HL7 Czech Core Resources IG
0.1.0 - ci-build
HL7 Czech Core Resources IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-core/ and changes regularly. See the Directory of published versions
Page standards status: Draft | Maturity Level: 1 |
Definitions for the cz-patient resource profile.
Guidance on how to interpret the contents of this table can be found here
0. Patient | |
2. Patient.language | |
Pattern Value | cs |
4. Patient.extension | |
Slicing | This element introduces a set of slices on Patient.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
6. Patient.extension:sex-for-clinical-use | |
Slice Name | sex-for-clinical-use |
Control | 0..* |
Type | Extension(Patient Sex Parameter For Clinical Use) (Complex Extension) |
Must Support | false |
8. Patient.extension:birthPlace | |
Slice Name | birthPlace |
Short | Místo narození / Birth place |
Control | 0..1 |
Type | Extension(Patient Birth Place) (Extension Type: Address) |
10. Patient.extension:birthPlace.value[x] | |
Type | Address(Address (CZ)) |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
12. Patient.extension:nationality | |
Slice Name | nationality |
Definition | Státní občanství dle zákona 186/2013. Státní občanství, jak je uváděno na oficiálních dokladech k prokázání identity. |
Short | Státní občanství / Nationality |
Control | 0..* |
Type | Extension(Patient Nationality) (Complex Extension) |
14. Patient.extension:nationality.extension:code | |
Slice Name | code |
16. Patient.extension:nationality.extension:code.value[x] | |
Binding | The codes SHALL be taken from Iso3166-1-2 (required to http://hl7.org/fhir/ValueSet/iso3166-1-2 ) |
Type | CodeableConcept(Codeable Concept (CZ)) |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Must Support | true |
18. Patient.extension:registeringProvider | |
Slice Name | registeringProvider |
Definition | Registrujícím poskytovatelem se rozumí poskytovatel ambulantní péče v oboru všeobecné praktické lékařství, v oboru praktické lékařství pro děti a dorost, v oboru zubní lékařství nebo v oboru gynekologie a porodnictví, který přijal pacienta do péče za účelem poskytnutí primární ambulantní péče. |
Short | Registrující poskytovatel primární ambulantní péče / Registering primary outpatient healthcare provider |
Comments | V každém okamžiku může mít pacient nejvýše jednoho registrujícího poskytovatele v oboru všeobecné praktické lékařství nebo v oboru praktické lékařství pro děti a dorost a jednoho registrujícího poskytovatele v oboru zubního lékařství. Pacientky mohou mít také nejvýše jednoho registrujícího poskytovatele v oboru gynekologie a porodnictví. At any one time, a patient may have no more than one general practitioner or paediatric and adolescent practitioner and one dental registrar. Female patients may also have no more than one registered provider in gynaecology and obstetrics. |
Control | 0..* |
Type | Extension(Registrující poskytovatel) (Complex Extension) |
20. Patient.identifier | |
Definition | Identifikátor pacienta. Obvykle se používá, pokud je k dispozici, některý z národních identifikátorů (číslo pacienta z národního registru pacientů, rodné číslo (RC), číslo pojištěnce). Organizace mohou také uvést lokální identifikátor, a to pomocí vlastního identifikačního systému. V případě potřeby lze přidat také typ identifikátoru. Patient identifier. When available, one of the national identifiers (patient number from the national patient register, birth number (RC), insurance number) is usually used. Organisations may also provide a local identifier using their own identification system. If necessary, the type of identifier can also be added. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Must Support | true |
Slicing | This element introduces a set of slices on Patient.identifier . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
22. Patient.identifier:RC | |
Slice Name | RC |
Definition | Identifikátor pacienta přidělený podle zákona o evidenci obyvatel. / Patient identifier assigned under the Czech Population Registration Act. |
Short | Rodné číslo (Personal Number) |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..1 |
Type | Identifier(Rodné číslo / Czech national birth number) |
Must Support | true |
24. Patient.identifier:RID | |
Slice Name | RID |
Definition | Jedinečný identifikátor pacienta (resortní identifikátor) podle Národního registru pacientů. / An unique patient identifier (resortní identifikátor) according to the National Patient Register |
Short | Resortní identifikátor (National Health Identifier) |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..1 |
Must Support | true |
26. Patient.identifier:RID.system | |
Control | 1..? |
Fixed Value | https://ncez.mzcr.cz/fhir/sid/rid |
28. Patient.identifier:RID.value | |
Control | 1..? |
30. Patient.identifier:CPOJ | |
Slice Name | CPOJ |
Definition | Jedinečný identifikátor pacienta (číslo pojištěnce) podle Národního registru zdravotního pojištění. / An unique patient identifier (číslo pojištěnce) according to the National Health Insurance Register |
Short | Číslo pojištěnce zdravotního pojištění (Health Insurance Number) |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..1 |
Must Support | true |
32. Patient.identifier:CPOJ.system | |
Control | 1..? |
Fixed Value | https://ncez.mzcr.cz/fhir/sid/cpoj |
34. Patient.identifier:CPOJ.value | |
Control | 1..? |
36. Patient.identifier:OP | |
Slice Name | OP |
Definition | Jedinečný identifikátor pacienta (číslo občanského průkazu) vydaného ministerstvem vnitra. / An unique patient identifier (National ID Card Number) issued by the ministry of interior |
Short | Číslo občanského průkazu (National Identity Card Number) |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..1 |
Must Support | true |
38. Patient.identifier:OP.system | |
Control | 1..? |
Fixed Value | https://ncez.mzcr.cz/fhir/sid/op |
40. Patient.identifier:OP.value | |
Control | 1..? |
42. Patient.identifier:PAS | |
Slice Name | PAS |
Definition | Jedinečný identifikátor pacienta (číslo pasu). / An unique patient identifier (Passport Number) |
Short | Číslo pasu (Passport Number) |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Must Support | true |
44. Patient.identifier:PAS.use | |
Pattern Value | official |
46. Patient.identifier:PAS.type | |
Pattern Value | { |
48. Patient.identifier:PAS.system | |
Short | Jmenný prostor dle vydavatele pasu. FHIR eviduje jmenné prostory pro pasy ve formátu http://hl7.org/fhir/sid/passport-XXX, kde XXX je třípísmenný kód země dle ISO 3166 |
Binding | The codes SHALL be taken from Standardní jmenné prostory pro cestovní pasy (required to https://ncez.mzcr.cz/fhir/ValueSet/PassportNS-vs ) |
50. Patient.identifier:PAS.value | |
Control | 1..? |
52. Patient.name | |
Definition | Plné jméno osoby. Doporučuje se uvádět alespoň jedno příjmení a alespoň jedno křestní jméno, pokud je to možné, a definovat 'oficiální' použití. Pokud je jméno uvedeno, příjemce je NESMÍ ignorovat. / A name associated with the individual. It is RECOMMENDED to give at least one family name and at least one given name when possible and define an 'official' use. When names are given, a consumer SHALL NOT ignore it. |
Control | 1..? |
Type | HumanName(HumanName (Cz)) |
Must Support | true |
Requirements | Pacient může být znám pod více různými jmény. Příkladem je oficiální jméno a přezdívka nebo pseudonym. Ve všech případech se vždy používá alfabetické vyjádření jména. A patient may be known by several different names. An example is an official name and a nickname or pseudonym. In all cases, the alphabetical representation of the name is always used. |
Invariants | cz-pat-1: Patient.name.given, Patient.name.family, Patient.name.text nebo data-absent-reason MUSÍ být uveden (family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() ) |
54. Patient.name.extension:name-absent-reason | |
Slice Name | name-absent-reason |
Definition | Důvod pro neuvedení jména / Reason for not providing the name |
Short | Důvod pro neuvedení jména / Reason for not providing the name |
Control | 0..* |
Type | Extension(Data Absent Reason) (Extension Type: code) |
56. Patient.name.text | |
Definition | Textové vyjádření plného jména. Vzhledem ke kulturním odlišnostem ve způsobu zápisu jmen v různých zemích nemusí přijímající systém vědět, jak jméno správně prezentovat; navíc ne všechny části jména lze označit jako křestní jméno či příjmení. Tvůrcům se proto důrazně doporučuje, aby prostřednictvím tohoto prvku poskytli prezentovanou verzi plného jména. Budoucí verze této příručky mohou tento prvek vyžadovat. / Text representation of the full name. Due to the cultural variance around the world a consuming system may not know how to present the name correctly; moreover not all the parts of the name go in given or family. Creators are therefore strongly encouraged to provide through this element a presented version of the name. Future versions of this guide may require this element |
Must Support | true |
58. Patient.name.family | |
Must Support | true |
60. Patient.name.given | |
Must Support | true |
62. Patient.telecom | |
Definition | Elektronický kontakt (např. telefonní číslo nebo e-mailová adresa), pomocí kterého lze osobu kontaktovat. DOPORUČUJE SE přidat alespoň jeden telefon nebo e-mailovou adresu s jasným označením pomocí prvku .use, zda se jedná o domácí použití, pracovní použití atd. A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. It is RECOMMENDED to at least add one phone or email address with clear indication using the .use element whether it is home use, work use, etc. |
Short | Elektronický kontakt osoby / A contact detail for the individual |
Must Support | true |
64. Patient.gender | |
Definition | Pohlaví pro úřední účely |
Binding | The codes SHALL be taken from AdministrativeGender (required to https://ncez.mzcr.cz/fhir/ValueSet/cz-administrative-gender-vs ) |
Must Support | true |
66. Patient.birthDate | |
Definition | Datum narození. DOPORUČUJE SE uvádět datum narození, pokud je k dispozici. The date of birth for the individual. It is RECOMMENDED to give the birthdate when available. |
Must Support | true |
LOINC Code | |
68. Patient.birthDate.extension | |
Slicing | This element introduces a set of slices on Patient.birthDate.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
70. Patient.birthDate.extension:birthTime | |
Slice Name | birthTime |
Control | 0..1 |
Type | Extension(Patient Birth Time) (Extension Type: dateTime) |
72. Patient.deceased[x] | |
Definition | Informace o úmrtí buď příznakem či datem úmrtí. DOPORUČUJE SE uvést informace o úmrtí ve všech relevantních případech. |
Short | Informace o úmrtí buď příznakem či datem úmrtí |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Must Support | true |
74. Patient.address | |
Definition | Adresa fyzické osoby. / An address for the individual. DOPORUČUJE SE uvést adresu, pokud je k dispozici. / It is RECOMMENDED to include an address when available. |
Type | Address(Address (CZ)) |
Must Support | true |
Invariants | cnt-2-char: The content of the country element (if present) SHALL be selected from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. (country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) ) |
76. Patient.contact | |
Definition | Kontaktní osoba (např. opatrovník, partner, přítel) pacienta. DOPORUČUJE SE uvést ji, pokud je k dispozici a pokud je považována za relevantní pro péči o pacienta. (např. rodič dítěte). A contact party (e.g. guardian, partner, friend) for the patient. It is RECOMMENDED to include this when available and considered relevant for the patientcare. (e.g. a parent of a young patient) |
Comments | Kontakt zahrnuje všechny druhy kontaktních osob: rodinné příslušníky, obchodní kontakty, opatrovníky, pečovatele. Nevztahuje se na evidenci rodokmenu a rodinných vazeb mimo rámec použití týkající se kontaktů. Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact. |
78. Patient.contact.relationship | |
Binding | The codes SHALL be taken from Contact Person Relation (CZ) (required to https://ncez.mzcr.cz/fhir/ValueSet/cz-contact-person-relation-vs ) |
Type | CodeableConcept(Codeable Concept (CZ)) |
80. Patient.contact.address | |
Type | Address(Address (CZ)) |
82. Patient.contact.gender | |
Binding | The codes SHALL be taken from AdministrativeGender (required to https://ncez.mzcr.cz/fhir/ValueSet/cz-administrative-gender-vs ) |
84. Patient.contact.organization | |
Type | Reference(Organization (CZ)) |
86. Patient.generalPractitioner | |
Definition | Praktický lékař či jiný poskytovatel určený pacientem. / Patient's nominated care provider. Upzorňujeme, že se jedná pouze o informační údaj, který nemusí znamenat jakýkoliv právně závazný terapeutický vztah mezi pacientem a lékařem či poskytovatelem či souhlas pacienta s poskytováním informací. Doporučujeme tento údaj uvést, pokud je k dispozici a pokud se jedná o informaci související s lékařskou péčí. Upozorňujeme, že se jedná o prvek datového typu Reference. To znamená, že pokud je k dispozici, bude obsahovat buď relativní, nebo absolutní adresu URL, kde lze tohoto praktického lékaře nalézt. Případně je k dispozici pouze interní odkaz a GP je zahrnut jako "obsažený zdroj" (viz specifikace HL7 FHIR)./ Take note this does not automatically imply any legal form of therapeutic link or consent relationship with this GP. It is RECOMMENDED to include this when available if the flow is in any way medical. Please note this is an element of the Reference datatype. This means when it is available it will contain either a relative or absolute URL where this GP can be found. Alternatively, there is only an internal reference and the GP is included as a ‘contained resource’ (cfr. the HL7 FHIR specifications in what cases this applies). |
Short | Lékař či poskytovatel určený pacientem |
Comments | Může to být poskytovatel primární či specializované ambulantní péče, nebo to může být pacientem určený pečovatel v komunitním prostředí či prostředí pro osoby se zdravotním postižením, nebo organizace, která poskytne osoby, kteří budou plnit roli poskytovatele péče. Pokud jde o registrujícího poskytovatele, bude odkaz zároveň uveden v extenzi "registeringProvider". Tento element se nemá používat k evidenci týmů péče, ty by měly být ve zdroji CareTeam, který může být propojen se zdroji CarePlan nebo EpisodeOfCare. U pacienta může být z různých důvodů zaznamenáno více poskytovatelů, například student, který má svého domácího praktického lékaře uvedeného spolu s praktickým lékařem na univerzitě, nebo pracovník, který má vedle svého domácího praktického lékaře uvedeného také praktického lékaře na pracovišti, aby byl informován o zdravotních problémech. This may be a primary or specialist outpatient care provider, or it may be a patient-designated carer in a community or disability setting, or an organisation that provides people to act as care providers. If it is a registering provider, the reference will also be included in the "registeringProvider" extension. This element should not be used to register care teams, these should be in the CareTeam resource, which can be linked to the CarePlan or EpisodeOfCare resources. Multiple providers may be recorded for a patient for different reasons, for example a student who has their GP listed alongside their GP at the university, or a worker who has a GP listed alongside their GP at the workplace to keep them informed of health issues. |
Type | Reference(Organization (CZ), Practitioner (CZ), Practitioner Role (CZ)) |
Must Support | true |
Must Support Types | No must-support rules about the choice of types/profiles |
88. Patient.managingOrganization | |
Definition | Organizace, která je správcem záznamu o pacientovi. Tento údaj by měl být uveden, pokud je k dispozici. Upozorňujeme, že se jedná o prvek datového typu Reference. To znamená, že pokud je k dispozici, bude obsahovat buď relativní, nebo absolutní adresu URL, kde lze tuto organizaci nalézt. Případně je zde pouze interní odkaz a Organizace je zahrnuta jako 'contined resource' (viz specifikace HL7 FHIR, v jakých případech se uplatňuje). Organization that is the custodian of the patient record. This SHOULD be included when available. Please note this is an element of the Reference datatype. This means when it is available it will contain either a relative or absolute URL where this Organization can be found. Alternatively, there is only an internal reference and the Organization is included as a ‘contained resource’ (cfr. the HL7 FHIR specifications in what cases this applies). |
Short | Organizace, která je správcem elektronického záznamu / Organization that is the custodian of the patient record |
Comments | Pro konkrétní záznam pacienta existuje pouze jedna organizace, která jej spravuje. Ostatní organizace budou mít svůj vlastní záznam pacienta a mohou použít element Link ke spárování záznamů (nebo resource Person, který může obsahovat hodnocení důvěryhodnosti pro toto spojení). There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association). |
Type | Reference(Organization (CZ)) |
Guidance on how to interpret the contents of this table can be found here
0. Patient | |||||
Definition | Demographics and other administrative information about an individual or animal receiving care or other health-related services. | ||||
Short | Information about an individual or animal receiving health care services | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | SubjectOfCare Client Resident | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) | ||||
2. Patient.implicitRules | |||||
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Short | A set of rules under which this content was created | ||||
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
4. Patient.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages (preferred to http://hl7.org/fhir/ValueSet/languages )A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Pattern Value | cs | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
6. Patient.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on Patient.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
8. Patient.extension:sex-for-clinical-use | |||||
Slice Name | sex-for-clinical-use | ||||
Definition | A parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.. | ||||
Short | A context-specific sex parameter for clinical use | ||||
Control | 0..* | ||||
Type | Extension(Patient Sex Parameter For Clinical Use) (Complex Extension) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
10. Patient.extension:birthPlace | |||||
Slice Name | birthPlace | ||||
Definition | The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements. | ||||
Short | Místo narození / Birth place | ||||
Control | 0..1 | ||||
Type | Extension(Patient Birth Place) (Extension Type: Address) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
12. Patient.extension:birthPlace.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on Patient.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
14. Patient.extension:birthPlace.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
Fixed Value | http://hl7.org/fhir/StructureDefinition/patient-birthPlace | ||||
16. Patient.extension:birthPlace.value[x] | |||||
Definition | Adresa podle poštovních zvyklostí. Adresa může být použita jak pro doručování poštovních zásilek, tak pro lokalizaci míst, která nemají platnou poštovní adresu. Použití extenzí není povinné. Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Adresa dle českých poštovních konvencí / Address according to Czech postal conventionsValue of extension | ||||
Comments | Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Type | Address(Address (CZ)), date, Meta, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) text-or-ctry: Adresa musí obsahovat minimálně element text nebo země / Address must contain at least text or country element ( ( line.all($this.empty()) and city.empty() ) implies (text.exists() or country.exists()) )POB-and-PCS: Pokud je uvedena extenze P.O.Box, pak musí být evedeno také PSČ / If P.O.Box extension is present, Postal code must be present too ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty()) or (postalCode.exists()) )street-and-city: Pokud je uvedena extenze streetName, pak musí být evedeno také PSČ nebo město / If streetName extension is present, Postal code or city must be present too ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty()) or postalCode.exists() or city.exists() )POB-only-postal: Adresa obsahující extenzi P.O.Box nemůže mít typ "physical" or "both" / Address with P.O.Box cannot be "physical" or "both" ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty()) or type='postal' or type.empty() )POB-ext-only: Pokud je uvedena extenze P.O.Box, nesmí být uvedena extenze 'Street' a 'House number' / If the extension 'P.O.Box' is used, the extensions 'Street' and 'House number' must not be used. ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty())) ) | ||||
18. Patient.extension:nationality | |||||
Slice Name | nationality | ||||
Definition | Státní občanství dle zákona 186/2013. Státní občanství, jak je uváděno na oficiálních dokladech k prokázání identity. | ||||
Short | Státní občanství / Nationality | ||||
Control | 0..* | ||||
Type | Extension(Patient Nationality) (Complex Extension) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
20. Patient.extension:nationality.extension:code | |||||
Slice Name | code | ||||
Definition | An Extension | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Control | 0..1* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
22. Patient.extension:nationality.extension:code.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on Patient.extension.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
24. Patient.extension:nationality.extension:code.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
Fixed Value | code | ||||
26. Patient.extension:nationality.extension:code.value[x] | |||||
Definition | A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Concept - reference to a terminology or just textValue of extension | ||||
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. | ||||
Control | 10..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from For codes, see Iso3166-1-2 (required to http://hl7.org/fhir/ValueSet/iso3166-1-2 ) | ||||
Type | CodeableConcept(Codeable Concept (CZ)), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
28. Patient.extension:nationality.extension:period | |||||
Slice Name | period | ||||
Definition | Period when nationality was effective. | ||||
Short | Nationality PeriodAdditional content defined by implementations | ||||
Control | 0..1* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
30. Patient.extension:nationality.extension:period.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..0* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on Patient.extension.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
32. Patient.extension:nationality.extension:period.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
Fixed Value | period | ||||
34. Patient.extension:nationality.extension:period.value[x] | |||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 10..1 This element is affected by the following invariants: ext-1 | ||||
Type | Period, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
36. Patient.extension:nationality.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
Fixed Value | http://hl7.org/fhir/StructureDefinition/patient-nationality | ||||
38. Patient.extension:nationality.value[x] | |||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 0..01 This element is affected by the following invariants: ext-1 | ||||
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta, Contributor | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
40. Patient.extension:registeringProvider | |||||
Slice Name | registeringProvider | ||||
Definition | Registrujícím poskytovatelem se rozumí poskytovatel ambulantní péče v oboru všeobecné praktické lékařství, v oboru praktické lékařství pro děti a dorost, v oboru zubní lékařství nebo v oboru gynekologie a porodnictví, který přijal pacienta do péče za účelem poskytnutí primární ambulantní péče. | ||||
Short | Registrující poskytovatel primární ambulantní péče / Registering primary outpatient healthcare provider | ||||
Comments | V každém okamžiku může mít pacient nejvýše jednoho registrujícího poskytovatele v oboru všeobecné praktické lékařství nebo v oboru praktické lékařství pro děti a dorost a jednoho registrujícího poskytovatele v oboru zubního lékařství. Pacientky mohou mít také nejvýše jednoho registrujícího poskytovatele v oboru gynekologie a porodnictví. At any one time, a patient may have no more than one general practitioner or paediatric and adolescent practitioner and one dental registrar. Female patients may also have no more than one registered provider in gynaecology and obstetrics. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Registrující poskytovatel) (Complex Extension) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
42. Patient.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
44. Patient.identifier | |||||
Definition | Identifikátor pacienta. Obvykle se používá, pokud je k dispozici, některý z národních identifikátorů (číslo pacienta z národního registru pacientů, rodné číslo (RC), číslo pojištěnce). Organizace mohou také uvést lokální identifikátor, a to pomocí vlastního identifikačního systému. V případě potřeby lze přidat také typ identifikátoru. Patient identifier. When available, one of the national identifiers (patient number from the national patient register, birth number (RC), insurance number) is usually used. Organisations may also provide a local identifier using their own identification system. If necessary, the type of identifier can also be added. An identifier for this patient. | ||||
Short | An identifier for this patient | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
Slicing | This element introduces a set of slices on Patient.identifier . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
46. Patient.identifier:RC | |||||
Slice Name | RC | ||||
Definition | Identifikátor pacienta přidělený podle zákona o evidenci obyvatel. / Patient identifier assigned under the Czech Population Registration Act. An identifier for this patient. | ||||
Short | Rodné číslo (Personal Number)An identifier for this patient | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1* This element is affected by the following invariants: ele-1 | ||||
Type | Identifier(Rodné číslo / Czech national birth number) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
48. Patient.identifier:RID | |||||
Slice Name | RID | ||||
Definition | Jedinečný identifikátor pacienta (resortní identifikátor) podle Národního registru pacientů. / An unique patient identifier (resortní identifikátor) according to the National Patient Register An identifier for this patient. | ||||
Short | Resortní identifikátor (National Health Identifier)An identifier for this patient | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
50. Patient.identifier:RID.use | |||||
Definition | The purpose of this identifier. | ||||
Short | usual | official | temp | secondary | old (If known) | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 )Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
52. Patient.identifier:RID.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | The namespace for the identifier value | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Fixed Value | https://ncez.mzcr.cz/fhir/sid/rid | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
54. Patient.identifier:RID.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | The value that is unique | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
56. Patient.identifier:CPOJ | |||||
Slice Name | CPOJ | ||||
Definition | Jedinečný identifikátor pacienta (číslo pojištěnce) podle Národního registru zdravotního pojištění. / An unique patient identifier (číslo pojištěnce) according to the National Health Insurance Register An identifier for this patient. | ||||
Short | Číslo pojištěnce zdravotního pojištění (Health Insurance Number)An identifier for this patient | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
58. Patient.identifier:CPOJ.use | |||||
Definition | The purpose of this identifier. | ||||
Short | usual | official | temp | secondary | old (If known) | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 )Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
60. Patient.identifier:CPOJ.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | The namespace for the identifier value | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Fixed Value | https://ncez.mzcr.cz/fhir/sid/cpoj | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
62. Patient.identifier:CPOJ.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | The value that is unique | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
64. Patient.identifier:OP | |||||
Slice Name | OP | ||||
Definition | Jedinečný identifikátor pacienta (číslo občanského průkazu) vydaného ministerstvem vnitra. / An unique patient identifier (National ID Card Number) issued by the ministry of interior An identifier for this patient. | ||||
Short | Číslo občanského průkazu (National Identity Card Number)An identifier for this patient | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
66. Patient.identifier:OP.use | |||||
Definition | The purpose of this identifier. | ||||
Short | usual | official | temp | secondary | old (If known) | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 )Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
68. Patient.identifier:OP.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | The namespace for the identifier value | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Fixed Value | https://ncez.mzcr.cz/fhir/sid/op | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
70. Patient.identifier:OP.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | The value that is unique | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
72. Patient.identifier:PAS | |||||
Slice Name | PAS | ||||
Definition | Jedinečný identifikátor pacienta (číslo pasu). / An unique patient identifier (Passport Number) An identifier for this patient. | ||||
Short | Číslo pasu (Passport Number)An identifier for this patient | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
74. Patient.identifier:PAS.use | |||||
Definition | The purpose of this identifier. | ||||
Short | usual | official | temp | secondary | old (If known) | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 )Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Pattern Value | official | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
76. Patient.identifier:PAS.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Short | Description of identifier | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type (extensible to http://hl7.org/fhir/ValueSet/identifier-type )A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Pattern Value | { | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
78. Patient.identifier:PAS.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | Jmenný prostor dle vydavatele pasu. FHIR eviduje jmenné prostory pro pasy ve formátu http://hl7.org/fhir/sid/passport-XXX, kde XXX je třípísmenný kód země dle ISO 3166The namespace for the identifier value | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from For codes, see Standardní jmenné prostory pro cestovní pasy (required to https://ncez.mzcr.cz/fhir/ValueSet/PassportNS-vs ) | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
80. Patient.identifier:PAS.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | The value that is unique | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
82. Patient.active | |||||
Definition | Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death. | ||||
Short | Whether this patient's record is in active use | ||||
Comments | If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Is Modifier | true because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to mark a patient record as not to be used because it was created in error. | ||||
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
84. Patient.name | |||||
Definition | Plné jméno osoby. Doporučuje se uvádět alespoň jedno příjmení a alespoň jedno křestní jméno, pokud je to možné, a definovat 'oficiální' použití. Pokud je jméno uvedeno, příjemce je NESMÍ ignorovat. / A name associated with the individual. It is RECOMMENDED to give at least one family name and at least one given name when possible and define an 'official' use. When names are given, a consumer SHALL NOT ignore it. A name associated with the individual. | ||||
Short | Name of a human - parts and usageA name associated with the patient | ||||
Comments | Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns. | ||||
Control | 10..* This element is affected by the following invariants: ele-1 | ||||
Type | HumanName(HumanName (Cz)) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | Pacient může být znám pod více různými jmény. Příkladem je oficiální jméno a přezdívka nebo pseudonym. Ve všech případech se vždy používá alfabetické vyjádření jména. A patient may be known by several different names. An example is an official name and a nickname or pseudonym. In all cases, the alphabetical representation of the name is always used. Need to be able to track the patient by multiple names. Examples are your official name and a partner name. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cz-pat-1: Patient.name.given, Patient.name.family, Patient.name.text nebo data-absent-reason MUSÍ být uveden ( family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() ) | ||||
86. Patient.name.extension:name-absent-reason | |||||
Slice Name | name-absent-reason | ||||
Definition | Důvod pro neuvedení jména / Reason for not providing the name | ||||
Short | Důvod pro neuvedení jména / Reason for not providing the name | ||||
Control | 0..* | ||||
Type | Extension(Data Absent Reason) (Extension Type: code) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
88. Patient.name.use | |||||
Definition | Identifies the purpose for this name. | ||||
Short | usual | official | temp | nickname | anonymous | old | maiden | ||||
Comments | Applications can assume that a name is current unless it explicitly says that it is temporary or old. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1 (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1 )The use of a human name. | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
90. Patient.name.text | |||||
Definition | Textové vyjádření plného jména. Vzhledem ke kulturním odlišnostem ve způsobu zápisu jmen v různých zemích nemusí přijímající systém vědět, jak jméno správně prezentovat; navíc ne všechny části jména lze označit jako křestní jméno či příjmení. Tvůrcům se proto důrazně doporučuje, aby prostřednictvím tohoto prvku poskytli prezentovanou verzi plného jména. Budoucí verze této příručky mohou tento prvek vyžadovat. / Text representation of the full name. Due to the cultural variance around the world a consuming system may not know how to present the name correctly; moreover not all the parts of the name go in given or family. Creators are therefore strongly encouraged to provide through this element a presented version of the name. Future versions of this guide may require this element Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts. | ||||
Short | Text representation of the full name | ||||
Comments | Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | A renderable, unencoded form. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
92. Patient.name.family | |||||
Definition | The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father. | ||||
Short | Family name (often called 'Surname') | ||||
Comments | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures). | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | surname | ||||
Example | <br/><b>spanish name</b>:Valero Iglesias | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
94. Patient.name.family.extension:fathersFamily | |||||
Slice Name | fathersFamily | ||||
Definition | The portion of the family name that is derived from the person's father. | ||||
Short | Portion of family name derived from father | ||||
Control | 0..* | ||||
Type | Extension(Fathers Family) (Extension Type: string) | ||||
Is Modifier | false | ||||
Example | <br/><b>spanish name</b>:Valero | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
96. Patient.name.family.extension:mothersFamily | |||||
Slice Name | mothersFamily | ||||
Definition | The portion of the family name that is derived from the person's mother. | ||||
Short | Portion of family name derived from mother | ||||
Control | 0..* | ||||
Type | Extension(Mothers Family) (Extension Type: string) | ||||
Is Modifier | false | ||||
Example | <br/><b>spanish name</b>:Iglesias | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
98. Patient.name.given | |||||
Definition | Given name. | ||||
Short | Given names (not always 'first'). Includes middle names | ||||
Comments | If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first. | ||||
Control | 0..* | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | first name, middle name | ||||
Example | <br/><b>spanish name</b>:Borja | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
100. Patient.telecom | |||||
Definition | Elektronický kontakt (např. telefonní číslo nebo e-mailová adresa), pomocí kterého lze osobu kontaktovat. DOPORUČUJE SE přidat alespoň jeden telefon nebo e-mailovou adresu s jasným označením pomocí prvku .use, zda se jedná o domácí použití, pracovní použití atd. A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. It is RECOMMENDED to at least add one phone or email address with clear indication using the .use element whether it is home use, work use, etc. A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. | ||||
Short | Elektronický kontakt osoby / A contact detail for the individualA contact detail for the individual | ||||
Comments | A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone). | ||||
Control | 0..* | ||||
Type | ContactPoint | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | People have (primary) ways to contact them in some way such as phone, email. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
102. Patient.gender | |||||
Definition | Pohlaví pro úřední účely Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes. | ||||
Short | male | female | other | unknown | ||||
Comments | The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 (required to https://ncez.mzcr.cz/fhir/ValueSet/cz-administrative-gender-vs ) | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Needed for identification of the individual, in combination with (at least) name and birth date. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
104. Patient.birthDate | |||||
Definition | Datum narození. DOPORUČUJE SE uvádět datum narození, pokud je k dispozici. The date of birth for the individual. It is RECOMMENDED to give the birthdate when available. The date of birth for the individual. | ||||
Short | The date of birth for the individual | ||||
Comments | At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems). | ||||
Control | 0..1 | ||||
Type | date | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Age of the individual drives many clinical processes. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
LOINC Code | 21112-8 | ||||
106. Patient.birthDate.extension | |||||
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | ExtensionAdditional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
Slicing | This element introduces a set of slices on Patient.birthDate.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
108. Patient.birthDate.extension:birthTime | |||||
Slice Name | birthTime | ||||
Definition | The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively. | ||||
Short | Time of day of birth | ||||
Control | 0..1 | ||||
Type | Extension(Patient Birth Time) (Extension Type: dateTime) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
110. Patient.deceased[x] | |||||
Definition | Informace o úmrtí buď příznakem či datem úmrtí. DOPORUČUJE SE uvést informace o úmrtí ve všech relevantních případech. Indicates if the individual is deceased or not. | ||||
Short | Informace o úmrtí buď příznakem či datem úmrtíIndicates if the individual is deceased or not | ||||
Comments | If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive. | ||||
Control | 0..1 | ||||
Type | Choice of: boolean, dateTime | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Requirements | The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
112. Patient.address | |||||
Definition | Adresa fyzické osoby. / An address for the individual. DOPORUČUJE SE uvést adresu, pokud je k dispozici. / It is RECOMMENDED to include an address when available. An address for the individual. | ||||
Short | Adresa dle českých poštovních konvencí / Address according to Czech postal conventionsAn address for the individual | ||||
Comments | Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). Patient may have multiple addresses with different uses or applicable periods. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Address(Address (CZ)) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) text-or-ctry: Adresa musí obsahovat minimálně element text nebo země / Address must contain at least text or country element ( ( line.all($this.empty()) and city.empty() ) implies (text.exists() or country.exists()) )POB-and-PCS: Pokud je uvedena extenze P.O.Box, pak musí být evedeno také PSČ / If P.O.Box extension is present, Postal code must be present too ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty()) or (postalCode.exists()) )street-and-city: Pokud je uvedena extenze streetName, pak musí být evedeno také PSČ nebo město / If streetName extension is present, Postal code or city must be present too ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty()) or postalCode.exists() or city.exists() )POB-only-postal: Adresa obsahující extenzi P.O.Box nemůže mít typ "physical" or "both" / Address with P.O.Box cannot be "physical" or "both" ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty()) or type='postal' or type.empty() )POB-ext-only: Pokud je uvedena extenze P.O.Box, nesmí být uvedena extenze 'Street' a 'House number' / If the extension 'P.O.Box' is used, the extensions 'Street' and 'House number' must not be used. ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty())) )cnt-2-char: The content of the country element (if present) SHALL be selected from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. ( country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) ) | ||||
114. Patient.contact | |||||
Definition | Kontaktní osoba (např. opatrovník, partner, přítel) pacienta. DOPORUČUJE SE uvést ji, pokud je k dispozici a pokud je považována za relevantní pro péči o pacienta. (např. rodič dítěte). A contact party (e.g. guardian, partner, friend) for the patient. It is RECOMMENDED to include this when available and considered relevant for the patientcare. (e.g. a parent of a young patient) A contact party (e.g. guardian, partner, friend) for the patient. | ||||
Short | A contact party (e.g. guardian, partner, friend) for the patient | ||||
Comments | Kontakt zahrnuje všechny druhy kontaktních osob: rodinné příslušníky, obchodní kontakty, opatrovníky, pečovatele. Nevztahuje se na evidenci rodokmenu a rodinných vazeb mimo rámec použití týkající se kontaktů. Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact. Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact. | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Need to track people you can contact about the patient. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) pat-1: 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() )pat-1: 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()) | ||||
116. Patient.contact.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
118. Patient.contact.relationship | |||||
Definition | A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. The nature of the relationship between the patient and the contact person. | ||||
Short | Concept - reference to a terminology or just textThe kind of relationship | ||||
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from Unless not suitable, these codes SHALL be taken from Contact Person Relation (CZ)http://hl7.org/fhir/ValueSet/patient-contactrelationship (required to https://ncez.mzcr.cz/fhir/ValueSet/cz-contact-person-relation-vs ) | ||||
Type | CodeableConcept(Codeable Concept (CZ)) | ||||
Is Modifier | false | ||||
Requirements | Used to determine which contact person is the most relevant to approach, depending on circumstances. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
120. Patient.contact.address | |||||
Definition | Adresa podle poštovních zvyklostí. Adresa může být použita jak pro doručování poštovních zásilek, tak pro lokalizaci míst, která nemají platnou poštovní adresu. Použití extenzí není povinné. Address for the contact person. | ||||
Short | Adresa dle českých poštovních konvencí / Address according to Czech postal conventionsAddress for the contact person | ||||
Comments | Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Address(Address (CZ)) | ||||
Is Modifier | false | ||||
Requirements | Need to keep track where the contact person can be contacted per postal mail or visited. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) text-or-ctry: Adresa musí obsahovat minimálně element text nebo země / Address must contain at least text or country element ( ( line.all($this.empty()) and city.empty() ) implies (text.exists() or country.exists()) )POB-and-PCS: Pokud je uvedena extenze P.O.Box, pak musí být evedeno také PSČ / If P.O.Box extension is present, Postal code must be present too ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty()) or (postalCode.exists()) )street-and-city: Pokud je uvedena extenze streetName, pak musí být evedeno také PSČ nebo město / If streetName extension is present, Postal code or city must be present too ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty()) or postalCode.exists() or city.exists() )POB-only-postal: Adresa obsahující extenzi P.O.Box nemůže mít typ "physical" or "both" / Address with P.O.Box cannot be "physical" or "both" ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty()) or type='postal' or type.empty() )POB-ext-only: Pokud je uvedena extenze P.O.Box, nesmí být uvedena extenze 'Street' a 'House number' / If the extension 'P.O.Box' is used, the extensions 'Street' and 'House number' must not be used. ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty())) ) | ||||
122. Patient.contact.gender | |||||
Definition | Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes. | ||||
Short | male | female | other | unknown | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 (required to https://ncez.mzcr.cz/fhir/ValueSet/cz-administrative-gender-vs ) | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Needed to address the person correctly. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
124. Patient.contact.organization | |||||
Definition | Organization on behalf of which the contact is acting or for which the contact is working. | ||||
Short | Organization that is associated with the contact | ||||
Control | 0..1 This element is affected by the following invariants: pat-1 | ||||
Type | Reference(Organization (CZ), Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | For guardians or business related contacts, the organization is relevant. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
126. Patient.generalPractitioner | |||||
Definition | Praktický lékař či jiný poskytovatel určený pacientem. / Patient's nominated care provider. Upzorňujeme, že se jedná pouze o informační údaj, který nemusí znamenat jakýkoliv právně závazný terapeutický vztah mezi pacientem a lékařem či poskytovatelem či souhlas pacienta s poskytováním informací. Doporučujeme tento údaj uvést, pokud je k dispozici a pokud se jedná o informaci související s lékařskou péčí. Upozorňujeme, že se jedná o prvek datového typu Reference. To znamená, že pokud je k dispozici, bude obsahovat buď relativní, nebo absolutní adresu URL, kde lze tohoto praktického lékaře nalézt. Případně je k dispozici pouze interní odkaz a GP je zahrnut jako "obsažený zdroj" (viz specifikace HL7 FHIR)./ Take note this does not automatically imply any legal form of therapeutic link or consent relationship with this GP. It is RECOMMENDED to include this when available if the flow is in any way medical. Please note this is an element of the Reference datatype. This means when it is available it will contain either a relative or absolute URL where this GP can be found. Alternatively, there is only an internal reference and the GP is included as a ‘contained resource’ (cfr. the HL7 FHIR specifications in what cases this applies). Patient's nominated care provider. | ||||
Short | Lékař či poskytovatel určený pacientemPatient's nominated primary care provider | ||||
Comments | Může to být poskytovatel primární či specializované ambulantní péče, nebo to může být pacientem určený pečovatel v komunitním prostředí či prostředí pro osoby se zdravotním postižením, nebo organizace, která poskytne osoby, kteří budou plnit roli poskytovatele péče. Pokud jde o registrujícího poskytovatele, bude odkaz zároveň uveden v extenzi "registeringProvider". Tento element se nemá používat k evidenci týmů péče, ty by měly být ve zdroji CareTeam, který může být propojen se zdroji CarePlan nebo EpisodeOfCare. U pacienta může být z různých důvodů zaznamenáno více poskytovatelů, například student, který má svého domácího praktického lékaře uvedeného spolu s praktickým lékařem na univerzitě, nebo pracovník, který má vedle svého domácího praktického lékaře uvedeného také praktického lékaře na pracovišti, aby byl informován o zdravotních problémech. This may be a primary or specialist outpatient care provider, or it may be a patient-designated carer in a community or disability setting, or an organisation that provides people to act as care providers. If it is a registering provider, the reference will also be included in the "registeringProvider" extension. This element should not be used to register care teams, these should be in the CareTeam resource, which can be linked to the CarePlan or EpisodeOfCare resources. Multiple providers may be recorded for a patient for different reasons, for example a student who has their GP listed alongside their GP at the university, or a worker who has a GP listed alongside their GP at the workplace to keep them informed of health issues. This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type. | ||||
Control | 0..* | ||||
Type | Reference(Organization (CZ), Practitioner (CZ), Practitioner Role (CZ), Organization, Practitioner, PractitionerRole) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | false | ||||
Alternate Names | careProvider | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
128. Patient.managingOrganization | |||||
Definition | Organizace, která je správcem záznamu o pacientovi. Tento údaj by měl být uveden, pokud je k dispozici. Upozorňujeme, že se jedná o prvek datového typu Reference. To znamená, že pokud je k dispozici, bude obsahovat buď relativní, nebo absolutní adresu URL, kde lze tuto organizaci nalézt. Případně je zde pouze interní odkaz a Organizace je zahrnuta jako 'contined resource' (viz specifikace HL7 FHIR, v jakých případech se uplatňuje). Organization that is the custodian of the patient record. This SHOULD be included when available. Please note this is an element of the Reference datatype. This means when it is available it will contain either a relative or absolute URL where this Organization can be found. Alternatively, there is only an internal reference and the Organization is included as a ‘contained resource’ (cfr. the HL7 FHIR specifications in what cases this applies). Organization that is the custodian of the patient record. | ||||
Short | Organizace, která je správcem elektronického záznamu / Organization that is the custodian of the patient recordOrganization that is the custodian of the patient record | ||||
Comments | Pro konkrétní záznam pacienta existuje pouze jedna organizace, která jej spravuje. Ostatní organizace budou mít svůj vlastní záznam pacienta a mohou použít element Link ke spárování záznamů (nebo resource Person, který může obsahovat hodnocení důvěryhodnosti pro toto spojení). There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association). There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association). | ||||
Control | 0..1 | ||||
Type | Reference(Organization (CZ), Organization) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Need to know who recognizes this patient record, manages and updates it. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
130. Patient.link | |||||
Definition | Link to another patient resource that concerns the same actual patient. | ||||
Short | Link to another patient resource that concerns the same actual person | ||||
Comments | There is no assumption that linked patient records have mutual links. | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | true because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by' | ||||
Summary | true | ||||
Requirements | There are multiple use cases:
| ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
132. Patient.link.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
134. Patient.link.other | |||||
Definition | The other patient resource that the link refers to. | ||||
Short | The other patient or related person resource that the link refers to | ||||
Comments | Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual. | ||||
Control | 1..1 | ||||
Type | Reference(Patient, RelatedPerson) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
136. Patient.link.type | |||||
Definition | The type of link between this patient resource and another patient resource. | ||||
Short | replaced-by | replaces | refer | seealso | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1 (required to http://hl7.org/fhir/ValueSet/link-type|4.0.1 )The type of link between this patient resource and another patient resource. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. Patient | |||||
Definition | Demographics and other administrative information about an individual or animal receiving care or other health-related services. | ||||
Short | Information about an individual or animal receiving health care services | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | SubjectOfCare Client Resident | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() ) | ||||
2. Patient.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Logical id of this artifact | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Summary | true | ||||
4. Patient.meta | |||||
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
Short | Metadata about the resource | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. Patient.implicitRules | |||||
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Short | A set of rules under which this content was created | ||||
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
8. Patient.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages )A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Pattern Value | cs | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
10. Patient.text | |||||
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Short | Text summary of the resource, for human interpretation | ||||
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. Patient.contained | |||||
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Short | Contained, inline Resources | ||||
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
14. Patient.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
16. Patient.extension:sex-for-clinical-use | |||||
Slice Name | sex-for-clinical-use | ||||
Definition | A parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.. | ||||
Short | A context-specific sex parameter for clinical use | ||||
Control | 0..* | ||||
Type | Extension(Patient Sex Parameter For Clinical Use) (Complex Extension) | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
18. Patient.extension:birthPlace | |||||
Slice Name | birthPlace | ||||
Definition | The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements. | ||||
Short | Místo narození / Birth place | ||||
Control | 0..1 | ||||
Type | Extension(Patient Birth Place) (Extension Type: Address) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
20. Patient.extension:birthPlace.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | id | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
22. Patient.extension:birthPlace.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
24. Patient.extension:birthPlace.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
Fixed Value | http://hl7.org/fhir/StructureDefinition/patient-birthPlace | ||||
26. Patient.extension:birthPlace.value[x] | |||||
Definition | Adresa podle poštovních zvyklostí. Adresa může být použita jak pro doručování poštovních zásilek, tak pro lokalizaci míst, která nemají platnou poštovní adresu. Použití extenzí není povinné. | ||||
Short | Adresa dle českých poštovních konvencí / Address according to Czech postal conventions | ||||
Comments | Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | Address(Address (CZ)) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )text-or-ctry: Adresa musí obsahovat minimálně element text nebo země / Address must contain at least text or country element ( ( line.all($this.empty()) and city.empty() ) implies (text.exists() or country.exists()) )POB-and-PCS: Pokud je uvedena extenze P.O.Box, pak musí být evedeno také PSČ / If P.O.Box extension is present, Postal code must be present too ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty()) or (postalCode.exists()) )street-and-city: Pokud je uvedena extenze streetName, pak musí být evedeno také PSČ nebo město / If streetName extension is present, Postal code or city must be present too ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty()) or postalCode.exists() or city.exists() )POB-only-postal: Adresa obsahující extenzi P.O.Box nemůže mít typ "physical" or "both" / Address with P.O.Box cannot be "physical" or "both" ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty()) or type='postal' or type.empty() )POB-ext-only: Pokud je uvedena extenze P.O.Box, nesmí být uvedena extenze 'Street' a 'House number' / If the extension 'P.O.Box' is used, the extensions 'Street' and 'House number' must not be used. ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty())) ) | ||||
28. Patient.extension:nationality | |||||
Slice Name | nationality | ||||
Definition | Státní občanství dle zákona 186/2013. Státní občanství, jak je uváděno na oficiálních dokladech k prokázání identity. | ||||
Short | Státní občanství / Nationality | ||||
Control | 0..* | ||||
Type | Extension(Patient Nationality) (Complex Extension) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
30. Patient.extension:nationality.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | id | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
32. Patient.extension:nationality.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
34. Patient.extension:nationality.extension:code | |||||
Slice Name | code | ||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..1 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
36. Patient.extension:nationality.extension:code.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | id | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
38. Patient.extension:nationality.extension:code.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.extension.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
40. Patient.extension:nationality.extension:code.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
Fixed Value | code | ||||
42. Patient.extension:nationality.extension:code.value[x] | |||||
Definition | A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. | ||||
Short | Concept - reference to a terminology or just text | ||||
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from Iso3166-1-2 (required to http://hl7.org/fhir/ValueSet/iso3166-1-2 ) | ||||
Type | CodeableConcept(Codeable Concept (CZ)) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
44. Patient.extension:nationality.extension:period | |||||
Slice Name | period | ||||
Definition | Period when nationality was effective. | ||||
Short | Nationality Period | ||||
Control | 0..1 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
46. Patient.extension:nationality.extension:period.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | id | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
48. Patient.extension:nationality.extension:period.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.extension.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
50. Patient.extension:nationality.extension:period.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
Fixed Value | period | ||||
52. Patient.extension:nationality.extension:period.value[x] | |||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 1..1 This element is affected by the following invariants: ext-1 | ||||
Type | Period | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
54. Patient.extension:nationality.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
Fixed Value | http://hl7.org/fhir/StructureDefinition/patient-nationality | ||||
56. Patient.extension:nationality.value[x] | |||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 0..0 This element is affected by the following invariants: ext-1 | ||||
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
58. Patient.extension:registeringProvider | |||||
Slice Name | registeringProvider | ||||
Definition | Registrujícím poskytovatelem se rozumí poskytovatel ambulantní péče v oboru všeobecné praktické lékařství, v oboru praktické lékařství pro děti a dorost, v oboru zubní lékařství nebo v oboru gynekologie a porodnictví, který přijal pacienta do péče za účelem poskytnutí primární ambulantní péče. | ||||
Short | Registrující poskytovatel primární ambulantní péče / Registering primary outpatient healthcare provider | ||||
Comments | V každém okamžiku může mít pacient nejvýše jednoho registrujícího poskytovatele v oboru všeobecné praktické lékařství nebo v oboru praktické lékařství pro děti a dorost a jednoho registrujícího poskytovatele v oboru zubního lékařství. Pacientky mohou mít také nejvýše jednoho registrujícího poskytovatele v oboru gynekologie a porodnictví. At any one time, a patient may have no more than one general practitioner or paediatric and adolescent practitioner and one dental registrar. Female patients may also have no more than one registered provider in gynaecology and obstetrics. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Registrující poskytovatel) (Complex Extension) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
60. Patient.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
62. Patient.identifier | |||||
Definition | Identifikátor pacienta. Obvykle se používá, pokud je k dispozici, některý z národních identifikátorů (číslo pacienta z národního registru pacientů, rodné číslo (RC), číslo pojištěnce). Organizace mohou také uvést lokální identifikátor, a to pomocí vlastního identifikačního systému. V případě potřeby lze přidat také typ identifikátoru. Patient identifier. When available, one of the national identifiers (patient number from the national patient register, birth number (RC), insurance number) is usually used. Organisations may also provide a local identifier using their own identification system. If necessary, the type of identifier can also be added. | ||||
Short | An identifier for this patient | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Patient.identifier . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
64. Patient.identifier:RC | |||||
Slice Name | RC | ||||
Definition | Identifikátor pacienta přidělený podle zákona o evidenci obyvatel. / Patient identifier assigned under the Czech Population Registration Act. | ||||
Short | Rodné číslo (Personal Number) | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Identifier(Rodné číslo / Czech national birth number) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
66. Patient.identifier:RID | |||||
Slice Name | RID | ||||
Definition | Jedinečný identifikátor pacienta (resortní identifikátor) podle Národního registru pacientů. / An unique patient identifier (resortní identifikátor) according to the National Patient Register | ||||
Short | Resortní identifikátor (National Health Identifier) | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
68. Patient.identifier:RID.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
70. Patient.identifier:RID.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.identifier.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
72. Patient.identifier:RID.use | |||||
Definition | The purpose of this identifier. | ||||
Short | usual | official | temp | secondary | old (If known) | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUse (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 )Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
74. Patient.identifier:RID.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Short | Description of identifier | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to http://hl7.org/fhir/ValueSet/identifier-type )A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
76. Patient.identifier:RID.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | The namespace for the identifier value | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Fixed Value | https://ncez.mzcr.cz/fhir/sid/rid | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
78. Patient.identifier:RID.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | The value that is unique | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
80. Patient.identifier:RID.period | |||||
Definition | Time period during which identifier is/was valid for use. | ||||
Short | Time period when id is/was valid for use | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
82. Patient.identifier:RID.assigner | |||||
Definition | Organization that issued/manages the identifier. | ||||
Short | Organization that issued id (may be just text) | ||||
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. | ||||
Control | 0..1 | ||||
Type | Reference(Organization) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
84. Patient.identifier:CPOJ | |||||
Slice Name | CPOJ | ||||
Definition | Jedinečný identifikátor pacienta (číslo pojištěnce) podle Národního registru zdravotního pojištění. / An unique patient identifier (číslo pojištěnce) according to the National Health Insurance Register | ||||
Short | Číslo pojištěnce zdravotního pojištění (Health Insurance Number) | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
86. Patient.identifier:CPOJ.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
88. Patient.identifier:CPOJ.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.identifier.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
90. Patient.identifier:CPOJ.use | |||||
Definition | The purpose of this identifier. | ||||
Short | usual | official | temp | secondary | old (If known) | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUse (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 )Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
92. Patient.identifier:CPOJ.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Short | Description of identifier | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to http://hl7.org/fhir/ValueSet/identifier-type )A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
94. Patient.identifier:CPOJ.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | The namespace for the identifier value | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Fixed Value | https://ncez.mzcr.cz/fhir/sid/cpoj | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
96. Patient.identifier:CPOJ.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | The value that is unique | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
98. Patient.identifier:CPOJ.period | |||||
Definition | Time period during which identifier is/was valid for use. | ||||
Short | Time period when id is/was valid for use | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
100. Patient.identifier:CPOJ.assigner | |||||
Definition | Organization that issued/manages the identifier. | ||||
Short | Organization that issued id (may be just text) | ||||
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. | ||||
Control | 0..1 | ||||
Type | Reference(Organization) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
102. Patient.identifier:OP | |||||
Slice Name | OP | ||||
Definition | Jedinečný identifikátor pacienta (číslo občanského průkazu) vydaného ministerstvem vnitra. / An unique patient identifier (National ID Card Number) issued by the ministry of interior | ||||
Short | Číslo občanského průkazu (National Identity Card Number) | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
104. Patient.identifier:OP.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
106. Patient.identifier:OP.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.identifier.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
108. Patient.identifier:OP.use | |||||
Definition | The purpose of this identifier. | ||||
Short | usual | official | temp | secondary | old (If known) | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUse (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 )Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
110. Patient.identifier:OP.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Short | Description of identifier | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to http://hl7.org/fhir/ValueSet/identifier-type )A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
112. Patient.identifier:OP.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | The namespace for the identifier value | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Fixed Value | https://ncez.mzcr.cz/fhir/sid/op | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
114. Patient.identifier:OP.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | The value that is unique | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
116. Patient.identifier:OP.period | |||||
Definition | Time period during which identifier is/was valid for use. | ||||
Short | Time period when id is/was valid for use | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
118. Patient.identifier:OP.assigner | |||||
Definition | Organization that issued/manages the identifier. | ||||
Short | Organization that issued id (may be just text) | ||||
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. | ||||
Control | 0..1 | ||||
Type | Reference(Organization) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
120. Patient.identifier:PAS | |||||
Slice Name | PAS | ||||
Definition | Jedinečný identifikátor pacienta (číslo pasu). / An unique patient identifier (Passport Number) | ||||
Short | Číslo pasu (Passport Number) | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
122. Patient.identifier:PAS.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
124. Patient.identifier:PAS.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.identifier.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
126. Patient.identifier:PAS.use | |||||
Definition | The purpose of this identifier. | ||||
Short | usual | official | temp | secondary | old (If known) | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUse (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 )Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Pattern Value | official | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
128. Patient.identifier:PAS.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Short | Description of identifier | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to http://hl7.org/fhir/ValueSet/identifier-type )A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Pattern Value | { | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
130. Patient.identifier:PAS.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | Jmenný prostor dle vydavatele pasu. FHIR eviduje jmenné prostory pro pasy ve formátu http://hl7.org/fhir/sid/passport-XXX, kde XXX je třípísmenný kód země dle ISO 3166 | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from Standardní jmenné prostory pro cestovní pasy (required to https://ncez.mzcr.cz/fhir/ValueSet/PassportNS-vs ) | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
132. Patient.identifier:PAS.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | The value that is unique | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
134. Patient.identifier:PAS.period | |||||
Definition | Time period during which identifier is/was valid for use. | ||||
Short | Time period when id is/was valid for use | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
136. Patient.identifier:PAS.assigner | |||||
Definition | Organization that issued/manages the identifier. | ||||
Short | Organization that issued id (may be just text) | ||||
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. | ||||
Control | 0..1 | ||||
Type | Reference(Organization) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
138. Patient.active | |||||
Definition | Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death. | ||||
Short | Whether this patient's record is in active use | ||||
Comments | If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Is Modifier | true because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to mark a patient record as not to be used because it was created in error. | ||||
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
140. Patient.name | |||||
Definition | Plné jméno osoby. Doporučuje se uvádět alespoň jedno příjmení a alespoň jedno křestní jméno, pokud je to možné, a definovat 'oficiální' použití. Pokud je jméno uvedeno, příjemce je NESMÍ ignorovat. / A name associated with the individual. It is RECOMMENDED to give at least one family name and at least one given name when possible and define an 'official' use. When names are given, a consumer SHALL NOT ignore it. | ||||
Short | Name of a human - parts and usage | ||||
Comments | Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. | ||||
Control | 1..* This element is affected by the following invariants: ele-1 | ||||
Type | HumanName(HumanName (Cz)) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | Pacient může být znám pod více různými jmény. Příkladem je oficiální jméno a přezdívka nebo pseudonym. Ve všech případech se vždy používá alfabetické vyjádření jména. A patient may be known by several different names. An example is an official name and a nickname or pseudonym. In all cases, the alphabetical representation of the name is always used. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )cz-pat-1: Patient.name.given, Patient.name.family, Patient.name.text nebo data-absent-reason MUSÍ být uveden ( family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() ) | ||||
142. Patient.name.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
144. Patient.name.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.name.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
146. Patient.name.extension:name-absent-reason | |||||
Slice Name | name-absent-reason | ||||
Definition | Důvod pro neuvedení jména / Reason for not providing the name | ||||
Short | Důvod pro neuvedení jména / Reason for not providing the name | ||||
Control | 0..* | ||||
Type | Extension(Data Absent Reason) (Extension Type: code) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
148. Patient.name.use | |||||
Definition | Identifies the purpose for this name. | ||||
Short | usual | official | temp | nickname | anonymous | old | maiden | ||||
Comments | Applications can assume that a name is current unless it explicitly says that it is temporary or old. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from NameUse (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1 )The use of a human name. | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
150. Patient.name.text | |||||
Definition | Textové vyjádření plného jména. Vzhledem ke kulturním odlišnostem ve způsobu zápisu jmen v různých zemích nemusí přijímající systém vědět, jak jméno správně prezentovat; navíc ne všechny části jména lze označit jako křestní jméno či příjmení. Tvůrcům se proto důrazně doporučuje, aby prostřednictvím tohoto prvku poskytli prezentovanou verzi plného jména. Budoucí verze této příručky mohou tento prvek vyžadovat. / Text representation of the full name. Due to the cultural variance around the world a consuming system may not know how to present the name correctly; moreover not all the parts of the name go in given or family. Creators are therefore strongly encouraged to provide through this element a presented version of the name. Future versions of this guide may require this element | ||||
Short | Text representation of the full name | ||||
Comments | Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | A renderable, unencoded form. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
152. Patient.name.family | |||||
Definition | The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father. | ||||
Short | Family name (often called 'Surname') | ||||
Comments | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures). | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | surname | ||||
Example | <br/><b>spanish name</b>:Valero Iglesias | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
154. Patient.name.family.id | |||||
Definition | unique id for the element within a resource (for internal references) | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
156. Patient.name.family.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.name.family.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
158. Patient.name.family.extension:fathersFamily | |||||
Slice Name | fathersFamily | ||||
Definition | The portion of the family name that is derived from the person's father. | ||||
Short | Portion of family name derived from father | ||||
Control | 0..* | ||||
Type | Extension(Fathers Family) (Extension Type: string) | ||||
Is Modifier | false | ||||
Example | <br/><b>spanish name</b>:Valero | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
160. Patient.name.family.extension:mothersFamily | |||||
Slice Name | mothersFamily | ||||
Definition | The portion of the family name that is derived from the person's mother. | ||||
Short | Portion of family name derived from mother | ||||
Control | 0..* | ||||
Type | Extension(Mothers Family) (Extension Type: string) | ||||
Is Modifier | false | ||||
Example | <br/><b>spanish name</b>:Iglesias | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
162. Patient.name.family.value | |||||
Definition | The actual value | ||||
Short | Primitive value for string | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
Max Length: | 1048576 | ||||
164. Patient.name.given | |||||
Definition | Given name. | ||||
Short | Given names (not always 'first'). Includes middle names | ||||
Comments | If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first. | ||||
Control | 0..* | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | first name, middle name | ||||
Example | <br/><b>spanish name</b>:Borja | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
166. Patient.name.prefix | |||||
Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name. | ||||
Short | Parts that come before the name | ||||
Control | 0..* | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
168. Patient.name.suffix | |||||
Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name. | ||||
Short | Parts that come after the name | ||||
Control | 0..* | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
170. Patient.name.period | |||||
Definition | Indicates the period of time when this name was valid for the named person. | ||||
Short | Time period when name was/is in use | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows names to be placed in historical context. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
172. Patient.telecom | |||||
Definition | Elektronický kontakt (např. telefonní číslo nebo e-mailová adresa), pomocí kterého lze osobu kontaktovat. DOPORUČUJE SE přidat alespoň jeden telefon nebo e-mailovou adresu s jasným označením pomocí prvku .use, zda se jedná o domácí použití, pracovní použití atd. A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. It is RECOMMENDED to at least add one phone or email address with clear indication using the .use element whether it is home use, work use, etc. | ||||
Short | Elektronický kontakt osoby / A contact detail for the individual | ||||
Comments | A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone). | ||||
Control | 0..* | ||||
Type | ContactPoint | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | People have (primary) ways to contact them in some way such as phone, email. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
174. Patient.gender | |||||
Definition | Pohlaví pro úřední účely | ||||
Short | male | female | other | unknown | ||||
Comments | The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from AdministrativeGender (required to https://ncez.mzcr.cz/fhir/ValueSet/cz-administrative-gender-vs ) | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Needed for identification of the individual, in combination with (at least) name and birth date. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
176. Patient.birthDate | |||||
Definition | Datum narození. DOPORUČUJE SE uvádět datum narození, pokud je k dispozici. The date of birth for the individual. It is RECOMMENDED to give the birthdate when available. | ||||
Short | The date of birth for the individual | ||||
Comments | At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems). | ||||
Control | 0..1 | ||||
Type | date | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Age of the individual drives many clinical processes. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
LOINC Code | 21112-8 | ||||
178. Patient.birthDate.id | |||||
Definition | unique id for the element within a resource (for internal references) | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
180. Patient.birthDate.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Patient.birthDate.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
182. Patient.birthDate.extension:birthTime | |||||
Slice Name | birthTime | ||||
Definition | The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively. | ||||
Short | Time of day of birth | ||||
Control | 0..1 | ||||
Type | Extension(Patient Birth Time) (Extension Type: dateTime) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
184. Patient.birthDate.value | |||||
Definition | The actual value | ||||
Short | Primitive value for date | ||||
Control | 0..1 | ||||
Type | date | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
186. Patient.deceased[x] | |||||
Definition | Informace o úmrtí buď příznakem či datem úmrtí. DOPORUČUJE SE uvést informace o úmrtí ve všech relevantních případech. | ||||
Short | Informace o úmrtí buď příznakem či datem úmrtí | ||||
Comments | If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive. | ||||
Control | 0..1 | ||||
Type | Choice of: boolean, dateTime | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Requirements | The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
188. Patient.address | |||||
Definition | Adresa fyzické osoby. / An address for the individual. DOPORUČUJE SE uvést adresu, pokud je k dispozici. / It is RECOMMENDED to include an address when available. | ||||
Short | Adresa dle českých poštovních konvencí / Address according to Czech postal conventions | ||||
Comments | Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Address(Address (CZ)) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )text-or-ctry: Adresa musí obsahovat minimálně element text nebo země / Address must contain at least text or country element ( ( line.all($this.empty()) and city.empty() ) implies (text.exists() or country.exists()) )POB-and-PCS: Pokud je uvedena extenze P.O.Box, pak musí být evedeno také PSČ / If P.O.Box extension is present, Postal code must be present too ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty()) or (postalCode.exists()) )street-and-city: Pokud je uvedena extenze streetName, pak musí být evedeno také PSČ nebo město / If streetName extension is present, Postal code or city must be present too ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty()) or postalCode.exists() or city.exists() )POB-only-postal: Adresa obsahující extenzi P.O.Box nemůže mít typ "physical" or "both" / Address with P.O.Box cannot be "physical" or "both" ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty()) or type='postal' or type.empty() )POB-ext-only: Pokud je uvedena extenze P.O.Box, nesmí být uvedena extenze 'Street' a 'House number' / If the extension 'P.O.Box' is used, the extensions 'Street' and 'House number' must not be used. ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty())) )cnt-2-char: The content of the country element (if present) SHALL be selected from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. ( country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) ) | ||||
190. Patient.maritalStatus | |||||
Definition | This field contains a patient's most recent marital (civil) status. | ||||
Short | Marital (civil) status of a patient | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Marital Status Codes (extensible to http://hl7.org/fhir/ValueSet/marital-status )The domestic partnership status of a person. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Most, if not all systems capture it. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
192. Patient.multipleBirth[x] | |||||
Definition | Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer). | ||||
Short | Whether patient is part of a multiple birth | ||||
Comments | Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated). | ||||
Control | 0..1 | ||||
Type | Choice of: boolean, integer | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
194. Patient.photo | |||||
Definition | Image of the patient. | ||||
Short | Image of the patient | ||||
Comments | Guidelines:
| ||||
Control | 0..* | ||||
Type | Attachment | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
196. Patient.contact | |||||
Definition | Kontaktní osoba (např. opatrovník, partner, přítel) pacienta. DOPORUČUJE SE uvést ji, pokud je k dispozici a pokud je považována za relevantní pro péči o pacienta. (např. rodič dítěte). A contact party (e.g. guardian, partner, friend) for the patient. It is RECOMMENDED to include this when available and considered relevant for the patientcare. (e.g. a parent of a young patient) | ||||
Short | A contact party (e.g. guardian, partner, friend) for the patient | ||||
Comments | Kontakt zahrnuje všechny druhy kontaktních osob: rodinné příslušníky, obchodní kontakty, opatrovníky, pečovatele. Nevztahuje se na evidenci rodokmenu a rodinných vazeb mimo rámec použití týkající se kontaktů. Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact. | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Need to track people you can contact about the patient. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )pat-1: 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() ) | ||||
198. Patient.contact.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
200. Patient.contact.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
202. Patient.contact.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
204. Patient.contact.relationship | |||||
Definition | A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. | ||||
Short | Concept - reference to a terminology or just text | ||||
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from Contact Person Relation (CZ) (required to https://ncez.mzcr.cz/fhir/ValueSet/cz-contact-person-relation-vs ) | ||||
Type | CodeableConcept(Codeable Concept (CZ)) | ||||
Is Modifier | false | ||||
Requirements | Used to determine which contact person is the most relevant to approach, depending on circumstances. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
206. Patient.contact.name | |||||
Definition | A name associated with the contact person. | ||||
Short | A name associated with the contact person | ||||
Control | 0..1 | ||||
Type | HumanName | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
208. Patient.contact.telecom | |||||
Definition | A contact detail for the person, e.g. a telephone number or an email address. | ||||
Short | A contact detail for the person | ||||
Comments | Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification. | ||||
Control | 0..* | ||||
Type | ContactPoint | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | People have (primary) ways to contact them in some way such as phone, email. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
210. Patient.contact.address | |||||
Definition | Adresa podle poštovních zvyklostí. Adresa může být použita jak pro doručování poštovních zásilek, tak pro lokalizaci míst, která nemají platnou poštovní adresu. Použití extenzí není povinné. | ||||
Short | Adresa dle českých poštovních konvencí / Address according to Czech postal conventions | ||||
Comments | Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Address(Address (CZ)) | ||||
Is Modifier | false | ||||
Requirements | Need to keep track where the contact person can be contacted per postal mail or visited. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )text-or-ctry: Adresa musí obsahovat minimálně element text nebo země / Address must contain at least text or country element ( ( line.all($this.empty()) and city.empty() ) implies (text.exists() or country.exists()) )POB-and-PCS: Pokud je uvedena extenze P.O.Box, pak musí být evedeno také PSČ / If P.O.Box extension is present, Postal code must be present too ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty()) or (postalCode.exists()) )street-and-city: Pokud je uvedena extenze streetName, pak musí být evedeno také PSČ nebo město / If streetName extension is present, Postal code or city must be present too ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty()) or postalCode.exists() or city.exists() )POB-only-postal: Adresa obsahující extenzi P.O.Box nemůže mít typ "physical" or "both" / Address with P.O.Box cannot be "physical" or "both" ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty()) or type='postal' or type.empty() )POB-ext-only: Pokud je uvedena extenze P.O.Box, nesmí být uvedena extenze 'Street' a 'House number' / If the extension 'P.O.Box' is used, the extensions 'Street' and 'House number' must not be used. ( line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty())) ) | ||||
212. Patient.contact.gender | |||||
Definition | Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes. | ||||
Short | male | female | other | unknown | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from AdministrativeGender (required to https://ncez.mzcr.cz/fhir/ValueSet/cz-administrative-gender-vs ) | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Needed to address the person correctly. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
214. Patient.contact.organization | |||||
Definition | Organization on behalf of which the contact is acting or for which the contact is working. | ||||
Short | Organization that is associated with the contact | ||||
Control | 0..1 This element is affected by the following invariants: pat-1 | ||||
Type | Reference(Organization (CZ)) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | For guardians or business related contacts, the organization is relevant. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
216. Patient.contact.period | |||||
Definition | The period during which this contact person or organization is valid to be contacted relating to this patient. | ||||
Short | The period during which this contact person or organization is valid to be contacted relating to this patient | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
218. Patient.communication | |||||
Definition | A language which may be used to communicate with the patient about his or her health. | ||||
Short | A language which may be used to communicate with the patient about his or her health | ||||
Comments | If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required. | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
220. Patient.communication.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
222. Patient.communication.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
224. Patient.communication.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
226. Patient.communication.language | |||||
Definition | The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English. | ||||
Short | The language which can be used to communicate with the patient about his or her health | ||||
Comments | The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type. | ||||
Control | 1..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages )A human language.
| ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
228. Patient.communication.preferred | |||||
Definition | Indicates whether or not the patient prefers this language (over other languages he masters up a certain level). | ||||
Short | Language preference indicator | ||||
Comments | This language is specifically identified for communicating healthcare information. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
230. Patient.generalPractitioner | |||||
Definition | Praktický lékař či jiný poskytovatel určený pacientem. / Patient's nominated care provider. Upzorňujeme, že se jedná pouze o informační údaj, který nemusí znamenat jakýkoliv právně závazný terapeutický vztah mezi pacientem a lékařem či poskytovatelem či souhlas pacienta s poskytováním informací. Doporučujeme tento údaj uvést, pokud je k dispozici a pokud se jedná o informaci související s lékařskou péčí. Upozorňujeme, že se jedná o prvek datového typu Reference. To znamená, že pokud je k dispozici, bude obsahovat buď relativní, nebo absolutní adresu URL, kde lze tohoto praktického lékaře nalézt. Případně je k dispozici pouze interní odkaz a GP je zahrnut jako "obsažený zdroj" (viz specifikace HL7 FHIR)./ Take note this does not automatically imply any legal form of therapeutic link or consent relationship with this GP. It is RECOMMENDED to include this when available if the flow is in any way medical. Please note this is an element of the Reference datatype. This means when it is available it will contain either a relative or absolute URL where this GP can be found. Alternatively, there is only an internal reference and the GP is included as a ‘contained resource’ (cfr. the HL7 FHIR specifications in what cases this applies). | ||||
Short | Lékař či poskytovatel určený pacientem | ||||
Comments | Může to být poskytovatel primární či specializované ambulantní péče, nebo to může být pacientem určený pečovatel v komunitním prostředí či prostředí pro osoby se zdravotním postižením, nebo organizace, která poskytne osoby, kteří budou plnit roli poskytovatele péče. Pokud jde o registrujícího poskytovatele, bude odkaz zároveň uveden v extenzi "registeringProvider". Tento element se nemá používat k evidenci týmů péče, ty by měly být ve zdroji CareTeam, který může být propojen se zdroji CarePlan nebo EpisodeOfCare. U pacienta může být z různých důvodů zaznamenáno více poskytovatelů, například student, který má svého domácího praktického lékaře uvedeného spolu s praktickým lékařem na univerzitě, nebo pracovník, který má vedle svého domácího praktického lékaře uvedeného také praktického lékaře na pracovišti, aby byl informován o zdravotních problémech. This may be a primary or specialist outpatient care provider, or it may be a patient-designated carer in a community or disability setting, or an organisation that provides people to act as care providers. If it is a registering provider, the reference will also be included in the "registeringProvider" extension. This element should not be used to register care teams, these should be in the CareTeam resource, which can be linked to the CarePlan or EpisodeOfCare resources. Multiple providers may be recorded for a patient for different reasons, for example a student who has their GP listed alongside their GP at the university, or a worker who has a GP listed alongside their GP at the workplace to keep them informed of health issues. | ||||
Control | 0..* | ||||
Type | Reference(Organization (CZ), Practitioner (CZ), Practitioner Role (CZ)) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | false | ||||
Alternate Names | careProvider | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
232. Patient.managingOrganization | |||||
Definition | Organizace, která je správcem záznamu o pacientovi. Tento údaj by měl být uveden, pokud je k dispozici. Upozorňujeme, že se jedná o prvek datového typu Reference. To znamená, že pokud je k dispozici, bude obsahovat buď relativní, nebo absolutní adresu URL, kde lze tuto organizaci nalézt. Případně je zde pouze interní odkaz a Organizace je zahrnuta jako 'contined resource' (viz specifikace HL7 FHIR, v jakých případech se uplatňuje). Organization that is the custodian of the patient record. This SHOULD be included when available. Please note this is an element of the Reference datatype. This means when it is available it will contain either a relative or absolute URL where this Organization can be found. Alternatively, there is only an internal reference and the Organization is included as a ‘contained resource’ (cfr. the HL7 FHIR specifications in what cases this applies). | ||||
Short | Organizace, která je správcem elektronického záznamu / Organization that is the custodian of the patient record | ||||
Comments | Pro konkrétní záznam pacienta existuje pouze jedna organizace, která jej spravuje. Ostatní organizace budou mít svůj vlastní záznam pacienta a mohou použít element Link ke spárování záznamů (nebo resource Person, který může obsahovat hodnocení důvěryhodnosti pro toto spojení). There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association). | ||||
Control | 0..1 | ||||
Type | Reference(Organization (CZ)) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Need to know who recognizes this patient record, manages and updates it. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
234. Patient.link | |||||
Definition | Link to another patient resource that concerns the same actual patient. | ||||
Short | Link to another patient resource that concerns the same actual person | ||||
Comments | There is no assumption that linked patient records have mutual links. | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | true because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by' | ||||
Summary | true | ||||
Requirements | There are multiple use cases:
| ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
236. Patient.link.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
238. Patient.link.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
240. Patient.link.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
242. Patient.link.other | |||||
Definition | The other patient resource that the link refers to. | ||||
Short | The other patient or related person resource that the link refers to | ||||
Comments | Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual. | ||||
Control | 1..1 | ||||
Type | Reference(Patient, RelatedPerson) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
244. Patient.link.type | |||||
Definition | The type of link between this patient resource and another patient resource. | ||||
Short | replaced-by | replaces | refer | seealso | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from LinkType (required to http://hl7.org/fhir/ValueSet/link-type|4.0.1 )The type of link between this patient resource and another patient resource. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |