HL7 UK - UK Core Access
0.1.0 - ci-build United Kingdom flag

HL7 UK - UK Core Access, published by HL7 UK. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-UK/UK-Core-Access/ and changes regularly. See the Directory of published versions

Resource Profile: UKCoreAccessPatientIndexPatient

Official URL: https://fhir.hl7.org.uk/uk-core-access/StructureDefinition/UKCoreAccessPatientIndexPatient Version: 0.1.0
Active as of 2024-08-28 Computable Name: UKCoreAccessPatientIndexPatient

UK Core Access Patient resource profile for patient index lookup, supporting basic data for identification

Usage:

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

Formal Views of Profile Content

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

This structure is derived from UKCorePatient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..* UKCorePatient(2.2.0) Information about an individual or animal receiving health care services
... identifier S 1..* Identifier An identifier for this patient
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... Slices for identifier Content/Rules for all slices
.... identifier:nhsNumber 0..1 Identifier The patient's NHS number
..... system S 1..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
... name S 1..* HumanName A name associated with the patient
... birthDate S 0..1 date The date of birth for the individual
... address S 0..1 Address An address for the individual

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..* UKCorePatient(2.2.0) Information about an individual or animal receiving health care services
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... birthPlace 0..1 (Complex) The registered place of birth of the patient.
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
..... value[x] 1..1 Address The registered place of birth of the patient.
.... birthSex 0..1 code The patient's phenotypic sex at birth.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex
Binding: UK Core Birth Sex (required)
.... cadavericDonor 0..1 (Complex) Post-mortem donor status.
URL: http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"
..... value[x] 1..1 boolean Post-mortem donor status.
.... contactPreference 0..1 (Complex) The preferred method of contact, contact times and written communication format given by a Patient or Related Person.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactPreference
.... deathNotificationStatus 0..1 (Complex) The patient's death notification status.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeathNotificationStatus
.... ethnicCategory 0..1 CodeableConcept The ethnicity of the subject
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory
Binding: UK Core Ethnic Category (preferred): A set of codes that define the ethnicity of a person, as specified by the person.


.... residentialStatus 0..1 CodeableConcept The residential status of the patient.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ResidentialStatus
Binding: UK Core Residential Status (extensible)
.... patientInterpreterRequired 0..1 (Complex) Whether the patient needs an interpreter
URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"
..... value[x] 1..1 boolean Indicator showing whether the patient needs an interpreter
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:nhsNumber Σ 0..1 Identifier The patient's NHS number
..... Slices for extension Content/Rules for all slices
...... nhsNumberVerificationStatus 0..1 CodeableConcept NHS number verification status
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus
Binding: UK Core NHS Number Verification Status (required)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: https://fhir.nhs.uk/Id/nhs-number
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... name SΣ 1..* HumanName A name associated with the patient
... gender SΣ 1..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate SΣ 0..1 date The date of birth for the individual
.... Slices for extension Content/Rules for all slices
..... birthTime 0..1 (Complex) Time of day of birth.
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
...... extension 0..0
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthTime"
...... value[x] 1..1 dateTime Time of day of birth.
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address SΣ 0..1 Address An address for the individual
.... Slices for extension Content/Rules for all slices
..... addressKey 0..* (Complex) A patient's address key and type
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AddressKey
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
... link ?!Σ 0..* BackboneElement Link to another patient resource that concerns the same actual person
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(UK Core Patient(2.2.0) | UK Core 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:nhsNumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..* UKCorePatient(2.2.0) 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
... 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
.... birthPlace 0..1 (Complex) The registered place of birth of the patient.
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
..... value[x] 1..1 Address The registered place of birth of the patient.
.... birthSex 0..1 code The patient's phenotypic sex at birth.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex
Binding: UK Core Birth Sex (required)
.... cadavericDonor 0..1 (Complex) Post-mortem donor status.
URL: http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"
..... value[x] 1..1 boolean Post-mortem donor status.
.... contactPreference 0..1 (Complex) The preferred method of contact, contact times and written communication format given by a Patient or Related Person.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactPreference
.... deathNotificationStatus 0..1 (Complex) The patient's death notification status.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeathNotificationStatus
.... ethnicCategory 0..1 CodeableConcept The ethnicity of the subject
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory
Binding: UK Core Ethnic Category (preferred): A set of codes that define the ethnicity of a person, as specified by the person.


.... residentialStatus 0..1 CodeableConcept The residential status of the patient.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ResidentialStatus
Binding: UK Core Residential Status (extensible)
.... patientInterpreterRequired 0..1 (Complex) Whether the patient needs an interpreter
URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"
..... value[x] 1..1 boolean Indicator showing whether the patient needs an interpreter
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier An identifier for this patient
Slice: Unordered, Open by value:system
.... identifier: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
..... 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 SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 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(Organization) Organization that issued id (may be just text)
.... identifier:nhsNumber Σ 0..1 Identifier The patient's NHS number
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... nhsNumberVerificationStatus 0..1 CodeableConcept NHS number verification status
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus
Binding: UK Core NHS Number Verification Status (required)
..... 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 SΣ 1..1 uri The namespace for the identifier value
Fixed Value: https://fhir.nhs.uk/Id/nhs-number
..... value SΣ 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(UK Core Organization) Organization that issued id (may be just text)
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... name SΣ 1..* HumanName A name associated with the patient
... telecom Σ 0..* ContactPoint A contact detail for the individual
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system ΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... otherContactSystem 0..1 Coding Other contact system
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OtherContactSystem
Binding: UK Core Other Contact System (extensible)
..... value 0..1 string Primitive value for code
.... value Σ 0..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
... gender SΣ 1..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate SΣ 0..1 date The date of birth for the individual
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... birthTime 0..1 (Complex) Time of day of birth.
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthTime"
...... value[x] 1..1 dateTime Time of day of birth.
.... value 0..1 date Primitive value for date
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address SΣ 0..1 Address An address for the individual
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... addressKey 0..* (Complex) A patient's address key and type
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AddressKey
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line Σ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city Σ 0..1 string Name of city, town etc.
Example General: Erewhon
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state Σ 0..1 string Sub-unit of country (abbreviations ok)
.... postalCode Σ 0..1 string Postal code for area
Example General: 9132
.... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... maritalStatus 0..1 CodeableConcept Marital (civil) status of a patient
Binding: UK Core Person Marital Status Code (extensible): An indicator to identify the legal marital status of a person

... 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
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
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... contactRank 0..1 positiveInt Preferred ranking or order of contact applied to a contact on a patient's contact list
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank
..... copyCorrespondenceIndicator 0..1 boolean Indicator showing that a patient's contact or related person SHALL be copied in to patient correspondence
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CopyCorrespondenceIndicator
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... relationship 0..* CodeableConcept The kind of relationship
Binding: UK Core Person Relationship Type (extensible)
.... name 0..1 HumanName A name associated with the contact person
.... telecom 0..* ContactPoint A contact detail for the person
..... 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 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

...... id 0..1 string xml:id (or equivalent in JSON)
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... otherContactSystem 0..1 Coding Other contact system
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OtherContactSystem
Binding: UK Core Other Contact System (extensible)
...... value 0..1 string Primitive value for code
..... value Σ 0..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
.... 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(UK Core Organization) Organization that is associated with the contact
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... 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 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 Σ 0..1 Period Time period when id is/was valid for use
...... assigner Σ 0..1 Reference(UK Core Organization) Organization that issued id (may be just text)
..... display Σ 0..1 string Text alternative for the resource
.... 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
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... proficiency 0..1 (Complex) Proficiency level of the communication
URL: http://hl7.org/fhir/StructureDefinition/patient-proficiency
...... id 0..1 id Unique id for inter-element referencing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:level 0..1 Extension Extension
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..0
........ url 1..1 uri "level"
........ value[x] 1..1 Coding The proficiency level for the communication
Binding: LanguageAbilityProficiency (preferred): The proficiency level for the communication.

....... extension:type 0..* Extension Extension
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..0
........ url 1..1 uri "type"
........ value[x] 1..1 Coding The proficiency type for the communication
Binding: LanguageAbilityMode (preferred): The proficiency type for the communication.

...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-proficiency"
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... language 1..1 CodeableConcept A ValueSet that identifies the language used by a person.
Binding: UK Core Human Language (extensible): A ValueSet that identifies the language used by a person.

.... preferred 0..1 boolean Language preference indicator
... generalPractitioner 0..* Reference(UK Core Practitioner | UK Core Organization | UK Core PractitionerRole) Patient's nominated primary care provider
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... 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 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 Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(UK Core Organization) Organization that issued id (may be just text)
.... display Σ 0..1 string Text alternative for the resource
... managingOrganization Σ 0..1 Reference(UK Core Organization) Organization that is the custodian of the patient record
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... 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 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 Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(UK Core Organization) Organization that issued id (may be just text)
.... display Σ 0..1 string Text alternative for the resource
... link ?!Σ 0..* BackboneElement Link to another patient resource that concerns the same actual person
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(UK Core Patient(2.2.0) | UK Core RelatedPerson) The other patient or related person resource that the link refers to
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... 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 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 Σ 0..1 Period Time period when id is/was valid for use
...... assigner Σ 0..1 Reference(UK Core Organization) Organization that issued id (may be just text)
..... display Σ 0..1 string Text alternative for the resource
.... 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:nhsNumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:nhsNumber.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Patient.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Patient.address.typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
from the FHIR Standard
Patient.maritalStatusextensibleUKCorePersonMaritalStatusCode
https://fhir.hl7.org.uk/ValueSet/UKCore-PersonMaritalStatusCode
Patient.contact.relationshipextensibleUKCorePersonRelationshipType
https://fhir.hl7.org.uk/ValueSet/UKCore-PersonRelationshipType
Patient.contact.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Patient.contact.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard
Patient.contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.contact.organization.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Patient.contact.organization.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.contact.organization.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.communication.extension:proficiency.extension:level.value[x]preferredLanguageAbilityProficiency
http://terminology.hl7.org/ValueSet/v3-LanguageAbilityProficiency
Patient.communication.extension:proficiency.extension:type.value[x]preferredLanguageAbilityMode
http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode
Patient.communication.languageextensibleUKCoreHumanLanguage
https://fhir.hl7.org.uk/ValueSet/UKCore-HumanLanguage
Patient.generalPractitioner.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Patient.generalPractitioner.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.generalPractitioner.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.managingOrganization.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Patient.managingOrganization.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.managingOrganization.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.link.other.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Patient.link.other.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.link.other.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contactSHALL 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 UKCorePatient

Summary

Mandatory: 5 elements
Must-Support: 9 elements

Differential View

This structure is derived from UKCorePatient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..* UKCorePatient(2.2.0) Information about an individual or animal receiving health care services
... identifier S 1..* Identifier An identifier for this patient
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... Slices for identifier Content/Rules for all slices
.... identifier:nhsNumber 0..1 Identifier The patient's NHS number
..... system S 1..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
... name S 1..* HumanName A name associated with the patient
... birthDate S 0..1 date The date of birth for the individual
... address S 0..1 Address An address for the individual

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..* UKCorePatient(2.2.0) Information about an individual or animal receiving health care services
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... birthPlace 0..1 (Complex) The registered place of birth of the patient.
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
..... value[x] 1..1 Address The registered place of birth of the patient.
.... birthSex 0..1 code The patient's phenotypic sex at birth.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex
Binding: UK Core Birth Sex (required)
.... cadavericDonor 0..1 (Complex) Post-mortem donor status.
URL: http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"
..... value[x] 1..1 boolean Post-mortem donor status.
.... contactPreference 0..1 (Complex) The preferred method of contact, contact times and written communication format given by a Patient or Related Person.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactPreference
.... deathNotificationStatus 0..1 (Complex) The patient's death notification status.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeathNotificationStatus
.... ethnicCategory 0..1 CodeableConcept The ethnicity of the subject
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory
Binding: UK Core Ethnic Category (preferred): A set of codes that define the ethnicity of a person, as specified by the person.


.... residentialStatus 0..1 CodeableConcept The residential status of the patient.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ResidentialStatus
Binding: UK Core Residential Status (extensible)
.... patientInterpreterRequired 0..1 (Complex) Whether the patient needs an interpreter
URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"
..... value[x] 1..1 boolean Indicator showing whether the patient needs an interpreter
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:nhsNumber Σ 0..1 Identifier The patient's NHS number
..... Slices for extension Content/Rules for all slices
...... nhsNumberVerificationStatus 0..1 CodeableConcept NHS number verification status
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus
Binding: UK Core NHS Number Verification Status (required)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: https://fhir.nhs.uk/Id/nhs-number
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... name SΣ 1..* HumanName A name associated with the patient
... gender SΣ 1..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate SΣ 0..1 date The date of birth for the individual
.... Slices for extension Content/Rules for all slices
..... birthTime 0..1 (Complex) Time of day of birth.
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
...... extension 0..0
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthTime"
...... value[x] 1..1 dateTime Time of day of birth.
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address SΣ 0..1 Address An address for the individual
.... Slices for extension Content/Rules for all slices
..... addressKey 0..* (Complex) A patient's address key and type
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AddressKey
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
... link ?!Σ 0..* BackboneElement Link to another patient resource that concerns the same actual person
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(UK Core Patient(2.2.0) | UK Core 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:nhsNumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..* UKCorePatient(2.2.0) 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
... 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
.... birthPlace 0..1 (Complex) The registered place of birth of the patient.
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
..... value[x] 1..1 Address The registered place of birth of the patient.
.... birthSex 0..1 code The patient's phenotypic sex at birth.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex
Binding: UK Core Birth Sex (required)
.... cadavericDonor 0..1 (Complex) Post-mortem donor status.
URL: http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"
..... value[x] 1..1 boolean Post-mortem donor status.
.... contactPreference 0..1 (Complex) The preferred method of contact, contact times and written communication format given by a Patient or Related Person.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactPreference
.... deathNotificationStatus 0..1 (Complex) The patient's death notification status.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeathNotificationStatus
.... ethnicCategory 0..1 CodeableConcept The ethnicity of the subject
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory
Binding: UK Core Ethnic Category (preferred): A set of codes that define the ethnicity of a person, as specified by the person.


.... residentialStatus 0..1 CodeableConcept The residential status of the patient.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ResidentialStatus
Binding: UK Core Residential Status (extensible)
.... patientInterpreterRequired 0..1 (Complex) Whether the patient needs an interpreter
URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"
..... value[x] 1..1 boolean Indicator showing whether the patient needs an interpreter
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier An identifier for this patient
Slice: Unordered, Open by value:system
.... identifier: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
..... 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 SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 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(Organization) Organization that issued id (may be just text)
.... identifier:nhsNumber Σ 0..1 Identifier The patient's NHS number
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... nhsNumberVerificationStatus 0..1 CodeableConcept NHS number verification status
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus
Binding: UK Core NHS Number Verification Status (required)
..... 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 SΣ 1..1 uri The namespace for the identifier value
Fixed Value: https://fhir.nhs.uk/Id/nhs-number
..... value SΣ 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(UK Core Organization) Organization that issued id (may be just text)
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... name SΣ 1..* HumanName A name associated with the patient
... telecom Σ 0..* ContactPoint A contact detail for the individual
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system ΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... otherContactSystem 0..1 Coding Other contact system
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OtherContactSystem
Binding: UK Core Other Contact System (extensible)
..... value 0..1 string Primitive value for code
.... value Σ 0..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
... gender SΣ 1..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate SΣ 0..1 date The date of birth for the individual
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... birthTime 0..1 (Complex) Time of day of birth.
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthTime"
...... value[x] 1..1 dateTime Time of day of birth.
.... value 0..1 date Primitive value for date
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address SΣ 0..1 Address An address for the individual
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... addressKey 0..* (Complex) A patient's address key and type
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AddressKey
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line Σ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city Σ 0..1 string Name of city, town etc.
Example General: Erewhon
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state Σ 0..1 string Sub-unit of country (abbreviations ok)
.... postalCode Σ 0..1 string Postal code for area
Example General: 9132
.... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... maritalStatus 0..1 CodeableConcept Marital (civil) status of a patient
Binding: UK Core Person Marital Status Code (extensible): An indicator to identify the legal marital status of a person

... 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
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
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... contactRank 0..1 positiveInt Preferred ranking or order of contact applied to a contact on a patient's contact list
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank
..... copyCorrespondenceIndicator 0..1 boolean Indicator showing that a patient's contact or related person SHALL be copied in to patient correspondence
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CopyCorrespondenceIndicator
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... relationship 0..* CodeableConcept The kind of relationship
Binding: UK Core Person Relationship Type (extensible)
.... name 0..1 HumanName A name associated with the contact person
.... telecom 0..* ContactPoint A contact detail for the person
..... 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 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

...... id 0..1 string xml:id (or equivalent in JSON)
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... otherContactSystem 0..1 Coding Other contact system
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OtherContactSystem
Binding: UK Core Other Contact System (extensible)
...... value 0..1 string Primitive value for code
..... value Σ 0..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
.... 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(UK Core Organization) Organization that is associated with the contact
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... 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 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 Σ 0..1 Period Time period when id is/was valid for use
...... assigner Σ 0..1 Reference(UK Core Organization) Organization that issued id (may be just text)
..... display Σ 0..1 string Text alternative for the resource
.... 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
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... proficiency 0..1 (Complex) Proficiency level of the communication
URL: http://hl7.org/fhir/StructureDefinition/patient-proficiency
...... id 0..1 id Unique id for inter-element referencing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:level 0..1 Extension Extension
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..0
........ url 1..1 uri "level"
........ value[x] 1..1 Coding The proficiency level for the communication
Binding: LanguageAbilityProficiency (preferred): The proficiency level for the communication.

....... extension:type 0..* Extension Extension
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..0
........ url 1..1 uri "type"
........ value[x] 1..1 Coding The proficiency type for the communication
Binding: LanguageAbilityMode (preferred): The proficiency type for the communication.

...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-proficiency"
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... language 1..1 CodeableConcept A ValueSet that identifies the language used by a person.
Binding: UK Core Human Language (extensible): A ValueSet that identifies the language used by a person.

.... preferred 0..1 boolean Language preference indicator
... generalPractitioner 0..* Reference(UK Core Practitioner | UK Core Organization | UK Core PractitionerRole) Patient's nominated primary care provider
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... 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 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 Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(UK Core Organization) Organization that issued id (may be just text)
.... display Σ 0..1 string Text alternative for the resource
... managingOrganization Σ 0..1 Reference(UK Core Organization) Organization that is the custodian of the patient record
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... 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 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 Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(UK Core Organization) Organization that issued id (may be just text)
.... display Σ 0..1 string Text alternative for the resource
... link ?!Σ 0..* BackboneElement Link to another patient resource that concerns the same actual person
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(UK Core Patient(2.2.0) | UK Core RelatedPerson) The other patient or related person resource that the link refers to
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... 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 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 Σ 0..1 Period Time period when id is/was valid for use
...... assigner Σ 0..1 Reference(UK Core Organization) Organization that issued id (may be just text)
..... display Σ 0..1 string Text alternative for the resource
.... 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:nhsNumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:nhsNumber.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Patient.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Patient.address.typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
from the FHIR Standard
Patient.maritalStatusextensibleUKCorePersonMaritalStatusCode
https://fhir.hl7.org.uk/ValueSet/UKCore-PersonMaritalStatusCode
Patient.contact.relationshipextensibleUKCorePersonRelationshipType
https://fhir.hl7.org.uk/ValueSet/UKCore-PersonRelationshipType
Patient.contact.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Patient.contact.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard
Patient.contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.contact.organization.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Patient.contact.organization.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.contact.organization.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.communication.extension:proficiency.extension:level.value[x]preferredLanguageAbilityProficiency
http://terminology.hl7.org/ValueSet/v3-LanguageAbilityProficiency
Patient.communication.extension:proficiency.extension:type.value[x]preferredLanguageAbilityMode
http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode
Patient.communication.languageextensibleUKCoreHumanLanguage
https://fhir.hl7.org.uk/ValueSet/UKCore-HumanLanguage
Patient.generalPractitioner.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Patient.generalPractitioner.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.generalPractitioner.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.managingOrganization.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Patient.managingOrganization.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.managingOrganization.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.link.other.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Patient.link.other.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.link.other.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contactSHALL 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 UKCorePatient

Summary

Mandatory: 5 elements
Must-Support: 9 elements

 

Other representations of profile: CSV, Excel, Schematron