HL7 Czech Base and Core Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.3.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-core/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
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• TTL

Resource Profile: Patient (CZ core)

This profile sets minimum expectations for the Patient resource common to most of the use cases. It is based on EU Patient Core.

Usages:

• Refer to this Profile: Body Structure (CZ), Medication Statement (CZ), Allergy Intolerance (CZ), Coverage (CZ)... Show 8 more, Device: Performer/Observer (CZ), Medical Device (CZ), Patient: Animal (CZ), Patient (CZ core), Provenance (CZ), Related Person (CZ core), Signature (CZ) and Specimen (CZ)
• Examples for this Profile: Patient/Mracena, Patient/cz-patient-addr-example-1, Patient/cz-patient-addr-example-2, Patient/cz-patient-addr-example-3... Show 2 more, Patient/cz-patient-addr-example-4 and Patient/cz-patient-addr-example-5

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..*	CZ_PatientBase	Czech Patient (base) This profile also imposes the profile Patient (EU core) Constraints: cz-pat-2
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	CZ_Address	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:registeringProvider		0..*	(Complex)	Registering primary outpatient healthcare provider URL: https://hl7.cz/fhir/core/StructureDefinition/registering-provider-cz
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	ΣC	1..*	Identifier	Patient identifiers Slice: Unordered, Open by value:system Constraints: cz-pat-3
identifier:RC	Σ	0..1	CZ_Rodcis_Identifier	Personal Number
identifier:RID	Σ	1..1	CZ_RID_Identifier	National Health Sector Identifier
identifier:CPOJ	Σ	0..1	Identifier	Health Insurance Number
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://ncez.mzcr.cz/fhir/sid/cpoj
value	Σ	1..1	string	The value that is unique Example General: 123456 Example CPOJ Example: 6309211234
identifier:OP	Σ	0..*	Identifier	National Identity Card Number
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:PAS	Σ	0..*	CZ_Passport_Identifier	Passport Number
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	A name associated with the patient Constraints: cz-pat-1
Slices for extension				Content/Rules for all slices
extension:name-absent-reason		0..*	code	Reason for not providing the name. URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name.
family	SΣ	0..1	string	Family name. Example spanish: Valero Iglesias
given	SΣ	1..*	string	Given names. 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
gender	SΣ	0..1	code	Administrative Gender Binding: Gender for administrative purposes (required)
birthDate	Σ	1..1	date	The date of birth for the patient
Slices for extension				Content/Rules for all slices
extension:birthTime		0..1	dateTime	Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
extension:dob-absent-reason		0..1	code	Reason for not providing the Date of Birth. URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
deceased[x]	?!Σ	0..1		Death information either by symptom or date of death
deceasedBoolean			boolean
deceasedDateTime			dateTime
generalPractitioner		0..*	Reference(Organization (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core))	A physician or provider nominated by the patient
managingOrganization	Σ	0..1	Reference(Organization (CZ core))	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient (CZ core) | Related Person (CZ core))	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.identifier:CPOJ.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:OP.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Patient.gender	required	AdministrativeGenderCzVs https://hl7.cz/fhir/ValueSet/administrative-gender-cz
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cz-pat-1	error	Patient.name	Patient.name.given, Patient.name.family, Patient.name.text or data-absent-reason MUST be filled : family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
cz-pat-2	error	Patient	A patient can have only one registering physician of a given type : extension('https://hl7.cz/fhir/core/StructureDefinition/registering-provider-cz').extension('category').isDistinct()
cz-pat-3	error	Patient.identifier	Patient.identifier[OP] MUST has only one with use=official : where($this is OP and use='official').count() <= 1
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CZ_PatientBase

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	CZ_PatientBase	Czech Patient (base) This profile also imposes the profile Patient (EU core) Constraints: cz-pat-2
Slices for extension				Content/Rules for all slices
extension:registeringProvider		0..*	(Complex)	Registering primary outpatient healthcare provider URL: https://hl7.cz/fhir/core/StructureDefinition/registering-provider-cz
identifier	C	1..*	Identifier	Patient identifiers Constraints: cz-pat-3
Slices for identifier				Content/Rules for all slices
identifier:RID		1..1	CZ_RID_Identifier	National Health Sector Identifier
name	C	1..*	HumanName	A name associated with the patient Constraints: cz-pat-1
birthDate
Slices for extension				Content/Rules for all slices
extension:dob-absent-reason		0..1	code	Reason for not providing the Date of Birth. URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
contact
organization		0..1	Reference(Organization (CZ core))	Organization that is associated with the contact
generalPractitioner		0..*	Reference(Organization (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core))	A physician or provider nominated by the patient
managingOrganization		0..1	Reference(Organization (CZ core))	Organization that is the custodian of the patient record
link
other		1..1	Reference(Patient (CZ core) | Related Person (CZ core))	The other patient or related person resource that the link refers to
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
cz-pat-1	error	Patient.name	Patient.name.given, Patient.name.family, Patient.name.text or data-absent-reason MUST be filled : family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
cz-pat-2	error	Patient	A patient can have only one registering physician of a given type : extension('https://hl7.cz/fhir/core/StructureDefinition/registering-provider-cz').extension('category').isDistinct()
cz-pat-3	error	Patient.identifier	Patient.identifier[OP] MUST has only one with use=official : where($this is OP and use='official').count() <= 1

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	CZ_PatientBase	Czech Patient (base) This profile also imposes the profile Patient (EU core) Constraints: cz-pat-2
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	CZ_Address	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:registeringProvider		0..*	(Complex)	Registering primary outpatient healthcare provider URL: https://hl7.cz/fhir/core/StructureDefinition/registering-provider-cz
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	ΣC	1..*	Identifier	Patient identifiers Slice: Unordered, Open by value:system Constraints: cz-pat-3
identifier:RC	Σ	0..1	CZ_Rodcis_Identifier	Personal Number
identifier:RID	Σ	1..1	CZ_RID_Identifier	National Health Sector Identifier
identifier:CPOJ	Σ	0..1	Identifier	Health Insurance Number
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://ncez.mzcr.cz/fhir/sid/cpoj
value	Σ	1..1	string	The value that is unique Example General: 123456 Example CPOJ Example: 6309211234
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization (CZ core))	Organization that issued id (may be just text)
identifier:OP	Σ	0..*	Identifier	National Identity Card Number
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Binding: Standard namespaces for national identity card (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization (CZ core))	Organization that issued id (may be just text)
identifier:PAS	Σ	0..*	CZ_Passport_Identifier	Passport Number
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	A name associated with the patient Constraints: cz-pat-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:name-absent-reason		0..*	code	Reason for not providing the name. URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name.
family	SΣ	0..1	string	Family name. Example spanish: Valero Iglesias
given	SΣ	1..*	string	Given names. 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
gender	SΣ	0..1	code	Administrative Gender Binding: Gender for administrative purposes (required)
birthDate	Σ	1..1	date	The date of birth for the patient
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:birthTime		0..1	dateTime	Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
extension:dob-absent-reason		0..1	code	Reason for not providing the Date of Birth. URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
value		0..1	date	Primitive value for date
deceased[x]	?!Σ	0..1		Death information either by symptom or date of death
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	CZ_Address	An address for the individual
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (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	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConceptIPS	The kind of relationship Binding: Contatct and Relationship (CZ) (required)
name		0..1	HumanName	Contact name
telecom		0..*	ContactPoint	Contact details for the person
address		0..1	CZ_Address	Contact person address
gender		0..1	code	male | female | other | unknown Binding: Gender for administrative purposes (required)
organization	C	0..1	Reference(Organization (CZ core))	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	Communication language Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core))	A physician or provider nominated by the patient
managingOrganization	Σ	0..1	Reference(Organization (CZ core))	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient (CZ core) | Related Person (CZ core))	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.identifier:CPOJ.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:CPOJ.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Patient.identifier:OP.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:OP.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Patient.identifier:OP.system	required	OPNSVS https://hl7.cz/fhir/core/ValueSet/OP-NS-VS From this IG
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Patient.gender	required	AdministrativeGenderCzVs https://hl7.cz/fhir/ValueSet/administrative-gender-cz
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status From the FHIR Standard
Patient.contact.relationship	required	Hl7vsContactAndRelationshipCz100 https://hl7.cz/fhir/ValueSet/hl7vs-contact-and-relationship-cz
Patient.contact.gender	required	AdministrativeGenderCzVs https://hl7.cz/fhir/ValueSet/administrative-gender-cz
Patient.communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cz-pat-1	error	Patient.name	Patient.name.given, Patient.name.family, Patient.name.text or data-absent-reason MUST be filled : family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
cz-pat-2	error	Patient	A patient can have only one registering physician of a given type : extension('https://hl7.cz/fhir/core/StructureDefinition/registering-provider-cz').extension('category').isDistinct()
cz-pat-3	error	Patient.identifier	Patient.identifier[OP] MUST has only one with use=official : where($this is OP and use='official').count() <= 1
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from CZ_PatientBase

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
• Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
• Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
• Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
• Related Person (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-relatedPerson-core)

Extensions

This structure refers to these extensions:

• https://hl7.cz/fhir/core/StructureDefinition/registering-provider-cz
• http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	CZ_PatientBase	Czech Patient (base) This profile also imposes the profile Patient (EU core) Constraints: cz-pat-2
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	CZ_Address	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:registeringProvider		0..*	(Complex)	Registering primary outpatient healthcare provider URL: https://hl7.cz/fhir/core/StructureDefinition/registering-provider-cz
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	ΣC	1..*	Identifier	Patient identifiers Slice: Unordered, Open by value:system Constraints: cz-pat-3
identifier:RC	Σ	0..1	CZ_Rodcis_Identifier	Personal Number
identifier:RID	Σ	1..1	CZ_RID_Identifier	National Health Sector Identifier
identifier:CPOJ	Σ	0..1	Identifier	Health Insurance Number
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://ncez.mzcr.cz/fhir/sid/cpoj
value	Σ	1..1	string	The value that is unique Example General: 123456 Example CPOJ Example: 6309211234
identifier:OP	Σ	0..*	Identifier	National Identity Card Number
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:PAS	Σ	0..*	CZ_Passport_Identifier	Passport Number
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	A name associated with the patient Constraints: cz-pat-1
Slices for extension				Content/Rules for all slices
extension:name-absent-reason		0..*	code	Reason for not providing the name. URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name.
family	SΣ	0..1	string	Family name. Example spanish: Valero Iglesias
given	SΣ	1..*	string	Given names. 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
gender	SΣ	0..1	code	Administrative Gender Binding: Gender for administrative purposes (required)
birthDate	Σ	1..1	date	The date of birth for the patient
Slices for extension				Content/Rules for all slices
extension:birthTime		0..1	dateTime	Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
extension:dob-absent-reason		0..1	code	Reason for not providing the Date of Birth. URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
deceased[x]	?!Σ	0..1		Death information either by symptom or date of death
deceasedBoolean			boolean
deceasedDateTime			dateTime
generalPractitioner		0..*	Reference(Organization (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core))	A physician or provider nominated by the patient
managingOrganization	Σ	0..1	Reference(Organization (CZ core))	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient (CZ core) | Related Person (CZ core))	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.identifier:CPOJ.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:OP.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Patient.gender	required	AdministrativeGenderCzVs https://hl7.cz/fhir/ValueSet/administrative-gender-cz
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cz-pat-1	error	Patient.name	Patient.name.given, Patient.name.family, Patient.name.text or data-absent-reason MUST be filled : family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
cz-pat-2	error	Patient	A patient can have only one registering physician of a given type : extension('https://hl7.cz/fhir/core/StructureDefinition/registering-provider-cz').extension('category').isDistinct()
cz-pat-3	error	Patient.identifier	Patient.identifier[OP] MUST has only one with use=official : where($this is OP and use='official').count() <= 1
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from CZ_PatientBase

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	CZ_PatientBase	Czech Patient (base) This profile also imposes the profile Patient (EU core) Constraints: cz-pat-2
Slices for extension				Content/Rules for all slices
extension:registeringProvider		0..*	(Complex)	Registering primary outpatient healthcare provider URL: https://hl7.cz/fhir/core/StructureDefinition/registering-provider-cz
identifier	C	1..*	Identifier	Patient identifiers Constraints: cz-pat-3
Slices for identifier				Content/Rules for all slices
identifier:RID		1..1	CZ_RID_Identifier	National Health Sector Identifier
name	C	1..*	HumanName	A name associated with the patient Constraints: cz-pat-1
birthDate
Slices for extension				Content/Rules for all slices
extension:dob-absent-reason		0..1	code	Reason for not providing the Date of Birth. URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
contact
organization		0..1	Reference(Organization (CZ core))	Organization that is associated with the contact
generalPractitioner		0..*	Reference(Organization (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core))	A physician or provider nominated by the patient
managingOrganization		0..1	Reference(Organization (CZ core))	Organization that is the custodian of the patient record
link
other		1..1	Reference(Patient (CZ core) | Related Person (CZ core))	The other patient or related person resource that the link refers to
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
cz-pat-1	error	Patient.name	Patient.name.given, Patient.name.family, Patient.name.text or data-absent-reason MUST be filled : family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
cz-pat-2	error	Patient	A patient can have only one registering physician of a given type : extension('https://hl7.cz/fhir/core/StructureDefinition/registering-provider-cz').extension('category').isDistinct()
cz-pat-3	error	Patient.identifier	Patient.identifier[OP] MUST has only one with use=official : where($this is OP and use='official').count() <= 1

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	CZ_PatientBase	Czech Patient (base) This profile also imposes the profile Patient (EU core) Constraints: cz-pat-2
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	CZ_Address	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:registeringProvider		0..*	(Complex)	Registering primary outpatient healthcare provider URL: https://hl7.cz/fhir/core/StructureDefinition/registering-provider-cz
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	ΣC	1..*	Identifier	Patient identifiers Slice: Unordered, Open by value:system Constraints: cz-pat-3
identifier:RC	Σ	0..1	CZ_Rodcis_Identifier	Personal Number
identifier:RID	Σ	1..1	CZ_RID_Identifier	National Health Sector Identifier
identifier:CPOJ	Σ	0..1	Identifier	Health Insurance Number
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://ncez.mzcr.cz/fhir/sid/cpoj
value	Σ	1..1	string	The value that is unique Example General: 123456 Example CPOJ Example: 6309211234
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization (CZ core))	Organization that issued id (may be just text)
identifier:OP	Σ	0..*	Identifier	National Identity Card Number
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Binding: Standard namespaces for national identity card (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization (CZ core))	Organization that issued id (may be just text)
identifier:PAS	Σ	0..*	CZ_Passport_Identifier	Passport Number
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	A name associated with the patient Constraints: cz-pat-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:name-absent-reason		0..*	code	Reason for not providing the name. URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name.
family	SΣ	0..1	string	Family name. Example spanish: Valero Iglesias
given	SΣ	1..*	string	Given names. 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
gender	SΣ	0..1	code	Administrative Gender Binding: Gender for administrative purposes (required)
birthDate	Σ	1..1	date	The date of birth for the patient
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:birthTime		0..1	dateTime	Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
extension:dob-absent-reason		0..1	code	Reason for not providing the Date of Birth. URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
value		0..1	date	Primitive value for date
deceased[x]	?!Σ	0..1		Death information either by symptom or date of death
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	CZ_Address	An address for the individual
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (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	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConceptIPS	The kind of relationship Binding: Contatct and Relationship (CZ) (required)
name		0..1	HumanName	Contact name
telecom		0..*	ContactPoint	Contact details for the person
address		0..1	CZ_Address	Contact person address
gender		0..1	code	male | female | other | unknown Binding: Gender for administrative purposes (required)
organization	C	0..1	Reference(Organization (CZ core))	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	Communication language Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core))	A physician or provider nominated by the patient
managingOrganization	Σ	0..1	Reference(Organization (CZ core))	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient (CZ core) | Related Person (CZ core))	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.identifier:CPOJ.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:CPOJ.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Patient.identifier:OP.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Patient.identifier:OP.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Patient.identifier:OP.system	required	OPNSVS https://hl7.cz/fhir/core/ValueSet/OP-NS-VS From this IG
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Patient.gender	required	AdministrativeGenderCzVs https://hl7.cz/fhir/ValueSet/administrative-gender-cz
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status From the FHIR Standard
Patient.contact.relationship	required	Hl7vsContactAndRelationshipCz100 https://hl7.cz/fhir/ValueSet/hl7vs-contact-and-relationship-cz
Patient.contact.gender	required	AdministrativeGenderCzVs https://hl7.cz/fhir/ValueSet/administrative-gender-cz
Patient.communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cz-pat-1	error	Patient.name	Patient.name.given, Patient.name.family, Patient.name.text or data-absent-reason MUST be filled : family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
cz-pat-2	error	Patient	A patient can have only one registering physician of a given type : extension('https://hl7.cz/fhir/core/StructureDefinition/registering-provider-cz').extension('category').isDistinct()
cz-pat-3	error	Patient.identifier	Patient.identifier[OP] MUST has only one with use=official : where($this is OP and use='official').count() <= 1
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from CZ_PatientBase

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
• Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
• Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
• Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
• Related Person (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-relatedPerson-core)

Extensions

This structure refers to these extensions:

• https://hl7.cz/fhir/core/StructureDefinition/registering-provider-cz
• http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0

Maturity: 1

Other representations of profile: CSV, Excel, Schematron