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

• Content
• Detailed Descriptions
• Mappings
• JSON

Resource Profile: Paciente - Reportes de Imágenes Médicas

Perfil Patient para representar pacientes en el contexto de reportes de imágenes médicas en Costa Rica. Incorpora todos los identificadores oficiales, metadatos y restricciones específicas del perfil CRCorePatient, permitiendo el uso en reportes de imágenes sin requerir dependencia externa del Core IG.

Usages:

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

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	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 - Resultados de Laboratorio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-patient-calculated-age Constraints: ext-1
extension:religion	S	0..1	CodeableConcept	Religión del paciente - Resultados de Laboratorio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-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 del paciente
use	?!SΣ	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: https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types (required)
active	?!SΣ	0..1	boolean	Si el registro del paciente está activo
name	SΣ	1..1	HumanName	A name associated with the patient
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	Family name (often called 'Surname')
given	SΣ	1..2	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual
system	SΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣC	0..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point 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		Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!SΣ	0..1	boolean	Indicates if the individual is deceased or not
deceased[x]:deceasedDateTime	?!SΣ	0..1	dateTime	Indicates if the individual is deceased or not
address	SΣ	0..*	CRLabResultAddress(1.0.0)	An address for the individual
use	?!SΣ	0..1	code	Tipo de dirección. Binding: AddressUse (required): The use of an address (home / work / etc.). Example General: home
type	SΣ	0..1	code	Tipo de dirección. Binding: AddressType (required): The type of an address (physical / postal). Example General: both
line	SΣ	1..*	string	La dirección completa, incluyendo la calle, el número de la casa o apartamento, la ciudad, el estado, el código postal, etc., si es relevante. 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	Nombre de la ciudad. 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/imaging-report/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	Nombre del distrito. 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/imaging-report/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	Nombre del estado o provincia.
Slices for extension				Content/Rules for all slices
extension:stateCode		0..1	CodeableConcept	Extensión para provincia URL: https://hl7.or.cr/fhir/imaging-report/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.
Slices for extension				Content/Rules for all slices
extension:countryCode	S	0..1	CodeableConcept	Extensión para país URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-country-ext Binding: Iso316613 (required): Códigos de país en formato ISO 3166-1 alpha-3. Constraints: ext-1
contact	SC	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
relationship	S	0..*	CodeableConcept	The kind of relationship Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set (extensible)
name	SC	0..1	HumanName	A name associated with the contact person
telecom	SC	0..*	ContactPoint	A contact detail for the person
address	SC	0..1	Address	Address for the contact person
gender	S	0..1	code	male | female | other | unknown 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
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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient(5.0.0)	Information about an individual or animal receiving health care services Constraints: only-one-cedula, only-one-dimex
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:calculatedAge	S	0..1	Age	Edad calculada del paciente - Resultados de Laboratorio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-patient-calculated-age
extension:religion	S	0..1	CodeableConcept	Religión del paciente - Resultados de Laboratorio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-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 del paciente
use	S	0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types (required)
active	S	0..1	boolean	Si el registro del paciente está activo
name	S	1..1	HumanName	A name associated with the patient
family	S	1..1	string	Family name (often called 'Surname')
given	S	1..2	string	Given names (not always 'first'). Includes middle names
telecom	S	0..*	ContactPoint	A contact detail for the individual
system	S	0..1	code	phone | fax | email | pager | url | sms | other
value	S	0..1	string	The actual contact point details
use	S	0..1	code	home | work | temp | old | mobile - purpose of this contact point
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	Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceased[x]:deceasedBoolean	S	0..1	boolean	Indicates if the individual is deceased or not
deceased[x]:deceasedDateTime	S	0..1	dateTime	Indicates if the individual is deceased or not
address	S	0..*	CRLabResultAddress(1.0.0)	An address for the individual
use	S	0..1	code	Tipo de dirección.
type	S	0..1	code	Tipo de dirección.
city	S	0..1	string	Nombre de la ciudad.
district	S	0..1	string	Nombre del distrito.
state	S	0..1	string	Nombre del estado o provincia.
postalCode	S	0..1	string	Código postal.
contact	S	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
relationship	S	0..*	CodeableConcept	The kind of relationship Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set (extensible)
name	S	0..1	HumanName	A name associated with the contact person
telecom	S	0..*	ContactPoint	A contact detail for the person
address	S	0..1	Address	Address for the contact person
gender	S	0..1	code	male | female | other | unknown
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
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
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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
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 - Resultados de Laboratorio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-patient-calculated-age Constraints: ext-1
extension:religion	S	0..1	CodeableConcept	Religión del paciente - Resultados de Laboratorio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-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 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 (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types (required)
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	A name associated with the patient
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	Family name (often called 'Surname')
given	SΣ	1..2	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url 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	The actual contact point details
use	?!SΣ	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	Sexo biológico del paciente Binding: AdministrativeGender (required)
birthDate	SΣ	1..1	date	Fecha de nacimiento del paciente
Slices for deceased[x]	?!SΣ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!SΣ	0..1	boolean	Indicates if the individual is deceased or not
deceased[x]:deceasedDateTime	?!SΣ	0..1	dateTime	Indicates if the individual is deceased or not
address	SΣ	0..*	CRLabResultAddress(1.0.0)	An address for the individual
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!SΣ	0..1	code	Tipo de dirección. Binding: AddressUse (required): The use of an address (home / work / etc.). Example General: home
type	SΣ	0..1	code	Tipo de dirección. 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	La dirección completa, incluyendo la calle, el número de la casa o apartamento, la ciudad, el estado, el código postal, etc., si es relevante. 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	Nombre de la ciudad. 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/imaging-report/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	Nombre del distrito. 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/imaging-report/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	Nombre del estado o provincia.
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/imaging-report/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.
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/imaging-report/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	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
relationship	S	0..*	CodeableConcept	The kind of relationship Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set (extensible)
name	SC	0..1	HumanName	A name associated with the contact person
telecom	SC	0..*	ContactPoint	A contact detail for the person
address	SC	0..1	Address	Address for the contact person
gender	S	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations 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 Bindings Purpose CommonLanguages Starter
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations 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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
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.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.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:

• Tipo de Dato Dirección - Resultados de Laboratorio (https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-address|1.0.0)

Extensions

This structure refers to these extensions:

• https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-patient-calculated-age|1.0.0
• https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-patient-religion|1.0.0

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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 - Resultados de Laboratorio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-patient-calculated-age Constraints: ext-1
extension:religion	S	0..1	CodeableConcept	Religión del paciente - Resultados de Laboratorio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-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 del paciente
use	?!SΣ	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: https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types (required)
active	?!SΣ	0..1	boolean	Si el registro del paciente está activo
name	SΣ	1..1	HumanName	A name associated with the patient
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	Family name (often called 'Surname')
given	SΣ	1..2	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual
system	SΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣC	0..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point 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		Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!SΣ	0..1	boolean	Indicates if the individual is deceased or not
deceased[x]:deceasedDateTime	?!SΣ	0..1	dateTime	Indicates if the individual is deceased or not
address	SΣ	0..*	CRLabResultAddress(1.0.0)	An address for the individual
use	?!SΣ	0..1	code	Tipo de dirección. Binding: AddressUse (required): The use of an address (home / work / etc.). Example General: home
type	SΣ	0..1	code	Tipo de dirección. Binding: AddressType (required): The type of an address (physical / postal). Example General: both
line	SΣ	1..*	string	La dirección completa, incluyendo la calle, el número de la casa o apartamento, la ciudad, el estado, el código postal, etc., si es relevante. 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	Nombre de la ciudad. 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/imaging-report/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	Nombre del distrito. 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/imaging-report/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	Nombre del estado o provincia.
Slices for extension				Content/Rules for all slices
extension:stateCode		0..1	CodeableConcept	Extensión para provincia URL: https://hl7.or.cr/fhir/imaging-report/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.
Slices for extension				Content/Rules for all slices
extension:countryCode	S	0..1	CodeableConcept	Extensión para país URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-country-ext Binding: Iso316613 (required): Códigos de país en formato ISO 3166-1 alpha-3. Constraints: ext-1
contact	SC	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
relationship	S	0..*	CodeableConcept	The kind of relationship Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set (extensible)
name	SC	0..1	HumanName	A name associated with the contact person
telecom	SC	0..*	ContactPoint	A contact detail for the person
address	SC	0..1	Address	Address for the contact person
gender	S	0..1	code	male | female | other | unknown 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
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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient(5.0.0)	Information about an individual or animal receiving health care services Constraints: only-one-cedula, only-one-dimex
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:calculatedAge	S	0..1	Age	Edad calculada del paciente - Resultados de Laboratorio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-patient-calculated-age
extension:religion	S	0..1	CodeableConcept	Religión del paciente - Resultados de Laboratorio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-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 del paciente
use	S	0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types (required)
active	S	0..1	boolean	Si el registro del paciente está activo
name	S	1..1	HumanName	A name associated with the patient
family	S	1..1	string	Family name (often called 'Surname')
given	S	1..2	string	Given names (not always 'first'). Includes middle names
telecom	S	0..*	ContactPoint	A contact detail for the individual
system	S	0..1	code	phone | fax | email | pager | url | sms | other
value	S	0..1	string	The actual contact point details
use	S	0..1	code	home | work | temp | old | mobile - purpose of this contact point
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	Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceased[x]:deceasedBoolean	S	0..1	boolean	Indicates if the individual is deceased or not
deceased[x]:deceasedDateTime	S	0..1	dateTime	Indicates if the individual is deceased or not
address	S	0..*	CRLabResultAddress(1.0.0)	An address for the individual
use	S	0..1	code	Tipo de dirección.
type	S	0..1	code	Tipo de dirección.
city	S	0..1	string	Nombre de la ciudad.
district	S	0..1	string	Nombre del distrito.
state	S	0..1	string	Nombre del estado o provincia.
postalCode	S	0..1	string	Código postal.
contact	S	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
relationship	S	0..*	CodeableConcept	The kind of relationship Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set (extensible)
name	S	0..1	HumanName	A name associated with the contact person
telecom	S	0..*	ContactPoint	A contact detail for the person
address	S	0..1	Address	Address for the contact person
gender	S	0..1	code	male | female | other | unknown
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
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
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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
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 - Resultados de Laboratorio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-patient-calculated-age Constraints: ext-1
extension:religion	S	0..1	CodeableConcept	Religión del paciente - Resultados de Laboratorio URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-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 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 (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-identifier-types (required)
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	A name associated with the patient
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	Family name (often called 'Surname')
given	SΣ	1..2	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url 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	The actual contact point details
use	?!SΣ	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	Sexo biológico del paciente Binding: AdministrativeGender (required)
birthDate	SΣ	1..1	date	Fecha de nacimiento del paciente
Slices for deceased[x]	?!SΣ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!SΣ	0..1	boolean	Indicates if the individual is deceased or not
deceased[x]:deceasedDateTime	?!SΣ	0..1	dateTime	Indicates if the individual is deceased or not
address	SΣ	0..*	CRLabResultAddress(1.0.0)	An address for the individual
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!SΣ	0..1	code	Tipo de dirección. Binding: AddressUse (required): The use of an address (home / work / etc.). Example General: home
type	SΣ	0..1	code	Tipo de dirección. 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	La dirección completa, incluyendo la calle, el número de la casa o apartamento, la ciudad, el estado, el código postal, etc., si es relevante. 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	Nombre de la ciudad. 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/imaging-report/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	Nombre del distrito. 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/imaging-report/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	Nombre del estado o provincia.
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/imaging-report/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.
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/imaging-report/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	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
relationship	S	0..*	CodeableConcept	The kind of relationship Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-relationships-set (extensible)
name	SC	0..1	HumanName	A name associated with the contact person
telecom	SC	0..*	ContactPoint	A contact detail for the person
address	SC	0..1	Address	Address for the contact person
gender	S	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations 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 Bindings Purpose CommonLanguages Starter
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations 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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
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.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.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:

• Tipo de Dato Dirección - Resultados de Laboratorio (https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-address|1.0.0)

Extensions

This structure refers to these extensions:

• https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-patient-calculated-age|1.0.0
• https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-lab-result-patient-religion|1.0.0

Slices

This structure defines the following Slices:

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

Maturity: 0