith('807560')

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	CHCorePatientEPR	CH Core Patient EPR (to include the patient in an EPR document) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management ch-pat-1: If one ore more human names are provided, at least one human name should have a family and a given name. ch-pat-2: gender 'unknown' is currently not used in Switzerland in eCH and the EPR ch-pat-1-epr: At least one human name shall have a family and a given name.
Slices for extension				Content/Rules for all slices
placeOfBirth		0..1	CHCoreAddressEch11PlaceOfBirth	Place of birth of patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
placeOfOrigin		0..*	CHCoreAddressECH11PlaceOfOrigin	Place of origin(s) of patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
citizenship	C	0..*	(Complex)	Citizenship(s) of patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code
religion		0..1	CodeableConcept	Religion of patient URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (preferred) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
identifier:All Slices				Content/Rules for all slices
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
period	ΣD	0..1	Period	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
assigner	ΣD	0..1	Reference(CH EMED EPR Organization)	✕ This element will be removed in PML(C) documents ele-1: All FHIR elements must have a @value or children
identifier:LocalPid	Σ	0..*	Identifier	Local patient identifier(s) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
assigner	Σ	0..1	Reference(CH EMED EPR Organization)	Organization that issued id (may be just text) ele-1: All FHIR elements must have a @value or children
identifier:insuranceCardNumber		0..*	VEKAIdentifier	Insurance card number of the patient (20 digits) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
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
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children veka-length: Insurance card number must be exactly 20 characters long veka-startswith807560: Insurance card number must start with 807560 veka-length-error: Insurance card number must be exactly 20 characters long veka-startswith807560-error: Insurance card number must start with 807560 Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children
name	C	1..*	CHCoreHumanName	Name of a human - parts and usage ele-1: All FHIR elements must have a @value or children ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
value	Σ	1..1	string	The actual contact point details ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
telecom:email	C	0..*	CHCoreContactPointECH46Email	CH Core ContactPoint eCH-0046 Email cpt-2: A system is required if a value is provided. ele-1: All FHIR elements must have a @value or children
telecom:phone	C	0..*	CHCoreContactPointECH46Phone	CH Core ContactPoint eCH-0046 Phone cpt-2: A system is required if a value is provided. ele-1: All FHIR elements must have a @value or children
telecom:internet	C	0..*	CHCoreContactPointECH46Internet	CH Core ContactPoint eCH-0046 Internet cpt-2: A system is required if a value is provided. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
birthDate	Σ	1..1	date	The date of birth for the individual ele-1: All FHIR elements must have a @value or children
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children pat-1: SHALL at least contain a contact's details or a reference to an organization
contact:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
organization	CD	0..1	Reference(Organization)	✕ This element will be removed in PML(C) documents ele-1: All FHIR elements must have a @value or children
contact:contact	C	0..1	BackboneElement	Contact data if it is not address of patient ele-1: All FHIR elements must have a @value or children pat-1: SHALL at least contain a contact's details or a reference to an organization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
code		1..1	code	Symbol in syntax defined by the system Fixed Value: contactData
address	C	1..1	CHCoreAddressECH10	An address expressed using postal conventions (as opposed to GPS or other location definition formats) ele-1: All FHIR elements must have a @value or children ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
contact:nameOfParent	C	0..*	BackboneElement	Name of parent ele-1: All FHIR elements must have a @value or children pat-1: SHALL at least contain a contact's details or a reference to an organization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRN
name		1..1	HumanName	A name associated with the contact person ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children
communication:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 ele-1: All FHIR elements must have a @value or children
communication:languageOfCorrespondence		0..1	BackboneElement	Language of correspondence ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 ele-1: All FHIR elements must have a @value or children
preferred		1..1	boolean	Language preference indicator ele-1: All FHIR elements must have a @value or children Fixed Value: true
generalPractitioner	D	0..*	Reference(Organization | Practitioner | PractitionerRole)	✕ This element will be removed in PML(C) documents ele-1: All FHIR elements must have a @value or children
managingOrganization	ΣD	0..1	Reference(Organization)	✕ This element will be removed in PML(C) documents ele-1: All FHIR elements must have a @value or children
link	?!ΣD	0..*	BackboneElement	✕ This element will be removed in PML(C) documents ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
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.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.contact:contact.relationship	extensible	Pattern: contactData http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact:nameOfParent.relationship	extensible	Pattern: 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 : (((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}$')
ahvn13-length-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must be exactly 13 characters long : matches('^[0-9]{13}$')
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 : startsWith('756')
ch-addr-2	error	Patient.contact:contact.address	For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. : country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').empty() or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH') = false) or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH').exists() and (state.empty() or state.memberOf('http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation')))
ch-core-hm-1	error	Patient.name	if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').exists() and use='official')
ch-core-hm-2	error	Patient.name	if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').exists() and use='maiden'))
ch-core-hm-3	error	Patient.name	ch-ext-ech-11-name can only be put on a family name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()
ch-core-hm-4	error	Patient.name	ch-ext-ech-11-firstname can only be put on a given name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()
ch-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	error	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'))
cpt-2	error	Patient.telecom:email, Patient.telecom:phone, Patient.telecom:internet	A system is required if a value is provided. : value.empty() or system.exists()
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}$')
epr-spid-length-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must be exactly 18 characters long : matches('^[0-9]{18}$')
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 : (((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 : 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}$')
veka-length-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must be exactly 20 characters long : matches('^[0-9]{20}$')
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 : startsWith('807560')

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	CHCorePatientEPR	CH Core Patient EPR (to include the patient in an EPR document) ch-pat-1: If one ore more human names are provided, at least one human name should have a family and a given name. ch-pat-2: gender 'unknown' is currently not used in Switzerland in eCH and the EPR ch-pat-1-epr: At least one human name shall have a family and a given name.
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
placeOfBirth		0..1	CHCoreAddressEch11PlaceOfBirth	Place of birth of patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
placeOfOrigin		0..*	CHCoreAddressECH11PlaceOfOrigin	Place of origin(s) of patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
citizenship	C	0..*	(Complex)	Citizenship(s) of patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code
religion		0..1	CodeableConcept	Religion of 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		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 veka-length: Insurance card number must be exactly 20 characters long veka-startswith807560: Insurance card number must start with 807560 veka-length-error: Insurance card number must be exactly 20 characters long veka-startswith807560-error: Insurance card number must start with 807560 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	C	1..*	CHCoreHumanName	Name of a human - parts and usage ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
Slices for telecom	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	C	0..*	CHCoreContactPointECH46Email	CH Core ContactPoint eCH-0046 Email cpt-2: A system is required if a value is provided.
telecom:phone	C	0..*	CHCoreContactPointECH46Phone	CH Core ContactPoint eCH-0046 Phone cpt-2: A system is required if a value is provided.
telecom:internet	C	0..*	CHCoreContactPointECH46Internet	CH Core ContactPoint eCH-0046 Internet cpt-2: A system is required if a value is provided.
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	C	0..*	CHCoreAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats) ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
maritalStatus		0..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
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 pat-1: SHALL at least contain a contact's details or a reference to an organization
contact:All Slices				Content/Rules for all slices
id		0..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 address of patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		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	C	1..1	CHCoreAddressECH10	An address expressed using postal conventions (as opposed to GPS or other location definition formats) ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
gender		0..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 pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		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.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: 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: 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 : (((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}$')
ahvn13-length-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must be exactly 13 characters long : matches('^[0-9]{13}$')
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 : startsWith('756')
ch-addr-2	error	Patient.address, Patient.contact:contact.address	For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. : country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').empty() or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH') = false) or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH').exists() and (state.empty() or state.memberOf('http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation')))
ch-core-hm-1	error	Patient.name	if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').exists() and use='official')
ch-core-hm-2	error	Patient.name	if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').exists() and use='maiden'))
ch-core-hm-3	error	Patient.name	ch-ext-ech-11-name can only be put on a family name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()
ch-core-hm-4	error	Patient.name	ch-ext-ech-11-firstname can only be put on a given name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()
ch-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	error	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'))
cpt-2	error	Patient.telecom:email, Patient.telecom:phone, Patient.telecom:internet	A system is required if a value is provided. : value.empty() or system.exists()
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}$')
epr-spid-length-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must be exactly 18 characters long : matches('^[0-9]{18}$')
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 : (((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 : 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}$')
veka-length-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must be exactly 20 characters long : matches('^[0-9]{20}$')
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 : 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)

Differential View

This structure is derived from CHCorePatientEPR

Name	Flags	Card.	Type	Description & Constraints
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 veka-length-error: Insurance card number must be exactly 20 characters long veka-startswith807560-error: Insurance card number must start with 807560
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 : (((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 : matches('^[0-9]{13}$')
ahvn13-startswith756-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must start with 756 : startsWith('756')
epr-spid-length-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must be exactly 18 characters long : matches('^[0-9]{18}$')
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 : (((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 : startsWith('76133761')
veka-length-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must be exactly 20 characters long : matches('^[0-9]{20}$')
veka-startswith807560-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must start with 807560 : startsWith('807560')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	CHCorePatientEPR	CH Core Patient EPR (to include the patient in an EPR document) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management ch-pat-1: If one ore more human names are provided, at least one human name should have a family and a given name. ch-pat-2: gender 'unknown' is currently not used in Switzerland in eCH and the EPR ch-pat-1-epr: At least one human name shall have a family and a given name.
Slices for extension				Content/Rules for all slices
placeOfBirth		0..1	CHCoreAddressEch11PlaceOfBirth	Place of birth of patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
placeOfOrigin		0..*	CHCoreAddressECH11PlaceOfOrigin	Place of origin(s) of patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
citizenship	C	0..*	(Complex)	Citizenship(s) of patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code
religion		0..1	CodeableConcept	Religion of patient URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (preferred) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
identifier:All Slices				Content/Rules for all slices
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
period	ΣD	0..1	Period	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
assigner	ΣD	0..1	Reference(CH EMED EPR Organization)	✕ This element will be removed in PML(C) documents ele-1: All FHIR elements must have a @value or children
identifier:LocalPid	Σ	0..*	Identifier	Local patient identifier(s) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
assigner	Σ	0..1	Reference(CH EMED EPR Organization)	Organization that issued id (may be just text) ele-1: All FHIR elements must have a @value or children
identifier:insuranceCardNumber		0..*	VEKAIdentifier	Insurance card number of the patient (20 digits) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
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
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children veka-length: Insurance card number must be exactly 20 characters long veka-startswith807560: Insurance card number must start with 807560 veka-length-error: Insurance card number must be exactly 20 characters long veka-startswith807560-error: Insurance card number must start with 807560 Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children
name	C	1..*	CHCoreHumanName	Name of a human - parts and usage ele-1: All FHIR elements must have a @value or children ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
value	Σ	1..1	string	The actual contact point details ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
telecom:email	C	0..*	CHCoreContactPointECH46Email	CH Core ContactPoint eCH-0046 Email cpt-2: A system is required if a value is provided. ele-1: All FHIR elements must have a @value or children
telecom:phone	C	0..*	CHCoreContactPointECH46Phone	CH Core ContactPoint eCH-0046 Phone cpt-2: A system is required if a value is provided. ele-1: All FHIR elements must have a @value or children
telecom:internet	C	0..*	CHCoreContactPointECH46Internet	CH Core ContactPoint eCH-0046 Internet cpt-2: A system is required if a value is provided. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
birthDate	Σ	1..1	date	The date of birth for the individual ele-1: All FHIR elements must have a @value or children
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children pat-1: SHALL at least contain a contact's details or a reference to an organization
contact:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
organization	CD	0..1	Reference(Organization)	✕ This element will be removed in PML(C) documents ele-1: All FHIR elements must have a @value or children
contact:contact	C	0..1	BackboneElement	Contact data if it is not address of patient ele-1: All FHIR elements must have a @value or children pat-1: SHALL at least contain a contact's details or a reference to an organization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
code		1..1	code	Symbol in syntax defined by the system Fixed Value: contactData
address	C	1..1	CHCoreAddressECH10	An address expressed using postal conventions (as opposed to GPS or other location definition formats) ele-1: All FHIR elements must have a @value or children ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
contact:nameOfParent	C	0..*	BackboneElement	Name of parent ele-1: All FHIR elements must have a @value or children pat-1: SHALL at least contain a contact's details or a reference to an organization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRN
name		1..1	HumanName	A name associated with the contact person ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children
communication:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 ele-1: All FHIR elements must have a @value or children
communication:languageOfCorrespondence		0..1	BackboneElement	Language of correspondence ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 ele-1: All FHIR elements must have a @value or children
preferred		1..1	boolean	Language preference indicator ele-1: All FHIR elements must have a @value or children Fixed Value: true
generalPractitioner	D	0..*	Reference(Organization | Practitioner | PractitionerRole)	✕ This element will be removed in PML(C) documents ele-1: All FHIR elements must have a @value or children
managingOrganization	ΣD	0..1	Reference(Organization)	✕ This element will be removed in PML(C) documents ele-1: All FHIR elements must have a @value or children
link	?!ΣD	0..*	BackboneElement	✕ This element will be removed in PML(C) documents ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
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.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.contact:contact.relationship	extensible	Pattern: contactData http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact:nameOfParent.relationship	extensible	Pattern: 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 : (((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}$')
ahvn13-length-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must be exactly 13 characters long : matches('^[0-9]{13}$')
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 : startsWith('756')
ch-addr-2	error	Patient.contact:contact.address	For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. : country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').empty() or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH') = false) or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH').exists() and (state.empty() or state.memberOf('http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation')))
ch-core-hm-1	error	Patient.name	if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').exists() and use='official')
ch-core-hm-2	error	Patient.name	if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').exists() and use='maiden'))
ch-core-hm-3	error	Patient.name	ch-ext-ech-11-name can only be put on a family name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()
ch-core-hm-4	error	Patient.name	ch-ext-ech-11-firstname can only be put on a given name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()
ch-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	error	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'))
cpt-2	error	Patient.telecom:email, Patient.telecom:phone, Patient.telecom:internet	A system is required if a value is provided. : value.empty() or system.exists()
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}$')
epr-spid-length-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must be exactly 18 characters long : matches('^[0-9]{18}$')
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 : (((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 : 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}$')
veka-length-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must be exactly 20 characters long : matches('^[0-9]{20}$')
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 : startsWith('807560')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	CHCorePatientEPR	CH Core Patient EPR (to include the patient in an EPR document) ch-pat-1: If one ore more human names are provided, at least one human name should have a family and a given name. ch-pat-2: gender 'unknown' is currently not used in Switzerland in eCH and the EPR ch-pat-1-epr: At least one human name shall have a family and a given name.
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
placeOfBirth		0..1	CHCoreAddressEch11PlaceOfBirth	Place of birth of patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
placeOfOrigin		0..*	CHCoreAddressECH11PlaceOfOrigin	Place of origin(s) of patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
citizenship	C	0..*	(Complex)	Citizenship(s) of patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code
religion		0..1	CodeableConcept	Religion of 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		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 veka-length: Insurance card number must be exactly 20 characters long veka-startswith807560: Insurance card number must start with 807560 veka-length-error: Insurance card number must be exactly 20 characters long veka-startswith807560-error: Insurance card number must start with 807560 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	C	1..*	CHCoreHumanName	Name of a human - parts and usage ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name
Slices for telecom	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	C	0..*	CHCoreContactPointECH46Email	CH Core ContactPoint eCH-0046 Email cpt-2: A system is required if a value is provided.
telecom:phone	C	0..*	CHCoreContactPointECH46Phone	CH Core ContactPoint eCH-0046 Phone cpt-2: A system is required if a value is provided.
telecom:internet	C	0..*	CHCoreContactPointECH46Internet	CH Core ContactPoint eCH-0046 Internet cpt-2: A system is required if a value is provided.
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	C	0..*	CHCoreAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats) ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
maritalStatus		0..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
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 pat-1: SHALL at least contain a contact's details or a reference to an organization
contact:All Slices				Content/Rules for all slices
id		0..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 address of patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		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	C	1..1	CHCoreAddressECH10	An address expressed using postal conventions (as opposed to GPS or other location definition formats) ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
gender		0..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 pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		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.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: 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: 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 : (((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}$')
ahvn13-length-error	error	Patient.identifier:AHVN13.value	AHVN13 / NAVS13 must be exactly 13 characters long : matches('^[0-9]{13}$')
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 : startsWith('756')
ch-addr-2	error	Patient.address, Patient.contact:contact.address	For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. : country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').empty() or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH') = false) or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH').exists() and (state.empty() or state.memberOf('http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation')))
ch-core-hm-1	error	Patient.name	if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').exists() and use='official')
ch-core-hm-2	error	Patient.name	if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').exists() and use='maiden'))
ch-core-hm-3	error	Patient.name	ch-ext-ech-11-name can only be put on a family name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()
ch-core-hm-4	error	Patient.name	ch-ext-ech-11-firstname can only be put on a given name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()
ch-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	error	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'))
cpt-2	error	Patient.telecom:email, Patient.telecom:phone, Patient.telecom:internet	A system is required if a value is provided. : value.empty() or system.exists()
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}$')
epr-spid-length-error	error	Patient.identifier:EPR-SPID.value	EPR-SPID must be exactly 18 characters long : matches('^[0-9]{18}$')
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 : (((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 : 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}$')
veka-length-error	error	Patient.identifier:insuranceCardNumber.value	Insurance card number must be exactly 20 characters long : matches('^[0-9]{20}$')
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 : 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)