Guías de Implementación HL7 FHIR: CR Core, published by Ministerio de Salud de Costa Rica. This guide is not an authorized publication; it is the continuous build for version 0.1.1-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HIE-cr/core-ig/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• JSON

Resource Profile: Paciente

Perfil CORE de Paciente (Patient)

Usages:

• Refer to this Profile: Alergias e Intolerancias, Auditoría de Eventos, Documento Clínico, Condición... Show 4 more, Encuentro Clínico, Inmunización, Observación and Procedencia de recursos
• Examples for this Profile: Patient/pacienteExtranjero02, Patient/pacienteNacional01 and Patient/pacienteResidente03

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	Patient	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	Lista de los identificadores del Paciente.
use	?!SΣ	1..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	Tipo de documento de identificación (Extensible) Binding: Tipo de Identificador de Paciente (required): Valueset de tipos de identificación para el paciente
active	?!Σ	0..1	boolean	Indica si el Paciente está activo o no.
name	SΣ	1..*	HumanName	Nombre del paciente.
use	?!Σ	0..1	code	Uso del nombre. usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required)
family	SΣ	1..1	string	Apellidos del paciente.
given	SΣ	1..*	string	Nombres del paciente. This repeating element order: Given Names appear in the correct order for presenting the name
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual
system	ΣC	0..1	code	Tipo de contacto. phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required)
value	ΣC	0..1	string	Número de contacto del paciente.
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
gender	Σ	1..1	code	Sexo biológico del paciente. (male | female | other | unknown (requerido)) Binding: AdministrativeGender (required)
birthDate	Σ	1..1	date	Fecha de nacimiento del paciente.
deceased[x]	?!Σ	0..1		Indica si el paciente ha fallecido y la fecha de fallecimiento.
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	AddressBaseCrCore	Dirección del paciente.
maritalStatus		0..1	CodeableConcept	Estado civil del paciente. Married | Single | Divorced | Widowed | Separated | Common Law Binding: MaritalStatusCodes (required)
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual individual
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, or Patient/RelatedPerson when using the seealso code
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Patient.identifier.type	required	PersonIdentifierType https://ministeriodesalud.go.cr/fhir/core/ValueSet/person-identifier-type From this IG
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use From the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system From the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0 From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender From the FHIR Standard
Patient.maritalStatus	required	MaritalStatusCodes http://hl7.org/fhir/ValueSet/marital-status From the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|5.0.0 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	Patient	Information about an individual or animal receiving health care services
identifier	S	1..*	Identifier	Lista de los identificadores del Paciente.
use	S	1..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Tipo de documento de identificación (Extensible) Binding: Tipo de Identificador de Paciente (required): Valueset de tipos de identificación para el paciente
active		0..1	boolean	Indica si el Paciente está activo o no.
name	S	1..*	HumanName	Nombre del paciente.
use		0..1	code	Uso del nombre. usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required)
family	S	1..1	string	Apellidos del paciente.
given	S	1..*	string	Nombres del paciente.
telecom	S	0..*	ContactPoint	A contact detail for the individual
system		0..1	code	Tipo de contacto. phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required)
value		0..1	string	Número de contacto del paciente.
gender		1..1	code	Sexo biológico del paciente. (male | female | other | unknown (requerido)) Binding: AdministrativeGender (required)
birthDate		1..1	date	Fecha de nacimiento del paciente.
deceased[x]		0..1	boolean, dateTime	Indica si el paciente ha fallecido y la fecha de fallecimiento.
address	S	0..*	AddressBaseCrCore	Dirección del paciente.
maritalStatus		0..1	CodeableConcept	Estado civil del paciente. Married | Single | Divorced | Widowed | Separated | Common Law Binding: MaritalStatusCodes (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.identifier.type	required	PersonIdentifierType https://ministeriodesalud.go.cr/fhir/core/ValueSet/person-identifier-type From this IG
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use From the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender From the FHIR Standard
Patient.maritalStatus	required	MaritalStatusCodes http://hl7.org/fhir/ValueSet/marital-status From the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	Lista de los identificadores del Paciente.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..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	Tipo de documento de identificación (Extensible) Binding: Tipo de Identificador de Paciente (required): Valueset de tipos de identificación para el paciente
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Indica si el Paciente está activo o no.
name	SΣ	1..*	HumanName	Nombre del paciente.
id		0..1	id	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	Uso del nombre. usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required)
text	Σ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Apellidos del paciente.
given	SΣ	1..*	string	Nombres del paciente. This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	0..1	code	Tipo de contacto. phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required)
value	ΣC	0..1	string	Número de contacto del paciente.
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
gender	Σ	1..1	code	Sexo biológico del paciente. (male | female | other | unknown (requerido)) Binding: AdministrativeGender (required)
birthDate	Σ	1..1	date	Fecha de nacimiento del paciente.
deceased[x]	?!Σ	0..1		Indica si el paciente ha fallecido y la fecha de fallecimiento.
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	AddressBaseCrCore	Dirección del paciente.
maritalStatus		0..1	CodeableConcept	Estado civil del paciente. Married | Single | Divorced | Widowed | Separated | Common Law Binding: MaritalStatusCodes (required)
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name	C	0..1	HumanName	A name associated with the contact person
telecom	C	0..*	ContactPoint	A contact detail for the person
address	C	0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual individual
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, or Patient/RelatedPerson when using the seealso code
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Patient.identifier.type	required	PersonIdentifierType https://ministeriodesalud.go.cr/fhir/core/ValueSet/person-identifier-type From this IG
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use From the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system From the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0 From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender From the FHIR Standard
Patient.maritalStatus	required	MaritalStatusCodes http://hl7.org/fhir/ValueSet/marital-status From the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship|5.0.0 From the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0 From the FHIR Standard
Patient.communication.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|5.0.0 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from Patient

Summary

Mandatory: 7 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

• Dirección (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/address-base-cr-core)

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	Patient	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	Lista de los identificadores del Paciente.
use	?!SΣ	1..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	Tipo de documento de identificación (Extensible) Binding: Tipo de Identificador de Paciente (required): Valueset de tipos de identificación para el paciente
active	?!Σ	0..1	boolean	Indica si el Paciente está activo o no.
name	SΣ	1..*	HumanName	Nombre del paciente.
use	?!Σ	0..1	code	Uso del nombre. usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required)
family	SΣ	1..1	string	Apellidos del paciente.
given	SΣ	1..*	string	Nombres del paciente. This repeating element order: Given Names appear in the correct order for presenting the name
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual
system	ΣC	0..1	code	Tipo de contacto. phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required)
value	ΣC	0..1	string	Número de contacto del paciente.
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
gender	Σ	1..1	code	Sexo biológico del paciente. (male | female | other | unknown (requerido)) Binding: AdministrativeGender (required)
birthDate	Σ	1..1	date	Fecha de nacimiento del paciente.
deceased[x]	?!Σ	0..1		Indica si el paciente ha fallecido y la fecha de fallecimiento.
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	AddressBaseCrCore	Dirección del paciente.
maritalStatus		0..1	CodeableConcept	Estado civil del paciente. Married | Single | Divorced | Widowed | Separated | Common Law Binding: MaritalStatusCodes (required)
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual individual
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, or Patient/RelatedPerson when using the seealso code
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Patient.identifier.type	required	PersonIdentifierType https://ministeriodesalud.go.cr/fhir/core/ValueSet/person-identifier-type From this IG
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use From the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system From the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0 From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender From the FHIR Standard
Patient.maritalStatus	required	MaritalStatusCodes http://hl7.org/fhir/ValueSet/marital-status From the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|5.0.0 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	Patient	Information about an individual or animal receiving health care services
identifier	S	1..*	Identifier	Lista de los identificadores del Paciente.
use	S	1..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Tipo de documento de identificación (Extensible) Binding: Tipo de Identificador de Paciente (required): Valueset de tipos de identificación para el paciente
active		0..1	boolean	Indica si el Paciente está activo o no.
name	S	1..*	HumanName	Nombre del paciente.
use		0..1	code	Uso del nombre. usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required)
family	S	1..1	string	Apellidos del paciente.
given	S	1..*	string	Nombres del paciente.
telecom	S	0..*	ContactPoint	A contact detail for the individual
system		0..1	code	Tipo de contacto. phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required)
value		0..1	string	Número de contacto del paciente.
gender		1..1	code	Sexo biológico del paciente. (male | female | other | unknown (requerido)) Binding: AdministrativeGender (required)
birthDate		1..1	date	Fecha de nacimiento del paciente.
deceased[x]		0..1	boolean, dateTime	Indica si el paciente ha fallecido y la fecha de fallecimiento.
address	S	0..*	AddressBaseCrCore	Dirección del paciente.
maritalStatus		0..1	CodeableConcept	Estado civil del paciente. Married | Single | Divorced | Widowed | Separated | Common Law Binding: MaritalStatusCodes (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.identifier.type	required	PersonIdentifierType https://ministeriodesalud.go.cr/fhir/core/ValueSet/person-identifier-type From this IG
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use From the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender From the FHIR Standard
Patient.maritalStatus	required	MaritalStatusCodes http://hl7.org/fhir/ValueSet/marital-status From the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	Lista de los identificadores del Paciente.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..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	Tipo de documento de identificación (Extensible) Binding: Tipo de Identificador de Paciente (required): Valueset de tipos de identificación para el paciente
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Indica si el Paciente está activo o no.
name	SΣ	1..*	HumanName	Nombre del paciente.
id		0..1	id	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	Uso del nombre. usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required)
text	Σ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Apellidos del paciente.
given	SΣ	1..*	string	Nombres del paciente. This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	0..1	code	Tipo de contacto. phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required)
value	ΣC	0..1	string	Número de contacto del paciente.
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
gender	Σ	1..1	code	Sexo biológico del paciente. (male | female | other | unknown (requerido)) Binding: AdministrativeGender (required)
birthDate	Σ	1..1	date	Fecha de nacimiento del paciente.
deceased[x]	?!Σ	0..1		Indica si el paciente ha fallecido y la fecha de fallecimiento.
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	AddressBaseCrCore	Dirección del paciente.
maritalStatus		0..1	CodeableConcept	Estado civil del paciente. Married | Single | Divorced | Widowed | Separated | Common Law Binding: MaritalStatusCodes (required)
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name	C	0..1	HumanName	A name associated with the contact person
telecom	C	0..*	ContactPoint	A contact detail for the person
address	C	0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual individual
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, or Patient/RelatedPerson when using the seealso code
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Patient.identifier.type	required	PersonIdentifierType https://ministeriodesalud.go.cr/fhir/core/ValueSet/person-identifier-type From this IG
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use From the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system From the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0 From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender From the FHIR Standard
Patient.maritalStatus	required	MaritalStatusCodes http://hl7.org/fhir/ValueSet/marital-status From the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship|5.0.0 From the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0 From the FHIR Standard
Patient.communication.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|5.0.0 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from Patient

Summary

Mandatory: 7 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

• Dirección (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/address-base-cr-core)

Maturity: 0

Other representations of profile: CSV, Excel, Schematron