HL7 FHIR Costa Rica - Core
0.0.1-ballot - ci-build Costa Rica flag

HL7 FHIR Costa Rica - Core, published by Iniciativa HL7 Costa Rica. This guide is not an authorized publication; it is the continuous build for version 0.0.1-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cr/core/ and changes regularly. See the Directory of published versions

Resource Profile: Paciente

Official URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-patient Version: 0.0.1-ballot
Standards status: Draft Maturity Level: 0 Computable Name: CRCorePatient

Copyright/Legal: Usado con el permiso de HL7 International, todos los derechos resevados en los Licencias de HL7 Internacional.

Perfil Patient para representar pacientes en Costa Rica, incluyendo identificadores oficiales y metadatos específicos del paciente.

Alcance y uso

El perfil base de paciente para Costas Rica pretende encapsular el modelo de datos más común y básico de pacientes en los sistemas de salud costarricense, abarcando tanto el sector primario como el secundario (médicos especialistas y hospitales) y los casos regionales. Por lo tanto, el perfil debería ser utilizable en la mayoría de los contextos costarricenses. Cabe destacar que el perfil es útil para quienes reciben atención en salud y social en las diferentes regiones del país.

Identificadores de pacientes

Actualmente, este perfil de paciente solo refleja el uso de los identificadores nacionales de Costa Ruca de pacientes establecidos. A este punto, se soporta solo tres tipos de identificación:

  1. Cédula de identidad
  2. DIMEX
  3. Pasaporte

Uso de la etiqueta de seguridad en pacientes

Si un proyecto de implementación necesita proteger el nombre y la dirección de un ciudadano costarricense, se recomienda incluir la etiqueta de seguridad de la siguiente manera:

{
  "resourceType" : "Bundle",
  "type" : "searchset",
  ... otros headers etc.....
  "entry" : [
     ... otroe entries ....
     {
       "resource": {
         "id" : "1",
         "meta" : {
           "security" : [{
             "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
             "code" : "R",
             "display" : "Restricted"
           }]
         }
         ... otros content etc.....
       }
     },
     ... otros entries ....
  ]
}

El uso de esta etiqueta debe interpretarse de acuerdo con la ley, lo que significa en términos generales que solo el personal que utiliza sistemas en asuntos públicos/oficiales puede ver el nombre y la dirección del paciente/ciudadano.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient C 0..* Patient(5.0.0) Information about an individual or animal receiving health care services
Constraints: only-one-cedula, only-one-dimex
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:calculatedAge S 0..1 Age Edad calculada del paciente
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-patient-calculated-age
Constraints: ext-1
.... extension:religion S 0..1 CodeableConcept Religión del paciente
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-patient-religion
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-religions-set (extensible): Conjunto de religiones para Costa Rica basado en SNOMED CT.
Constraints: ext-1
... identifier SΣ 1..* Identifier Identificadores oficiales y alternativos del paciente.
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Tipo de documento de identificación (Required)
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types (required): ValueSet de tipos de identificación oficiales y permitidos para pacientes en Costa Rica.
... active ?!SΣ 0..1 boolean Si el registro del paciente está activo.
... name SΣ 1..1 HumanName Nombre(s) y apellido(s) del paciente.
.... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
.... family SΣ 1..1 string Primer apellido obligatorio; puede incluir el segundo apellido.
.... given SΣ 1..2 string Primer nombre obligatorio, segundo nombre opcional.
This repeating element order: Given Names appear in the correct order for presenting the name
... telecom SΣ 0..* ContactPoint Información de contacto del paciente (teléfono, correo electrónico, etc.).
.... system SΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
.... value SΣC 0..1 string El número telefónico o dirección de correo electrónico.
.... use ?!SΣ 0..1 code home | work | temp | old | mobile
Binding: ContactPointUse (required): Use of contact point.
... gender SΣ 1..1 code Sexo biológico del paciente.
Binding: AdministrativeGender (required)
... birthDate SΣ 1..1 date Fecha de nacimiento del paciente.
... Slices for deceased[x] ?!SΣ 0..1 Información sobre el fallecimiento del paciente.
Slice: Unordered, Closed by type:$this
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
.... deceased[x]:deceasedBoolean ?!SΣ 0..1 boolean Indica si el paciente ha fallecido (sí/no).
.... deceased[x]:deceasedDateTime ?!SΣ 0..1 dateTime Fecha y hora exacta del fallecimiento.
... address SΣ 0..* CRCoreAddress(0.0.1-ballot) Dirección(es) del paciente.
.... use ?!SΣ 0..1 code home | work | temp | old | billing
Binding: AddressUse (required): The use of an address (home / work / etc.).
Example General: home
.... type SΣ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
.... line SΣ 1..* string Línea de dirección (calle, número, referencias).
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Cantón de Costa Rica.
Example General: Erewhon
..... Slices for extension Content/Rules for all slices
...... extension:cityCode 0..1 CodeableConcept Extensión para cantón
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-city-ext
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-cities (required): Códigos de cantones de Costa Rica basados en el ZipCode.
Constraints: ext-1
.... district SΣ 0..1 string Distrito de Costa Rica.
Example General: Madison
..... Slices for extension Content/Rules for all slices
...... extension:districtCode 0..1 CodeableConcept Extensión para distrito
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-district-ext
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-districts (required): Códigos de distritos de Costa Rica basados en el ZipCode.
Constraints: ext-1
.... state SΣ 0..1 string Provincia de Costa Rica.
..... Slices for extension Content/Rules for all slices
...... extension:stateCode 0..1 CodeableConcept Extensión para provincia
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-state-ext
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-provinces (required): Códigos de provincias de Costa Rica basados en el ZipCode.
Constraints: ext-1
.... postalCode SΣ 0..1 string Código postal.
Example General: 9132
.... country SΣ 0..1 string Nombre del país (CR).
..... Slices for extension Content/Rules for all slices
...... extension:countryCode S 0..1 CodeableConcept Extensión para país
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-country-ext
Binding: Iso316613 (required): Códigos de país en formato ISO 3166-1 alpha-3.
Constraints: ext-1
... contact SC 0..* BackboneElement Contacto(s) del paciente (familiares, tutores, etc.).
Constraints: pat-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... relationship S 0..* CodeableConcept Tipo de relación (madre, padre, hermano, cónyuge, hijo/a, tutor, amigo, conviviente).
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set (extensible): CodeSystem de relaciones: madre, padre, hermano, cónyuge, hijo, tutor legal, amigo, conviviente
.... name SC 0..1 HumanName Nombre del contacto.
.... telecom SC 0..* ContactPoint Información de contacto (teléfono, correo, etc.).
.... address SC 0..1 Address Dirección del contacto.
.... gender S 0..1 code Sexo del contacto.
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
... 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
Constraints: ext-1
.... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
Patient.identifier.type Base required https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types Not State Unknown
Patient.name.use Base required NameUse 📍5.0.0 FHIR Std.
Patient.telecom.system Base required ContactPointSystem 📍5.0.0 FHIR Std.
Patient.telecom.use Base required ContactPointUse 📍5.0.0 FHIR Std.
Patient.gender Base required AdministrativeGender 📍5.0.0 FHIR Std.
Patient.address.use Base required AddressUse 📍5.0.0 FHIR Std.
Patient.address.type Base required AddressType 📍5.0.0 FHIR Std.
Patient.contact.relationship Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set Not State Unknown
Patient.contact.gender Base required AdministrativeGender 📍5.0.0 FHIR Std.
Patient.link.type Base required Link Type 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 Patient.implicitRules, Patient.extension, Patient.extension:calculatedAge, Patient.extension:religion, Patient.modifierExtension, Patient.identifier, Patient.identifier.use, Patient.identifier.type, Patient.active, Patient.name, Patient.name.use, Patient.name.family, Patient.name.given, Patient.telecom, Patient.telecom.system, Patient.telecom.value, Patient.telecom.use, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.deceased[x]:deceasedBoolean, Patient.deceased[x]:deceasedDateTime, Patient.address, Patient.address.use, Patient.address.type, Patient.address.line, Patient.address.city, Patient.address.city.extension:cityCode, Patient.address.district, Patient.address.district.extension:districtCode, Patient.address.state, Patient.address.state.extension:stateCode, Patient.address.postalCode, Patient.address.country, Patient.address.country.extension:countryCode, Patient.contact, Patient.contact.modifierExtension, Patient.contact.relationship, Patient.contact.name, Patient.contact.telecom, Patient.contact.address, Patient.contact.gender, Patient.link, Patient.link.modifierExtension, Patient.link.other, Patient.link.type All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Patient.extension, Patient.extension:calculatedAge, Patient.extension:religion, Patient.modifierExtension, Patient.address.city.extension:cityCode, Patient.address.district.extension:districtCode, Patient.address.state.extension:stateCode, Patient.address.country.extension:countryCode, Patient.contact.modifierExtension, Patient.link.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
only-one-cedula error Patient El paciente no puede tener más de una cédula costarricense. identifier.where(type.coding.code='cedula').count() <= 1
only-one-dimex error Patient El paciente no puede tener más de un DIMEX. identifier.where(type.coding.code='dimex').count() <= 1
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient C 0..* Patient(5.0.0) Information about an individual or animal receiving health care services
... meta
.... security 0..* Coding Etiqueta de seguridad
Binding: Confidentiality (3.0.0) (required)
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:calculatedAge S 0..1 Age Edad calculada del paciente
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-patient-calculated-age
.... extension:religion S 0..1 CodeableConcept Religión del paciente
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-patient-religion
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-religions-set (extensible): Conjunto de religiones para Costa Rica basado en SNOMED CT.
... identifier S 1..* Identifier Identificadores oficiales y alternativos del paciente.
.... use S 0..1 code usual | official | temp | secondary | old
.... type 0..1 CodeableConcept Tipo de documento de identificación (Required)
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types (required): ValueSet de tipos de identificación oficiales y permitidos para pacientes en Costa Rica.
... name S 1..1 HumanName Nombre(s) y apellido(s) del paciente.
.... family S 1..1 string Primer apellido obligatorio; puede incluir el segundo apellido.
.... given S 1..2 string Primer nombre obligatorio, segundo nombre opcional.
... telecom S 0..* ContactPoint Información de contacto del paciente (teléfono, correo electrónico, etc.).
.... system S 0..1 code phone | fax | email | pager | url | sms | other
.... value S 0..1 string El número telefónico o dirección de correo electrónico.
.... use S 0..1 code home | work | temp | old | mobile
... gender S 1..1 code Sexo biológico del paciente.
Binding: AdministrativeGender (required)
... birthDate S 1..1 date Fecha de nacimiento del paciente.
... Slices for deceased[x] S 0..1 boolean, dateTime Información sobre el fallecimiento del paciente.
Slice: Unordered, Open by type:$this
.... deceased[x]:deceasedBoolean S 0..1 boolean Indica si el paciente ha fallecido (sí/no).
.... deceased[x]:deceasedDateTime S 0..1 dateTime Fecha y hora exacta del fallecimiento.
... address S 0..* CRCoreAddress(0.0.1-ballot) Dirección(es) del paciente.
.... use S 0..1 code home | work | temp | old | billing
.... type S 0..1 code postal | physical | both
.... line 1..* string Línea de dirección (calle, número, referencias).
.... city S 0..1 string Cantón de Costa Rica.
.... district S 0..1 string Distrito de Costa Rica.
.... state S 0..1 string Provincia de Costa Rica.
.... postalCode S 0..1 string Código postal.
.... country 0..1 string Nombre del país (CR).
... contact S 0..* BackboneElement Contacto(s) del paciente (familiares, tutores, etc.).
.... relationship S 0..* CodeableConcept Tipo de relación (madre, padre, hermano, cónyuge, hijo/a, tutor, amigo, conviviente).
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set (extensible): CodeSystem de relaciones: madre, padre, hermano, cónyuge, hijo, tutor legal, amigo, conviviente
.... name S 0..1 HumanName Nombre del contacto.
.... telecom S 0..* ContactPoint Información de contacto (teléfono, correo, etc.).
.... address S 0..1 Address Dirección del contacto.
.... gender S 0..1 code Sexo del contacto.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Patient.meta.security Base required Confidentiality 📍3.0.0 THO v7.0
Patient.identifier.type Base required https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types Not State Unknown
Patient.gender Base required AdministrativeGender 📍5.0.0 FHIR Std.
Patient.contact.relationship Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set Not State Unknown

Constraints

Id Grade Path(s) Description Expression
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient C 0..* Patient(5.0.0) Information about an individual or animal receiving health care services
Constraints: only-one-cedula, only-one-dimex
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Etiqueta de seguridad
Binding: Confidentiality (3.0.0) (required)
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:calculatedAge S 0..1 Age Edad calculada del paciente
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-patient-calculated-age
Constraints: ext-1
.... extension:religion S 0..1 CodeableConcept Religión del paciente
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-patient-religion
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-religions-set (extensible): Conjunto de religiones para Costa Rica basado en SNOMED CT.
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 1..* Identifier Identificadores oficiales y alternativos 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
Constraints: ext-1
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Tipo de documento de identificación (Required)
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types (required): ValueSet de tipos de identificación oficiales y permitidos para pacientes en Costa Rica.
.... 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 ?!SΣ 0..1 boolean Si el registro del paciente está activo.
... name SΣ 1..1 HumanName Nombre(s) y apellido(s) 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
Constraints: ext-1
.... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
.... text Σ 0..1 string Text representation of the full name
.... family SΣ 1..1 string Primer apellido obligatorio; puede incluir el segundo apellido.
.... given SΣ 1..2 string Primer nombre obligatorio, segundo nombre opcional.
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 Información de contacto del paciente (teléfono, correo electrónico, etc.).
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... system SΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
.... value SΣC 0..1 string El número telefónico o dirección de correo electrónico.
.... use ?!SΣ 0..1 code home | work | temp | old | mobile
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 Sexo biológico del paciente.
Binding: AdministrativeGender (required)
... birthDate SΣ 1..1 date Fecha de nacimiento del paciente.
... Slices for deceased[x] ?!SΣ 0..1 Información sobre el fallecimiento del paciente.
Slice: Unordered, Closed by type:$this
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
.... deceased[x]:deceasedBoolean ?!SΣ 0..1 boolean Indica si el paciente ha fallecido (sí/no).
.... deceased[x]:deceasedDateTime ?!SΣ 0..1 dateTime Fecha y hora exacta del fallecimiento.
... address SΣ 0..* CRCoreAddress(0.0.1-ballot) Dirección(es) 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
Constraints: ext-1
.... use ?!SΣ 0..1 code home | work | temp | old | billing
Binding: AddressUse (required): The use of an address (home / work / etc.).
Example General: home
.... type SΣ 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 SΣ 1..* string Línea de dirección (calle, número, referencias).
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Cantón de Costa Rica.
Example General: Erewhon
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Código de la ciudad basado en el ZipCode de Costa Rica
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:cityCode 0..1 CodeableConcept Extensión para cantón
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-city-ext
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-cities (required): Códigos de cantones de Costa Rica basados en el ZipCode.
Constraints: ext-1
..... value 0..1 string Primitive value for string
Max Length:1048576
.... district SΣ 0..1 string Distrito de Costa Rica.
Example General: Madison
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Código del distrito basado en el ZipCode de Costa Rica
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:districtCode 0..1 CodeableConcept Extensión para distrito
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-district-ext
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-districts (required): Códigos de distritos de Costa Rica basados en el ZipCode.
Constraints: ext-1
..... value 0..1 string Primitive value for string
Max Length:1048576
.... state SΣ 0..1 string Provincia de Costa Rica.
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Código de la provincia basado en el ZipCode de Costa Rica
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:stateCode 0..1 CodeableConcept Extensión para provincia
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-state-ext
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-provinces (required): Códigos de provincias de Costa Rica basados en el ZipCode.
Constraints: ext-1
..... value 0..1 string Primitive value for string
Max Length:1048576
.... postalCode SΣ 0..1 string Código postal.
Example General: 9132
.... country SΣ 0..1 string Nombre del país (CR).
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Código de país en formato ISO 3166-1 alpha-3
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:countryCode S 0..1 CodeableConcept Extensión para país
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-country-ext
Binding: Iso316613 (required): Códigos de país en formato ISO 3166-1 alpha-3.
Constraints: ext-1
..... value 0..1 string Primitive value for string
Max Length:1048576
.... 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: MaritalStatusCodes (extensible): The domestic partnership 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 SC 0..* BackboneElement Contacto(s) del paciente (familiares, tutores, etc.).
Constraints: pat-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... relationship S 0..* CodeableConcept Tipo de relación (madre, padre, hermano, cónyuge, hijo/a, tutor, amigo, conviviente).
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set (extensible): CodeSystem de relaciones: madre, padre, hermano, cónyuge, hijo, tutor legal, amigo, conviviente
.... name SC 0..1 HumanName Nombre del contacto.
.... telecom SC 0..* ContactPoint Información de contacto (teléfono, correo, etc.).
.... address SC 0..1 Address Dirección del contacto.
.... gender S 0..1 code Sexo del contacto.
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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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 BindingsPurpose
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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.meta.security Base required Confidentiality 📍3.0.0 THO v7.0
Patient.meta.tag Base example Common Tags 📍5.0.0 FHIR Std.
Patient.language Base required All Languages 📍5.0.0 FHIR Std.
Patient.identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
Patient.identifier.type Base required https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types Not State Unknown
Patient.name.use Base required NameUse 📍5.0.0 FHIR Std.
Patient.telecom.system Base required ContactPointSystem 📍5.0.0 FHIR Std.
Patient.telecom.use Base required ContactPointUse 📍5.0.0 FHIR Std.
Patient.gender Base required AdministrativeGender 📍5.0.0 FHIR Std.
Patient.address.use Base required AddressUse 📍5.0.0 FHIR Std.
Patient.address.type Base required AddressType 📍5.0.0 FHIR Std.
Patient.maritalStatus Base extensible Marital Status Codes 📍5.0.0 FHIR Std.
Patient.contact.relationship Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set Not State Unknown
Patient.contact.gender Base required AdministrativeGender 📍5.0.0 FHIR Std.
Patient.communication.​language Base required All Languages 📍5.0.0 FHIR Std.
Patient.link.type Base required Link Type 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 Patient.meta, Patient.meta.extension, Patient.meta.versionId, Patient.meta.lastUpdated, Patient.meta.source, Patient.meta.profile, Patient.meta.security, Patient.meta.tag, Patient.implicitRules, Patient.language, Patient.text, Patient.extension, Patient.extension:calculatedAge, Patient.extension:religion, Patient.modifierExtension, Patient.identifier, Patient.identifier.extension, Patient.identifier.use, Patient.identifier.type, Patient.identifier.system, Patient.identifier.value, Patient.identifier.period, Patient.identifier.assigner, Patient.active, Patient.name, Patient.name.extension, Patient.name.use, Patient.name.text, Patient.name.family, Patient.name.given, Patient.name.prefix, Patient.name.suffix, Patient.name.period, Patient.telecom, Patient.telecom.extension, Patient.telecom.system, Patient.telecom.value, Patient.telecom.use, Patient.telecom.rank, Patient.telecom.period, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.deceased[x]:deceasedBoolean, Patient.deceased[x]:deceasedDateTime, Patient.address, Patient.address.extension, Patient.address.use, Patient.address.type, Patient.address.text, Patient.address.line, Patient.address.city, Patient.address.city.extension, Patient.address.city.extension:cityCode, Patient.address.district, Patient.address.district.extension, Patient.address.district.extension:districtCode, Patient.address.state, Patient.address.state.extension, Patient.address.state.extension:stateCode, Patient.address.postalCode, Patient.address.country, Patient.address.country.extension, Patient.address.country.extension:countryCode, Patient.address.period, Patient.maritalStatus, Patient.multipleBirth[x], Patient.photo, Patient.contact, Patient.contact.extension, Patient.contact.modifierExtension, Patient.contact.relationship, Patient.contact.name, Patient.contact.telecom, Patient.contact.address, Patient.contact.gender, Patient.contact.organization, Patient.contact.period, Patient.communication, Patient.communication.extension, Patient.communication.modifierExtension, Patient.communication.language, Patient.communication.preferred, Patient.generalPractitioner, Patient.managingOrganization, Patient.link, Patient.link.extension, Patient.link.modifierExtension, Patient.link.other, Patient.link.type All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Patient.meta.extension, Patient.extension, Patient.extension:calculatedAge, Patient.extension:religion, Patient.modifierExtension, Patient.identifier.extension, Patient.name.extension, Patient.telecom.extension, Patient.address.extension, Patient.address.city.extension, Patient.address.city.extension:cityCode, Patient.address.district.extension, Patient.address.district.extension:districtCode, Patient.address.state.extension, Patient.address.state.extension:stateCode, Patient.address.country.extension, Patient.address.country.extension:countryCode, Patient.contact.extension, Patient.contact.modifierExtension, Patient.communication.extension, Patient.communication.modifierExtension, Patient.link.extension, Patient.link.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
only-one-cedula error Patient El paciente no puede tener más de una cédula costarricense. identifier.where(type.coding.code='cedula').count() <= 1
only-one-dimex error Patient El paciente no puede tener más de un DIMEX. identifier.where(type.coding.code='dimex').count() <= 1
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: 6 elements
Must-Support: 30 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Patient.deceased[x]

Maturity: 0

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient C 0..* Patient(5.0.0) Information about an individual or animal receiving health care services
Constraints: only-one-cedula, only-one-dimex
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:calculatedAge S 0..1 Age Edad calculada del paciente
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-patient-calculated-age
Constraints: ext-1
.... extension:religion S 0..1 CodeableConcept Religión del paciente
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-patient-religion
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-religions-set (extensible): Conjunto de religiones para Costa Rica basado en SNOMED CT.
Constraints: ext-1
... identifier SΣ 1..* Identifier Identificadores oficiales y alternativos del paciente.
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Tipo de documento de identificación (Required)
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types (required): ValueSet de tipos de identificación oficiales y permitidos para pacientes en Costa Rica.
... active ?!SΣ 0..1 boolean Si el registro del paciente está activo.
... name SΣ 1..1 HumanName Nombre(s) y apellido(s) del paciente.
.... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
.... family SΣ 1..1 string Primer apellido obligatorio; puede incluir el segundo apellido.
.... given SΣ 1..2 string Primer nombre obligatorio, segundo nombre opcional.
This repeating element order: Given Names appear in the correct order for presenting the name
... telecom SΣ 0..* ContactPoint Información de contacto del paciente (teléfono, correo electrónico, etc.).
.... system SΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
.... value SΣC 0..1 string El número telefónico o dirección de correo electrónico.
.... use ?!SΣ 0..1 code home | work | temp | old | mobile
Binding: ContactPointUse (required): Use of contact point.
... gender SΣ 1..1 code Sexo biológico del paciente.
Binding: AdministrativeGender (required)
... birthDate SΣ 1..1 date Fecha de nacimiento del paciente.
... Slices for deceased[x] ?!SΣ 0..1 Información sobre el fallecimiento del paciente.
Slice: Unordered, Closed by type:$this
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
.... deceased[x]:deceasedBoolean ?!SΣ 0..1 boolean Indica si el paciente ha fallecido (sí/no).
.... deceased[x]:deceasedDateTime ?!SΣ 0..1 dateTime Fecha y hora exacta del fallecimiento.
... address SΣ 0..* CRCoreAddress(0.0.1-ballot) Dirección(es) del paciente.
.... use ?!SΣ 0..1 code home | work | temp | old | billing
Binding: AddressUse (required): The use of an address (home / work / etc.).
Example General: home
.... type SΣ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
.... line SΣ 1..* string Línea de dirección (calle, número, referencias).
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Cantón de Costa Rica.
Example General: Erewhon
..... Slices for extension Content/Rules for all slices
...... extension:cityCode 0..1 CodeableConcept Extensión para cantón
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-city-ext
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-cities (required): Códigos de cantones de Costa Rica basados en el ZipCode.
Constraints: ext-1
.... district SΣ 0..1 string Distrito de Costa Rica.
Example General: Madison
..... Slices for extension Content/Rules for all slices
...... extension:districtCode 0..1 CodeableConcept Extensión para distrito
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-district-ext
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-districts (required): Códigos de distritos de Costa Rica basados en el ZipCode.
Constraints: ext-1
.... state SΣ 0..1 string Provincia de Costa Rica.
..... Slices for extension Content/Rules for all slices
...... extension:stateCode 0..1 CodeableConcept Extensión para provincia
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-state-ext
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-provinces (required): Códigos de provincias de Costa Rica basados en el ZipCode.
Constraints: ext-1
.... postalCode SΣ 0..1 string Código postal.
Example General: 9132
.... country SΣ 0..1 string Nombre del país (CR).
..... Slices for extension Content/Rules for all slices
...... extension:countryCode S 0..1 CodeableConcept Extensión para país
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-country-ext
Binding: Iso316613 (required): Códigos de país en formato ISO 3166-1 alpha-3.
Constraints: ext-1
... contact SC 0..* BackboneElement Contacto(s) del paciente (familiares, tutores, etc.).
Constraints: pat-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... relationship S 0..* CodeableConcept Tipo de relación (madre, padre, hermano, cónyuge, hijo/a, tutor, amigo, conviviente).
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set (extensible): CodeSystem de relaciones: madre, padre, hermano, cónyuge, hijo, tutor legal, amigo, conviviente
.... name SC 0..1 HumanName Nombre del contacto.
.... telecom SC 0..* ContactPoint Información de contacto (teléfono, correo, etc.).
.... address SC 0..1 Address Dirección del contacto.
.... gender S 0..1 code Sexo del contacto.
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
... 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
Constraints: ext-1
.... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
Patient.identifier.type Base required https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types Not State Unknown
Patient.name.use Base required NameUse 📍5.0.0 FHIR Std.
Patient.telecom.system Base required ContactPointSystem 📍5.0.0 FHIR Std.
Patient.telecom.use Base required ContactPointUse 📍5.0.0 FHIR Std.
Patient.gender Base required AdministrativeGender 📍5.0.0 FHIR Std.
Patient.address.use Base required AddressUse 📍5.0.0 FHIR Std.
Patient.address.type Base required AddressType 📍5.0.0 FHIR Std.
Patient.contact.relationship Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set Not State Unknown
Patient.contact.gender Base required AdministrativeGender 📍5.0.0 FHIR Std.
Patient.link.type Base required Link Type 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 Patient.implicitRules, Patient.extension, Patient.extension:calculatedAge, Patient.extension:religion, Patient.modifierExtension, Patient.identifier, Patient.identifier.use, Patient.identifier.type, Patient.active, Patient.name, Patient.name.use, Patient.name.family, Patient.name.given, Patient.telecom, Patient.telecom.system, Patient.telecom.value, Patient.telecom.use, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.deceased[x]:deceasedBoolean, Patient.deceased[x]:deceasedDateTime, Patient.address, Patient.address.use, Patient.address.type, Patient.address.line, Patient.address.city, Patient.address.city.extension:cityCode, Patient.address.district, Patient.address.district.extension:districtCode, Patient.address.state, Patient.address.state.extension:stateCode, Patient.address.postalCode, Patient.address.country, Patient.address.country.extension:countryCode, Patient.contact, Patient.contact.modifierExtension, Patient.contact.relationship, Patient.contact.name, Patient.contact.telecom, Patient.contact.address, Patient.contact.gender, Patient.link, Patient.link.modifierExtension, Patient.link.other, Patient.link.type All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Patient.extension, Patient.extension:calculatedAge, Patient.extension:religion, Patient.modifierExtension, Patient.address.city.extension:cityCode, Patient.address.district.extension:districtCode, Patient.address.state.extension:stateCode, Patient.address.country.extension:countryCode, Patient.contact.modifierExtension, Patient.link.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
only-one-cedula error Patient El paciente no puede tener más de una cédula costarricense. identifier.where(type.coding.code='cedula').count() <= 1
only-one-dimex error Patient El paciente no puede tener más de un DIMEX. identifier.where(type.coding.code='dimex').count() <= 1
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()

Differential View

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient C 0..* Patient(5.0.0) Information about an individual or animal receiving health care services
... meta
.... security 0..* Coding Etiqueta de seguridad
Binding: Confidentiality (3.0.0) (required)
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:calculatedAge S 0..1 Age Edad calculada del paciente
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-patient-calculated-age
.... extension:religion S 0..1 CodeableConcept Religión del paciente
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-patient-religion
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-religions-set (extensible): Conjunto de religiones para Costa Rica basado en SNOMED CT.
... identifier S 1..* Identifier Identificadores oficiales y alternativos del paciente.
.... use S 0..1 code usual | official | temp | secondary | old
.... type 0..1 CodeableConcept Tipo de documento de identificación (Required)
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types (required): ValueSet de tipos de identificación oficiales y permitidos para pacientes en Costa Rica.
... name S 1..1 HumanName Nombre(s) y apellido(s) del paciente.
.... family S 1..1 string Primer apellido obligatorio; puede incluir el segundo apellido.
.... given S 1..2 string Primer nombre obligatorio, segundo nombre opcional.
... telecom S 0..* ContactPoint Información de contacto del paciente (teléfono, correo electrónico, etc.).
.... system S 0..1 code phone | fax | email | pager | url | sms | other
.... value S 0..1 string El número telefónico o dirección de correo electrónico.
.... use S 0..1 code home | work | temp | old | mobile
... gender S 1..1 code Sexo biológico del paciente.
Binding: AdministrativeGender (required)
... birthDate S 1..1 date Fecha de nacimiento del paciente.
... Slices for deceased[x] S 0..1 boolean, dateTime Información sobre el fallecimiento del paciente.
Slice: Unordered, Open by type:$this
.... deceased[x]:deceasedBoolean S 0..1 boolean Indica si el paciente ha fallecido (sí/no).
.... deceased[x]:deceasedDateTime S 0..1 dateTime Fecha y hora exacta del fallecimiento.
... address S 0..* CRCoreAddress(0.0.1-ballot) Dirección(es) del paciente.
.... use S 0..1 code home | work | temp | old | billing
.... type S 0..1 code postal | physical | both
.... line 1..* string Línea de dirección (calle, número, referencias).
.... city S 0..1 string Cantón de Costa Rica.
.... district S 0..1 string Distrito de Costa Rica.
.... state S 0..1 string Provincia de Costa Rica.
.... postalCode S 0..1 string Código postal.
.... country 0..1 string Nombre del país (CR).
... contact S 0..* BackboneElement Contacto(s) del paciente (familiares, tutores, etc.).
.... relationship S 0..* CodeableConcept Tipo de relación (madre, padre, hermano, cónyuge, hijo/a, tutor, amigo, conviviente).
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set (extensible): CodeSystem de relaciones: madre, padre, hermano, cónyuge, hijo, tutor legal, amigo, conviviente
.... name S 0..1 HumanName Nombre del contacto.
.... telecom S 0..* ContactPoint Información de contacto (teléfono, correo, etc.).
.... address S 0..1 Address Dirección del contacto.
.... gender S 0..1 code Sexo del contacto.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Patient.meta.security Base required Confidentiality 📍3.0.0 THO v7.0
Patient.identifier.type Base required https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types Not State Unknown
Patient.gender Base required AdministrativeGender 📍5.0.0 FHIR Std.
Patient.contact.relationship Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set Not State Unknown

Constraints

Id Grade Path(s) Description Expression

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient C 0..* Patient(5.0.0) Information about an individual or animal receiving health care services
Constraints: only-one-cedula, only-one-dimex
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Etiqueta de seguridad
Binding: Confidentiality (3.0.0) (required)
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:calculatedAge S 0..1 Age Edad calculada del paciente
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-patient-calculated-age
Constraints: ext-1
.... extension:religion S 0..1 CodeableConcept Religión del paciente
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-patient-religion
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-religions-set (extensible): Conjunto de religiones para Costa Rica basado en SNOMED CT.
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 1..* Identifier Identificadores oficiales y alternativos 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
Constraints: ext-1
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Tipo de documento de identificación (Required)
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types (required): ValueSet de tipos de identificación oficiales y permitidos para pacientes en Costa Rica.
.... 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 ?!SΣ 0..1 boolean Si el registro del paciente está activo.
... name SΣ 1..1 HumanName Nombre(s) y apellido(s) 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
Constraints: ext-1
.... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
.... text Σ 0..1 string Text representation of the full name
.... family SΣ 1..1 string Primer apellido obligatorio; puede incluir el segundo apellido.
.... given SΣ 1..2 string Primer nombre obligatorio, segundo nombre opcional.
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 Información de contacto del paciente (teléfono, correo electrónico, etc.).
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... system SΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
.... value SΣC 0..1 string El número telefónico o dirección de correo electrónico.
.... use ?!SΣ 0..1 code home | work | temp | old | mobile
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 Sexo biológico del paciente.
Binding: AdministrativeGender (required)
... birthDate SΣ 1..1 date Fecha de nacimiento del paciente.
... Slices for deceased[x] ?!SΣ 0..1 Información sobre el fallecimiento del paciente.
Slice: Unordered, Closed by type:$this
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
.... deceased[x]:deceasedBoolean ?!SΣ 0..1 boolean Indica si el paciente ha fallecido (sí/no).
.... deceased[x]:deceasedDateTime ?!SΣ 0..1 dateTime Fecha y hora exacta del fallecimiento.
... address SΣ 0..* CRCoreAddress(0.0.1-ballot) Dirección(es) 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
Constraints: ext-1
.... use ?!SΣ 0..1 code home | work | temp | old | billing
Binding: AddressUse (required): The use of an address (home / work / etc.).
Example General: home
.... type SΣ 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 SΣ 1..* string Línea de dirección (calle, número, referencias).
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Cantón de Costa Rica.
Example General: Erewhon
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Código de la ciudad basado en el ZipCode de Costa Rica
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:cityCode 0..1 CodeableConcept Extensión para cantón
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-city-ext
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-cities (required): Códigos de cantones de Costa Rica basados en el ZipCode.
Constraints: ext-1
..... value 0..1 string Primitive value for string
Max Length:1048576
.... district SΣ 0..1 string Distrito de Costa Rica.
Example General: Madison
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Código del distrito basado en el ZipCode de Costa Rica
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:districtCode 0..1 CodeableConcept Extensión para distrito
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-district-ext
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-districts (required): Códigos de distritos de Costa Rica basados en el ZipCode.
Constraints: ext-1
..... value 0..1 string Primitive value for string
Max Length:1048576
.... state SΣ 0..1 string Provincia de Costa Rica.
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Código de la provincia basado en el ZipCode de Costa Rica
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:stateCode 0..1 CodeableConcept Extensión para provincia
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-state-ext
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-provinces (required): Códigos de provincias de Costa Rica basados en el ZipCode.
Constraints: ext-1
..... value 0..1 string Primitive value for string
Max Length:1048576
.... postalCode SΣ 0..1 string Código postal.
Example General: 9132
.... country SΣ 0..1 string Nombre del país (CR).
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Código de país en formato ISO 3166-1 alpha-3
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:countryCode S 0..1 CodeableConcept Extensión para país
URL: https://hl7.or.cr/fhir/core/StructureDefinition/cr-country-ext
Binding: Iso316613 (required): Códigos de país en formato ISO 3166-1 alpha-3.
Constraints: ext-1
..... value 0..1 string Primitive value for string
Max Length:1048576
.... 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: MaritalStatusCodes (extensible): The domestic partnership 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 SC 0..* BackboneElement Contacto(s) del paciente (familiares, tutores, etc.).
Constraints: pat-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... relationship S 0..* CodeableConcept Tipo de relación (madre, padre, hermano, cónyuge, hijo/a, tutor, amigo, conviviente).
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set (extensible): CodeSystem de relaciones: madre, padre, hermano, cónyuge, hijo, tutor legal, amigo, conviviente
.... name SC 0..1 HumanName Nombre del contacto.
.... telecom SC 0..* ContactPoint Información de contacto (teléfono, correo, etc.).
.... address SC 0..1 Address Dirección del contacto.
.... gender S 0..1 code Sexo del contacto.
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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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 BindingsPurpose
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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.meta.security Base required Confidentiality 📍3.0.0 THO v7.0
Patient.meta.tag Base example Common Tags 📍5.0.0 FHIR Std.
Patient.language Base required All Languages 📍5.0.0 FHIR Std.
Patient.identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
Patient.identifier.type Base required https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types Not State Unknown
Patient.name.use Base required NameUse 📍5.0.0 FHIR Std.
Patient.telecom.system Base required ContactPointSystem 📍5.0.0 FHIR Std.
Patient.telecom.use Base required ContactPointUse 📍5.0.0 FHIR Std.
Patient.gender Base required AdministrativeGender 📍5.0.0 FHIR Std.
Patient.address.use Base required AddressUse 📍5.0.0 FHIR Std.
Patient.address.type Base required AddressType 📍5.0.0 FHIR Std.
Patient.maritalStatus Base extensible Marital Status Codes 📍5.0.0 FHIR Std.
Patient.contact.relationship Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set Not State Unknown
Patient.contact.gender Base required AdministrativeGender 📍5.0.0 FHIR Std.
Patient.communication.​language Base required All Languages 📍5.0.0 FHIR Std.
Patient.link.type Base required Link Type 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 Patient.meta, Patient.meta.extension, Patient.meta.versionId, Patient.meta.lastUpdated, Patient.meta.source, Patient.meta.profile, Patient.meta.security, Patient.meta.tag, Patient.implicitRules, Patient.language, Patient.text, Patient.extension, Patient.extension:calculatedAge, Patient.extension:religion, Patient.modifierExtension, Patient.identifier, Patient.identifier.extension, Patient.identifier.use, Patient.identifier.type, Patient.identifier.system, Patient.identifier.value, Patient.identifier.period, Patient.identifier.assigner, Patient.active, Patient.name, Patient.name.extension, Patient.name.use, Patient.name.text, Patient.name.family, Patient.name.given, Patient.name.prefix, Patient.name.suffix, Patient.name.period, Patient.telecom, Patient.telecom.extension, Patient.telecom.system, Patient.telecom.value, Patient.telecom.use, Patient.telecom.rank, Patient.telecom.period, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.deceased[x]:deceasedBoolean, Patient.deceased[x]:deceasedDateTime, Patient.address, Patient.address.extension, Patient.address.use, Patient.address.type, Patient.address.text, Patient.address.line, Patient.address.city, Patient.address.city.extension, Patient.address.city.extension:cityCode, Patient.address.district, Patient.address.district.extension, Patient.address.district.extension:districtCode, Patient.address.state, Patient.address.state.extension, Patient.address.state.extension:stateCode, Patient.address.postalCode, Patient.address.country, Patient.address.country.extension, Patient.address.country.extension:countryCode, Patient.address.period, Patient.maritalStatus, Patient.multipleBirth[x], Patient.photo, Patient.contact, Patient.contact.extension, Patient.contact.modifierExtension, Patient.contact.relationship, Patient.contact.name, Patient.contact.telecom, Patient.contact.address, Patient.contact.gender, Patient.contact.organization, Patient.contact.period, Patient.communication, Patient.communication.extension, Patient.communication.modifierExtension, Patient.communication.language, Patient.communication.preferred, Patient.generalPractitioner, Patient.managingOrganization, Patient.link, Patient.link.extension, Patient.link.modifierExtension, Patient.link.other, Patient.link.type All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Patient.meta.extension, Patient.extension, Patient.extension:calculatedAge, Patient.extension:religion, Patient.modifierExtension, Patient.identifier.extension, Patient.name.extension, Patient.telecom.extension, Patient.address.extension, Patient.address.city.extension, Patient.address.city.extension:cityCode, Patient.address.district.extension, Patient.address.district.extension:districtCode, Patient.address.state.extension, Patient.address.state.extension:stateCode, Patient.address.country.extension, Patient.address.country.extension:countryCode, Patient.contact.extension, Patient.contact.modifierExtension, Patient.communication.extension, Patient.communication.modifierExtension, Patient.link.extension, Patient.link.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
only-one-cedula error Patient El paciente no puede tener más de una cédula costarricense. identifier.where(type.coding.code='cedula').count() <= 1
only-one-dimex error Patient El paciente no puede tener más de un DIMEX. identifier.where(type.coding.code='dimex').count() <= 1
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: 6 elements
Must-Support: 30 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Patient.deceased[x]

Maturity: 0

 

Other representations of profile: CSV, Excel, Schematron

Notes:

Nota: los comentarios son bienvenidos y deben dirigirse al repositorio de Github (https://github.com/HL7-cr/core).