HL7 Czech Core Resources IG
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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

Resource Profile: CZ_Patient - Detailed Descriptions

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 Valuecs
4. Patient.extension
SlicingThis element introduces a set of slices on Patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. Patient.extension:sex-for-clinical-use
    Slice Namesex-for-clinical-use
    Control0..*
    TypeExtension(Patient Sex Parameter For Clinical Use) (Complex Extension)
    Must Supportfalse
    8. Patient.extension:birthPlace
    Slice NamebirthPlace
    ShortMísto narození / Birth place
    Control0..1
    TypeExtension(Patient Birth Place) (Extension Type: Address)
    10. Patient.extension:birthPlace.value[x]
    TypeAddress(Address (CZ))
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    12. Patient.extension:nationality
    Slice Namenationality
    Definition

    Státní občanství dle zákona 186/2013. Státní občanství, jak je uváděno na oficiálních dokladech k prokázání identity.

    ShortStátní občanství / Nationality
    Control0..*
    TypeExtension(Patient Nationality) (Complex Extension)
    14. Patient.extension:nationality.extension:code
    Slice Namecode
    16. Patient.extension:nationality.extension:code.value[x]
    BindingThe codes SHALL be taken from Iso3166-1-2
    (required to http://hl7.org/fhir/ValueSet/iso3166-1-2)
    TypeCodeableConcept(Codeable Concept (CZ))
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Must Supporttrue
    18. Patient.extension:registeringProvider
    Slice NameregisteringProvider
    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.

    ShortRegistrující 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.

    Control0..*
    TypeExtension(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.

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Must Supporttrue
    SlicingThis element introduces a set of slices on Patient.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ system
    • 22. Patient.identifier:RC
      Slice NameRC
      Definition

      Identifikátor pacienta přidělený podle zákona o evidenci obyvatel. / Patient identifier assigned under the Czech Population Registration Act.

      ShortRodné číslo (Personal Number)
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1
      TypeIdentifier(Rodné číslo / Czech national birth number)
      Must Supporttrue
      24. Patient.identifier:RID
      Slice NameRID
      Definition

      Jedinečný identifikátor pacienta (resortní identifikátor) podle Národního registru pacientů. / An unique patient identifier (resortní identifikátor) according to the National Patient Register

      ShortResortní identifikátor (National Health Identifier)
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1
      Must Supporttrue
      26. Patient.identifier:RID.system
      Control1..?
      Fixed Valuehttps://ncez.mzcr.cz/fhir/sid/rid
      28. Patient.identifier:RID.value
      Control1..?
      30. Patient.identifier:CPOJ
      Slice NameCPOJ
      Definition

      Jedinečný identifikátor pacienta (číslo pojištěnce) podle Národního registru zdravotního pojištění. / An unique patient identifier (číslo pojištěnce) according to the National Health Insurance Register

      ShortČíslo pojištěnce zdravotního pojištění (Health Insurance Number)
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1
      Must Supporttrue
      32. Patient.identifier:CPOJ.system
      Control1..?
      Fixed Valuehttps://ncez.mzcr.cz/fhir/sid/cpoj
      34. Patient.identifier:CPOJ.value
      Control1..?
      36. Patient.identifier:OP
      Slice NameOP
      Definition

      Jedinečný identifikátor pacienta (číslo občanského průkazu) vydaného ministerstvem vnitra. / An unique patient identifier (National ID Card Number) issued by the ministry of interior

      ShortČíslo občanského průkazu (National Identity Card Number)
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1
      Must Supporttrue
      38. Patient.identifier:OP.system
      Control1..?
      Fixed Valuehttps://ncez.mzcr.cz/fhir/sid/op
      40. Patient.identifier:OP.value
      Control1..?
      42. Patient.identifier:PAS
      Slice NamePAS
      Definition

      Jedinečný identifikátor pacienta (číslo pasu). / An unique patient identifier (Passport Number)

      ShortČíslo pasu (Passport Number)
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      Must Supporttrue
      44. Patient.identifier:PAS.use
      Pattern Valueofficial
      46. Patient.identifier:PAS.type
      Pattern Value{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
          "code" : "PPN"
        }]
      }
      48. Patient.identifier:PAS.system
      ShortJmenný 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
      BindingThe 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
      Control1..?
      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.

      Control1..?
      TypeHumanName(HumanName (Cz))
      Must Supporttrue
      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.

      Invariantscz-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 Namename-absent-reason
      Definition

      Důvod pro neuvedení jména / Reason for not providing the name

      ShortDůvod pro neuvedení jména / Reason for not providing the name
      Control0..*
      TypeExtension(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 Supporttrue
      58. Patient.name.family
      Must Supporttrue
      60. Patient.name.given
      Must Supporttrue
      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.

      ShortElektronický kontakt osoby / A contact detail for the individual
      Must Supporttrue
      64. Patient.gender
      Definition

      Pohlaví pro úřední účely

      BindingThe codes SHALL be taken from AdministrativeGender
      (required to https://ncez.mzcr.cz/fhir/ValueSet/cz-administrative-gender-vs)
      Must Supporttrue
      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 Supporttrue
      LOINC Code
      68. Patient.birthDate.extension
      SlicingThis element introduces a set of slices on Patient.birthDate.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 70. Patient.birthDate.extension:birthTime
        Slice NamebirthTime
        Control0..1
        TypeExtension(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.

        ShortInformace o úmrtí buď příznakem či datem úmrtí
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Must Supporttrue
        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.

        TypeAddress(Address (CZ))
        Must Supporttrue
        Invariantscnt-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
        BindingThe codes SHALL be taken from Contact Person Relation (CZ)
        (required to https://ncez.mzcr.cz/fhir/ValueSet/cz-contact-person-relation-vs)
        TypeCodeableConcept(Codeable Concept (CZ))
        80. Patient.contact.address
        TypeAddress(Address (CZ))
        82. Patient.contact.gender
        BindingThe codes SHALL be taken from AdministrativeGender
        (required to https://ncez.mzcr.cz/fhir/ValueSet/cz-administrative-gender-vs)
        84. Patient.contact.organization
        TypeReference(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).

        ShortLékař 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.

        TypeReference(Organization (CZ), Practitioner (CZ), Practitioner Role (CZ))
        Must Supporttrue
        Must Support TypesNo 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).

        ShortOrganizace, 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).

        TypeReference(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.

        ShortInformation about an individual or animal receiving health care services
        Control0..*
        Is Modifierfalse
        Summaryfalse
        Alternate NamesSubjectOfCare Client Resident
        Invariantsdom-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.

        ShortA 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.

        Control0..1
        Typeuri
        Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-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.

        ShortLanguage 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).

        Control0..1
        BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
        (preferred to http://hl7.org/fhir/ValueSet/languages)

        A human language.

        Additional BindingsPurpose
        AllLanguagesMax Binding
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Pattern Valuecs
        Invariantsele-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.

        ShortExtensionAdditional 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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-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())
        SlicingThis element introduces a set of slices on Patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 8. Patient.extension:sex-for-clinical-use
          Slice Namesex-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..

          ShortA context-specific sex parameter for clinical use
          Control0..*
          TypeExtension(Patient Sex Parameter For Clinical Use) (Complex Extension)
          Is Modifierfalse
          Must Supportfalse
          Invariantsele-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 NamebirthPlace
          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.

          ShortMísto narození / Birth place
          Control0..1
          TypeExtension(Patient Birth Place) (Extension Type: Address)
          Is Modifierfalse
          Invariantsele-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.

          ShortExtensionAdditional 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.

          Control0..0*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-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())
          SlicingThis element introduces a set of slices on Patient.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 14. Patient.extension:birthPlace.url
            Definition

            Source of the definition for the extension code - a logical name or a URL.

            Shortidentifies 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.

            Control1..1
            Typeuri
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            Fixed Valuehttp://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).

            ShortAdresa 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).

            Control10..1
            This element is affected by the following invariants: ele-1
            TypeAddress(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] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Invariantsele-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 Namenationality
            Definition

            Státní občanství dle zákona 186/2013. Státní občanství, jak je uváděno na oficiálních dokladech k prokázání identity.

            ShortStátní občanství / Nationality
            Control0..*
            TypeExtension(Patient Nationality) (Complex Extension)
            Is Modifierfalse
            Invariantsele-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 Namecode
            Definition

            An Extension

            ShortExtensionAdditional content defined by implementations
            Control0..1*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Invariantsele-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.

            ShortExtensionAdditional 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.

            Control0..0*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-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())
            SlicingThis element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 24. Patient.extension:nationality.extension:code.url
              Definition

              Source of the definition for the extension code - a logical name or a URL.

              Shortidentifies 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.

              Control1..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              Fixed Valuecode
              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).

              ShortConcept - 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.

              Control10..1
              This element is affected by the following invariants: ele-1
              BindingThe codes SHALL be taken from For codes, see Iso3166-1-2
              (required to http://hl7.org/fhir/ValueSet/iso3166-1-2)
              TypeCodeableConcept(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] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Must Supporttrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              28. Patient.extension:nationality.extension:period
              Slice Nameperiod
              Definition

              Period when nationality was effective.

              ShortNationality PeriodAdditional content defined by implementations
              Control0..1*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-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.

              ShortExtensionAdditional 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.

              Control0..0*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-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())
              SlicingThis element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 32. Patient.extension:nationality.extension:period.url
                Definition

                Source of the definition for the extension code - a logical name or a URL.

                Shortidentifies 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.

                Control1..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                Fixed Valueperiod
                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).

                ShortValue of extension
                Control10..1
                This element is affected by the following invariants: ext-1
                TypePeriod, 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] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Summaryfalse
                Invariantsele-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.

                Shortidentifies 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.

                Control1..1
                Typeuri
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                Fixed Valuehttp://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).

                ShortValue of extension
                Control0..01
                This element is affected by the following invariants: ext-1
                TypeChoice 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 Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-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 NameregisteringProvider
                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.

                ShortRegistrující 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.

                Control0..*
                This element is affected by the following invariants: ele-1
                TypeExtension(Registrující poskytovatel) (Complex Extension)
                Is Modifierfalse
                Invariantsele-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).

                ShortExtensions 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.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                Summaryfalse
                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 Namesextensions, user content
                Invariantsele-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.

                ShortAn identifier for this patient
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..*
                TypeIdentifier
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Requirements

                Patients are almost always assigned specific numerical identifiers.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on Patient.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ system
                • 46. Patient.identifier:RC
                  Slice NameRC
                  Definition

                  Identifikátor pacienta přidělený podle zákona o evidenci obyvatel. / Patient identifier assigned under the Czech Population Registration Act.


                  An identifier for this patient.

                  ShortRodné číslo (Personal Number)An identifier for this patient
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..1*
                  This element is affected by the following invariants: ele-1
                  TypeIdentifier(Rodné číslo / Czech national birth number)
                  Is Modifierfalse
                  Must Supporttrue
                  Requirements

                  Patients are almost always assigned specific numerical identifiers.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  48. Patient.identifier:RID
                  Slice NameRID
                  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.

                  ShortResortní identifikátor (National Health Identifier)An identifier for this patient
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..1*
                  TypeIdentifier
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Patients are almost always assigned specific numerical identifiers.

                  Invariantsele-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.

                  Shortusual | official | temp | secondary | old (If known)
                  Comments

                  Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                  Control0..1
                  BindingThe 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 .

                  Typecode
                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                  Invariantsele-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.

                  ShortThe namespace for the identifier value
                  Comments

                  Identifier.system is always case sensitive.

                  Control10..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  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 Valuehttps://ncez.mzcr.cz/fhir/sid/rid
                  Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                  Invariantsele-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.

                  ShortThe 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.

                  Control10..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Example<br/><b>General</b>:123456
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  56. Patient.identifier:CPOJ
                  Slice NameCPOJ
                  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.

                  ShortČíslo pojištěnce zdravotního pojištění (Health Insurance Number)An identifier for this patient
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..1*
                  TypeIdentifier
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Patients are almost always assigned specific numerical identifiers.

                  Invariantsele-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.

                  Shortusual | official | temp | secondary | old (If known)
                  Comments

                  Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                  Control0..1
                  BindingThe 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 .

                  Typecode
                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                  Invariantsele-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.

                  ShortThe namespace for the identifier value
                  Comments

                  Identifier.system is always case sensitive.

                  Control10..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  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 Valuehttps://ncez.mzcr.cz/fhir/sid/cpoj
                  Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                  Invariantsele-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.

                  ShortThe 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.

                  Control10..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Example<br/><b>General</b>:123456
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  64. Patient.identifier:OP
                  Slice NameOP
                  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.

                  ShortČíslo občanského průkazu (National Identity Card Number)An identifier for this patient
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..1*
                  TypeIdentifier
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Patients are almost always assigned specific numerical identifiers.

                  Invariantsele-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.

                  Shortusual | official | temp | secondary | old (If known)
                  Comments

                  Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                  Control0..1
                  BindingThe 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 .

                  Typecode
                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                  Invariantsele-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.

                  ShortThe namespace for the identifier value
                  Comments

                  Identifier.system is always case sensitive.

                  Control10..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  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 Valuehttps://ncez.mzcr.cz/fhir/sid/op
                  Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                  Invariantsele-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.

                  ShortThe 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.

                  Control10..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Example<br/><b>General</b>:123456
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  72. Patient.identifier:PAS
                  Slice NamePAS
                  Definition

                  Jedinečný identifikátor pacienta (číslo pasu). / An unique patient identifier (Passport Number)


                  An identifier for this patient.

                  ShortČíslo pasu (Passport Number)An identifier for this patient
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..*
                  TypeIdentifier
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Patients are almost always assigned specific numerical identifiers.

                  Invariantsele-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.

                  Shortusual | official | temp | secondary | old (If known)
                  Comments

                  Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                  Control0..1
                  BindingThe 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 .

                  Typecode
                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                  Pattern Valueofficial
                  Invariantsele-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.

                  ShortDescription 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.

                  Control0..1
                  BindingUnless 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.

                  TypeCodeableConcept
                  Is Modifierfalse
                  Summarytrue
                  Requirements

                  Allows users to make use of identifiers when the identifier system is not known.

                  Pattern Value{
                    "coding" : [{
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "PPN"
                    }]
                  }
                  Invariantsele-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.

                  ShortJmenný 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.

                  Control0..1
                  BindingThe codes SHALL be taken from For codes, see Standardní jmenné prostory pro cestovní pasy
                  (required to https://ncez.mzcr.cz/fhir/ValueSet/PassportNS-vs)
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  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
                  Invariantsele-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.

                  ShortThe 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.

                  Control10..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Example<br/><b>General</b>:123456
                  Invariantsele-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.

                  ShortWhether 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.

                  Control0..1
                  Typeboolean
                  Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to be able to mark a patient record as not to be used because it was created in error.

                  Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
                  Invariantsele-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.

                  ShortName 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.

                  Control10..*
                  This element is affected by the following invariants: ele-1
                  TypeHumanName(HumanName (Cz))
                  Is Modifierfalse
                  Must Supporttrue
                  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.

                  Invariantsele-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 Namename-absent-reason
                  Definition

                  Důvod pro neuvedení jména / Reason for not providing the name

                  ShortDůvod pro neuvedení jména / Reason for not providing the name
                  Control0..*
                  TypeExtension(Data Absent Reason) (Extension Type: code)
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-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.

                  Shortusual | 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.

                  Control0..1
                  BindingThe 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.

                  Typecode
                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Allows the appropriate name for a particular context of use to be selected from among a set of names.

                  Invariantsele-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.

                  ShortText 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.

                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  A renderable, unencoded form.

                  Invariantsele-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.

                  ShortFamily name (often called 'Surname')
                  Comments

                  Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Alternate Namessurname
                  Example<br/><b>spanish name</b>:Valero Iglesias
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  94. Patient.name.family.extension:fathersFamily
                  Slice NamefathersFamily
                  Definition

                  The portion of the family name that is derived from the person's father.

                  ShortPortion of family name derived from father
                  Control0..*
                  TypeExtension(Fathers Family) (Extension Type: string)
                  Is Modifierfalse
                  Example<br/><b>spanish name</b>:Valero
                  Invariantsele-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 NamemothersFamily
                  Definition

                  The portion of the family name that is derived from the person's mother.

                  ShortPortion of family name derived from mother
                  Control0..*
                  TypeExtension(Mothers Family) (Extension Type: string)
                  Is Modifierfalse
                  Example<br/><b>spanish name</b>:Iglesias
                  Invariantsele-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.

                  ShortGiven 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.

                  Control0..*
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Alternate Namesfirst name, middle name
                  Example<br/><b>spanish name</b>:Borja
                  Invariantsele-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.

                  ShortElektronický 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).

                  Control0..*
                  TypeContactPoint
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  People have (primary) ways to contact them in some way such as phone, email.

                  Invariantsele-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.

                  Shortmale | 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.

                  Control0..1
                  BindingThe 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)
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Needed for identification of the individual, in combination with (at least) name and birth date.

                  Invariantsele-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.

                  ShortThe 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).

                  Control0..1
                  Typedate
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Age of the individual drives many clinical processes.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  LOINC Code21112-8
                  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.

                  ShortExtensionAdditional 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.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-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())
                  SlicingThis element introduces a set of slices on Patient.birthDate.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 108. Patient.birthDate.extension:birthTime
                    Slice NamebirthTime
                    Definition

                    The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively.

                    ShortTime of day of birth
                    Control0..1
                    TypeExtension(Patient Birth Time) (Extension Type: dateTime)
                    Is Modifierfalse
                    Invariantsele-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.

                    ShortInformace 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.

                    Control0..1
                    TypeChoice of: boolean, dateTime
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Must Support TypesNo must-support rules about the choice of types/profiles
                    Summarytrue
                    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.

                    Invariantsele-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.

                    ShortAdresa 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.

                    Control0..*
                    This element is affected by the following invariants: ele-1
                    TypeAddress(Address (CZ))
                    Is Modifierfalse
                    Must Supporttrue
                    Requirements

                    May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                    Invariantsele-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.

                    ShortA 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.

                    Control0..*
                    TypeBackboneElement
                    Is Modifierfalse
                    Summaryfalse
                    Requirements

                    Need to track people you can contact about the patient.

                    Invariantsele-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).

                    ShortExtensions 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.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    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 Namesextensions, user content, modifiers
                    Invariantsele-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.

                    ShortConcept - 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.

                    Control0..*
                    This element is affected by the following invariants: ele-1
                    BindingThe 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)
                    TypeCodeableConcept(Codeable Concept (CZ))
                    Is Modifierfalse
                    Requirements

                    Used to determine which contact person is the most relevant to approach, depending on circumstances.

                    Invariantsele-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.

                    ShortAdresa 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).

                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeAddress(Address (CZ))
                    Is Modifierfalse
                    Requirements

                    Need to keep track where the contact person can be contacted per postal mail or visited.

                    Invariantsele-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.

                    Shortmale | female | other | unknown
                    Control0..1
                    BindingThe 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)
                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summaryfalse
                    Requirements

                    Needed to address the person correctly.

                    Invariantsele-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.

                    ShortOrganization that is associated with the contact
                    Control0..1
                    This element is affected by the following invariants: pat-1
                    TypeReference(Organization (CZ), Organization)
                    Is Modifierfalse
                    Summaryfalse
                    Requirements

                    For guardians or business related contacts, the organization is relevant.

                    Invariantsele-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.

                    ShortLékař 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.

                    Control0..*
                    TypeReference(Organization (CZ), Practitioner (CZ), Practitioner Role (CZ), Organization, Practitioner, PractitionerRole)
                    Is Modifierfalse
                    Must Supporttrue
                    Must Support TypesNo must-support rules about the choice of types/profiles
                    Summaryfalse
                    Alternate NamescareProvider
                    Invariantsele-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.

                    ShortOrganizace, 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).

                    Control0..1
                    TypeReference(Organization (CZ), Organization)
                    Is Modifierfalse
                    Summarytrue
                    Requirements

                    Need to know who recognizes this patient record, manages and updates it.

                    Invariantsele-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.

                    ShortLink to another patient resource that concerns the same actual person
                    Comments

                    There is no assumption that linked patient records have mutual links.

                    Control0..*
                    TypeBackboneElement
                    Is Modifiertrue 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'
                    Summarytrue
                    Requirements

                    There are multiple use cases:

                    • Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
                    • Distribution of patient information across multiple servers.
                    Invariantsele-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).

                    ShortExtensions 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.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    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 Namesextensions, user content, modifiers
                    Invariantsele-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.

                    ShortThe 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.

                    Control1..1
                    TypeReference(Patient, RelatedPerson)
                    Is Modifierfalse
                    Summarytrue
                    Invariantsele-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.

                    Shortreplaced-by | replaces | refer | seealso
                    Control1..1
                    BindingThe 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.

                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Invariantsele-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.

                    ShortInformation about an individual or animal receiving health care services
                    Control0..*
                    Is Modifierfalse
                    Summaryfalse
                    Alternate NamesSubjectOfCare Client Resident
                    Invariantsdom-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.

                    ShortLogical 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.

                    Control0..1
                    Typeid
                    Is Modifierfalse
                    Summarytrue
                    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.

                    ShortMetadata about the resource
                    Control0..1
                    TypeMeta
                    Is Modifierfalse
                    Summarytrue
                    Invariantsele-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.

                    ShortA 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.

                    Control0..1
                    Typeuri
                    Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Invariantsele-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.

                    ShortLanguage 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).

                    Control0..1
                    BindingThe codes SHOULD be taken from CommonLanguages
                    (preferred to http://hl7.org/fhir/ValueSet/languages)

                    A human language.

                    Additional BindingsPurpose
                    AllLanguagesMax Binding
                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summaryfalse
                    Pattern Valuecs
                    Invariantsele-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.

                    ShortText 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.

                    Control0..1
                    TypeNarrative
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesnarrative, html, xhtml, display
                    Invariantsele-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.

                    ShortContained, 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.

                    Control0..*
                    TypeResource
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesinline resources, anonymous resources, contained resources
                    14. Patient.extension
                    Definition

                    An Extension

                    ShortExtension
                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-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())
                    SlicingThis element introduces a set of slices on Patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 16. Patient.extension:sex-for-clinical-use
                      Slice Namesex-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..

                      ShortA context-specific sex parameter for clinical use
                      Control0..*
                      TypeExtension(Patient Sex Parameter For Clinical Use) (Complex Extension)
                      Is Modifierfalse
                      Must Supportfalse
                      Invariantsele-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 NamebirthPlace
                      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.

                      ShortMísto narození / Birth place
                      Control0..1
                      TypeExtension(Patient Birth Place) (Extension Type: Address)
                      Is Modifierfalse
                      Invariantsele-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.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      This element is affected by the following invariants: ele-1
                      Typeid
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      22. Patient.extension:birthPlace.extension
                      Definition

                      An Extension

                      ShortExtension
                      Control0..0
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-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())
                      SlicingThis element introduces a set of slices on Patient.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 24. Patient.extension:birthPlace.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies 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.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed Valuehttp://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.

                        ShortAdresa 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).

                        Control1..1
                        This element is affected by the following invariants: ele-1
                        TypeAddress(Address (CZ))
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Invariantsele-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 Namenationality
                        Definition

                        Státní občanství dle zákona 186/2013. Státní občanství, jak je uváděno na oficiálních dokladech k prokázání identity.

                        ShortStátní občanství / Nationality
                        Control0..*
                        TypeExtension(Patient Nationality) (Complex Extension)
                        Is Modifierfalse
                        Invariantsele-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.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        This element is affected by the following invariants: ele-1
                        Typeid
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        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.

                        ShortAdditional 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.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-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())
                        SlicingThis element introduces a set of slices on Patient.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 34. Patient.extension:nationality.extension:code
                          Slice Namecode
                          Definition

                          An Extension

                          ShortExtension
                          Control0..1
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-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.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          This element is affected by the following invariants: ele-1
                          Typeid
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          38. Patient.extension:nationality.extension:code.extension
                          Definition

                          An Extension

                          ShortExtension
                          Control0..0
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-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())
                          SlicingThis element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 40. Patient.extension:nationality.extension:code.url
                            Definition

                            Source of the definition for the extension code - a logical name or a URL.

                            Shortidentifies 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.

                            Control1..1
                            Typeuri
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            Fixed Valuecode
                            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.

                            ShortConcept - 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.

                            Control1..1
                            This element is affected by the following invariants: ele-1
                            BindingThe codes SHALL be taken from Iso3166-1-2
                            (required to http://hl7.org/fhir/ValueSet/iso3166-1-2)
                            TypeCodeableConcept(Codeable Concept (CZ))
                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                            Is Modifierfalse
                            Must Supporttrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            44. Patient.extension:nationality.extension:period
                            Slice Nameperiod
                            Definition

                            Period when nationality was effective.

                            ShortNationality Period
                            Control0..1
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-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.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            This element is affected by the following invariants: ele-1
                            Typeid
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            48. Patient.extension:nationality.extension:period.extension
                            Definition

                            An Extension

                            ShortExtension
                            Control0..0
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-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())
                            SlicingThis element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 50. Patient.extension:nationality.extension:period.url
                              Definition

                              Source of the definition for the extension code - a logical name or a URL.

                              Shortidentifies 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.

                              Control1..1
                              Typeuri
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              Fixed Valueperiod
                              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).

                              ShortValue of extension
                              Control1..1
                              This element is affected by the following invariants: ext-1
                              TypePeriod
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-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.

                              Shortidentifies 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.

                              Control1..1
                              Typeuri
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              Fixed Valuehttp://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).

                              ShortValue of extension
                              Control0..0
                              This element is affected by the following invariants: ext-1
                              TypeChoice 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 Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              58. Patient.extension:registeringProvider
                              Slice NameregisteringProvider
                              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.

                              ShortRegistrující 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.

                              Control0..*
                              This element is affected by the following invariants: ele-1
                              TypeExtension(Registrující poskytovatel) (Complex Extension)
                              Is Modifierfalse
                              Invariantsele-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).

                              ShortExtensions 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.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                              Summaryfalse
                              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 Namesextensions, user content
                              Invariantsele-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.

                              ShortAn identifier for this patient
                              NoteThis is a business identifier, not a resource identifier (see discussion)
                              Control0..*
                              TypeIdentifier
                              Is Modifierfalse
                              Must Supporttrue
                              Summarytrue
                              Requirements

                              Patients are almost always assigned specific numerical identifiers.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              SlicingThis element introduces a set of slices on Patient.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ system
                              • 64. Patient.identifier:RC
                                Slice NameRC
                                Definition

                                Identifikátor pacienta přidělený podle zákona o evidenci obyvatel. / Patient identifier assigned under the Czech Population Registration Act.

                                ShortRodné číslo (Personal Number)
                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                Control0..1
                                This element is affected by the following invariants: ele-1
                                TypeIdentifier(Rodné číslo / Czech national birth number)
                                Is Modifierfalse
                                Must Supporttrue
                                Requirements

                                Patients are almost always assigned specific numerical identifiers.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                66. Patient.identifier:RID
                                Slice NameRID
                                Definition

                                Jedinečný identifikátor pacienta (resortní identifikátor) podle Národního registru pacientů. / An unique patient identifier (resortní identifikátor) according to the National Patient Register

                                ShortResortní identifikátor (National Health Identifier)
                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                Control0..1
                                TypeIdentifier
                                Is Modifierfalse
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Patients are almost always assigned specific numerical identifiers.

                                Invariantsele-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.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                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.

                                ShortAdditional 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.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-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())
                                SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 72. Patient.identifier:RID.use
                                  Definition

                                  The purpose of this identifier.

                                  Shortusual | official | temp | secondary | old (If known)
                                  Comments

                                  Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                  Control0..1
                                  BindingThe 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 .

                                  Typecode
                                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                  Invariantsele-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.

                                  ShortDescription 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.

                                  Control0..1
                                  BindingUnless 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.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summarytrue
                                  Requirements

                                  Allows users to make use of identifiers when the identifier system is not known.

                                  Invariantsele-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.

                                  ShortThe namespace for the identifier value
                                  Comments

                                  Identifier.system is always case sensitive.

                                  Control1..1
                                  Typeuri
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  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 Valuehttps://ncez.mzcr.cz/fhir/sid/rid
                                  Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                  Invariantsele-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.

                                  ShortThe 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.

                                  Control1..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Example<br/><b>General</b>:123456
                                  Invariantsele-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.

                                  ShortTime period when id is/was valid for use
                                  Control0..1
                                  TypePeriod
                                  Is Modifierfalse
                                  Summarytrue
                                  Invariantsele-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.

                                  ShortOrganization 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.

                                  Control0..1
                                  TypeReference(Organization)
                                  Is Modifierfalse
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  84. Patient.identifier:CPOJ
                                  Slice NameCPOJ
                                  Definition

                                  Jedinečný identifikátor pacienta (číslo pojištěnce) podle Národního registru zdravotního pojištění. / An unique patient identifier (číslo pojištěnce) according to the National Health Insurance Register

                                  ShortČíslo pojištěnce zdravotního pojištění (Health Insurance Number)
                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                  Control0..1
                                  TypeIdentifier
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Summarytrue
                                  Requirements

                                  Patients are almost always assigned specific numerical identifiers.

                                  Invariantsele-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.

                                  ShortUnique id for inter-element referencing
                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  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.

                                  ShortAdditional 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.

                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-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())
                                  SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 90. Patient.identifier:CPOJ.use
                                    Definition

                                    The purpose of this identifier.

                                    Shortusual | official | temp | secondary | old (If known)
                                    Comments

                                    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                    Control0..1
                                    BindingThe 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 .

                                    Typecode
                                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                    Invariantsele-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.

                                    ShortDescription 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.

                                    Control0..1
                                    BindingUnless 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.

                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Summarytrue
                                    Requirements

                                    Allows users to make use of identifiers when the identifier system is not known.

                                    Invariantsele-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.

                                    ShortThe namespace for the identifier value
                                    Comments

                                    Identifier.system is always case sensitive.

                                    Control1..1
                                    Typeuri
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    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 Valuehttps://ncez.mzcr.cz/fhir/sid/cpoj
                                    Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                    Invariantsele-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.

                                    ShortThe 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.

                                    Control1..1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Example<br/><b>General</b>:123456
                                    Invariantsele-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.

                                    ShortTime period when id is/was valid for use
                                    Control0..1
                                    TypePeriod
                                    Is Modifierfalse
                                    Summarytrue
                                    Invariantsele-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.

                                    ShortOrganization 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.

                                    Control0..1
                                    TypeReference(Organization)
                                    Is Modifierfalse
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    102. Patient.identifier:OP
                                    Slice NameOP
                                    Definition

                                    Jedinečný identifikátor pacienta (číslo občanského průkazu) vydaného ministerstvem vnitra. / An unique patient identifier (National ID Card Number) issued by the ministry of interior

                                    ShortČíslo občanského průkazu (National Identity Card Number)
                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                    Control0..1
                                    TypeIdentifier
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summarytrue
                                    Requirements

                                    Patients are almost always assigned specific numerical identifiers.

                                    Invariantsele-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.

                                    ShortUnique id for inter-element referencing
                                    Control0..1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    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.

                                    ShortAdditional 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.

                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-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())
                                    SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 108. Patient.identifier:OP.use
                                      Definition

                                      The purpose of this identifier.

                                      Shortusual | official | temp | secondary | old (If known)
                                      Comments

                                      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                      Control0..1
                                      BindingThe 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 .

                                      Typecode
                                      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                      Invariantsele-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.

                                      ShortDescription 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.

                                      Control0..1
                                      BindingUnless 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.

                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Summarytrue
                                      Requirements

                                      Allows users to make use of identifiers when the identifier system is not known.

                                      Invariantsele-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.

                                      ShortThe namespace for the identifier value
                                      Comments

                                      Identifier.system is always case sensitive.

                                      Control1..1
                                      Typeuri
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      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 Valuehttps://ncez.mzcr.cz/fhir/sid/op
                                      Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                      Invariantsele-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.

                                      ShortThe 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.

                                      Control1..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Example<br/><b>General</b>:123456
                                      Invariantsele-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.

                                      ShortTime period when id is/was valid for use
                                      Control0..1
                                      TypePeriod
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsele-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.

                                      ShortOrganization 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.

                                      Control0..1
                                      TypeReference(Organization)
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      120. Patient.identifier:PAS
                                      Slice NamePAS
                                      Definition

                                      Jedinečný identifikátor pacienta (číslo pasu). / An unique patient identifier (Passport Number)

                                      ShortČíslo pasu (Passport Number)
                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                      Control0..*
                                      TypeIdentifier
                                      Is Modifierfalse
                                      Must Supporttrue
                                      Summarytrue
                                      Requirements

                                      Patients are almost always assigned specific numerical identifiers.

                                      Invariantsele-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.

                                      ShortUnique id for inter-element referencing
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      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.

                                      ShortAdditional 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.

                                      Control0..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesextensions, user content
                                      Invariantsele-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())
                                      SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 126. Patient.identifier:PAS.use
                                        Definition

                                        The purpose of this identifier.

                                        Shortusual | official | temp | secondary | old (If known)
                                        Comments

                                        Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                        Control0..1
                                        BindingThe 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 .

                                        Typecode
                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                        Pattern Valueofficial
                                        Invariantsele-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.

                                        ShortDescription 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.

                                        Control0..1
                                        BindingUnless 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.

                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Summarytrue
                                        Requirements

                                        Allows users to make use of identifiers when the identifier system is not known.

                                        Pattern Value{
                                          "coding" : [{
                                            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                                            "code" : "PPN"
                                          }]
                                        }
                                        Invariantsele-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.

                                        ShortJmenný 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.

                                        Control0..1
                                        BindingThe codes SHALL be taken from Standardní jmenné prostory pro cestovní pasy
                                        (required to https://ncez.mzcr.cz/fhir/ValueSet/PassportNS-vs)
                                        Typeuri
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        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
                                        Invariantsele-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.

                                        ShortThe 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.

                                        Control1..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Example<br/><b>General</b>:123456
                                        Invariantsele-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.

                                        ShortTime period when id is/was valid for use
                                        Control0..1
                                        TypePeriod
                                        Is Modifierfalse
                                        Summarytrue
                                        Invariantsele-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.

                                        ShortOrganization 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.

                                        Control0..1
                                        TypeReference(Organization)
                                        Is Modifierfalse
                                        Summarytrue
                                        Invariantsele-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.

                                        ShortWhether 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.

                                        Control0..1
                                        Typeboolean
                                        Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        Need to be able to mark a patient record as not to be used because it was created in error.

                                        Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
                                        Invariantsele-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.

                                        ShortName 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.

                                        Control1..*
                                        This element is affected by the following invariants: ele-1
                                        TypeHumanName(HumanName (Cz))
                                        Is Modifierfalse
                                        Must Supporttrue
                                        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.

                                        Invariantsele-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.

                                        ShortUnique id for inter-element referencing
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        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.

                                        ShortAdditional 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.

                                        Control0..*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Alternate Namesextensions, user content
                                        Invariantsele-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())
                                        SlicingThis element introduces a set of slices on Patient.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 146. Patient.name.extension:name-absent-reason
                                          Slice Namename-absent-reason
                                          Definition

                                          Důvod pro neuvedení jména / Reason for not providing the name

                                          ShortDůvod pro neuvedení jména / Reason for not providing the name
                                          Control0..*
                                          TypeExtension(Data Absent Reason) (Extension Type: code)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-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.

                                          Shortusual | 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.

                                          Control0..1
                                          BindingThe codes SHALL be taken from NameUse
                                          (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                          The use of a human name.

                                          Typecode
                                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Requirements

                                          Allows the appropriate name for a particular context of use to be selected from among a set of names.

                                          Invariantsele-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

                                          ShortText 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.

                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Must Supporttrue
                                          Summarytrue
                                          Requirements

                                          A renderable, unencoded form.

                                          Invariantsele-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.

                                          ShortFamily name (often called 'Surname')
                                          Comments

                                          Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Must Supporttrue
                                          Summarytrue
                                          Alternate Namessurname
                                          Example<br/><b>spanish name</b>:Valero Iglesias
                                          Invariantsele-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)

                                          Shortxml:id (or equivalent in JSON)
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          156. Patient.name.family.extension
                                          Definition

                                          An Extension

                                          ShortExtension
                                          Control0..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-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())
                                          SlicingThis element introduces a set of slices on Patient.name.family.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 158. Patient.name.family.extension:fathersFamily
                                            Slice NamefathersFamily
                                            Definition

                                            The portion of the family name that is derived from the person's father.

                                            ShortPortion of family name derived from father
                                            Control0..*
                                            TypeExtension(Fathers Family) (Extension Type: string)
                                            Is Modifierfalse
                                            Example<br/><b>spanish name</b>:Valero
                                            Invariantsele-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 NamemothersFamily
                                            Definition

                                            The portion of the family name that is derived from the person's mother.

                                            ShortPortion of family name derived from mother
                                            Control0..*
                                            TypeExtension(Mothers Family) (Extension Type: string)
                                            Is Modifierfalse
                                            Example<br/><b>spanish name</b>:Iglesias
                                            Invariantsele-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

                                            ShortPrimitive value for string
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            Max Length:1048576
                                            164. Patient.name.given
                                            Definition

                                            Given name.

                                            ShortGiven 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.

                                            Control0..*
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Summarytrue
                                            Alternate Namesfirst name, middle name
                                            Example<br/><b>spanish name</b>:Borja
                                            Invariantsele-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.

                                            ShortParts that come before the name
                                            Control0..*
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Invariantsele-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.

                                            ShortParts that come after the name
                                            Control0..*
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Invariantsele-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.

                                            ShortTime period when name was/is in use
                                            Control0..1
                                            TypePeriod
                                            Is Modifierfalse
                                            Summarytrue
                                            Requirements

                                            Allows names to be placed in historical context.

                                            Invariantsele-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.

                                            ShortElektronický 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).

                                            Control0..*
                                            TypeContactPoint
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summarytrue
                                            Requirements

                                            People have (primary) ways to contact them in some way such as phone, email.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            174. Patient.gender
                                            Definition

                                            Pohlaví pro úřední účely

                                            Shortmale | 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.

                                            Control0..1
                                            BindingThe codes SHALL be taken from AdministrativeGender
                                            (required to https://ncez.mzcr.cz/fhir/ValueSet/cz-administrative-gender-vs)
                                            Typecode
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Summarytrue
                                            Requirements

                                            Needed for identification of the individual, in combination with (at least) name and birth date.

                                            Invariantsele-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.

                                            ShortThe 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).

                                            Control0..1
                                            Typedate
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Summarytrue
                                            Requirements

                                            Age of the individual drives many clinical processes.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            LOINC Code21112-8
                                            178. Patient.birthDate.id
                                            Definition

                                            unique id for the element within a resource (for internal references)

                                            Shortxml:id (or equivalent in JSON)
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            180. Patient.birthDate.extension
                                            Definition

                                            An Extension

                                            ShortExtension
                                            Control0..*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-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())
                                            SlicingThis element introduces a set of slices on Patient.birthDate.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 182. Patient.birthDate.extension:birthTime
                                              Slice NamebirthTime
                                              Definition

                                              The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively.

                                              ShortTime of day of birth
                                              Control0..1
                                              TypeExtension(Patient Birth Time) (Extension Type: dateTime)
                                              Is Modifierfalse
                                              Invariantsele-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

                                              ShortPrimitive value for date
                                              Control0..1
                                              Typedate
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              186. Patient.deceased[x]
                                              Definition

                                              Informace o úmrtí buď příznakem či datem úmrtí.

                                              DOPORUČUJE SE uvést informace o úmrtí ve všech relevantních případech.

                                              ShortInformace 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.

                                              Control0..1
                                              TypeChoice of: boolean, dateTime
                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                              Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Must Supporttrue
                                              Must Support TypesNo must-support rules about the choice of types/profiles
                                              Summarytrue
                                              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.

                                              Invariantsele-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.

                                              ShortAdresa 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).

                                              Control0..*
                                              This element is affected by the following invariants: ele-1
                                              TypeAddress(Address (CZ))
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Requirements

                                              May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                              Invariantsele-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.

                                              ShortMarital (civil) status of a patient
                                              Control0..1
                                              BindingUnless 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.

                                              TypeCodeableConcept
                                              Is Modifierfalse
                                              Summaryfalse
                                              Requirements

                                              Most, if not all systems capture it.

                                              Invariantsele-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).

                                              ShortWhether 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).

                                              Control0..1
                                              TypeChoice of: boolean, integer
                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summaryfalse
                                              Requirements

                                              For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              194. Patient.photo
                                              Definition

                                              Image of the patient.

                                              ShortImage of the patient
                                              Comments

                                              Guidelines:

                                              • Use id photos, not clinical photos.
                                              • Limit dimensions to thumbnail.
                                              • Keep byte count low to ease resource updates.
                                              Control0..*
                                              TypeAttachment
                                              Is Modifierfalse
                                              Summaryfalse
                                              Requirements

                                              Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.

                                              Invariantsele-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)

                                              ShortA 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.

                                              Control0..*
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Summaryfalse
                                              Requirements

                                              Need to track people you can contact about the patient.

                                              Invariantsele-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.

                                              ShortUnique id for inter-element referencing
                                              Control0..1
                                              Typestring
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              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.

                                              ShortAdditional 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.

                                              Control0..*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-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).

                                              ShortExtensions 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.

                                              Control0..*
                                              TypeExtension
                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                              Summarytrue
                                              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 Namesextensions, user content, modifiers
                                              Invariantsele-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.

                                              ShortConcept - 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.

                                              Control0..*
                                              This element is affected by the following invariants: ele-1
                                              BindingThe codes SHALL be taken from Contact Person Relation (CZ)
                                              (required to https://ncez.mzcr.cz/fhir/ValueSet/cz-contact-person-relation-vs)
                                              TypeCodeableConcept(Codeable Concept (CZ))
                                              Is Modifierfalse
                                              Requirements

                                              Used to determine which contact person is the most relevant to approach, depending on circumstances.

                                              Invariantsele-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.

                                              ShortA name associated with the contact person
                                              Control0..1
                                              TypeHumanName
                                              Is Modifierfalse
                                              Summaryfalse
                                              Requirements

                                              Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.

                                              Invariantsele-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.

                                              ShortA 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.

                                              Control0..*
                                              TypeContactPoint
                                              Is Modifierfalse
                                              Summaryfalse
                                              Requirements

                                              People have (primary) ways to contact them in some way such as phone, email.

                                              Invariantsele-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.

                                              ShortAdresa 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).

                                              Control0..1
                                              This element is affected by the following invariants: ele-1
                                              TypeAddress(Address (CZ))
                                              Is Modifierfalse
                                              Requirements

                                              Need to keep track where the contact person can be contacted per postal mail or visited.

                                              Invariantsele-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.

                                              Shortmale | female | other | unknown
                                              Control0..1
                                              BindingThe codes SHALL be taken from AdministrativeGender
                                              (required to https://ncez.mzcr.cz/fhir/ValueSet/cz-administrative-gender-vs)
                                              Typecode
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summaryfalse
                                              Requirements

                                              Needed to address the person correctly.

                                              Invariantsele-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.

                                              ShortOrganization that is associated with the contact
                                              Control0..1
                                              This element is affected by the following invariants: pat-1
                                              TypeReference(Organization (CZ))
                                              Is Modifierfalse
                                              Summaryfalse
                                              Requirements

                                              For guardians or business related contacts, the organization is relevant.

                                              Invariantsele-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.

                                              ShortThe period during which this contact person or organization is valid to be contacted relating to this patient
                                              Control0..1
                                              TypePeriod
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-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.

                                              ShortA 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.

                                              Control0..*
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Summaryfalse
                                              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.

                                              Invariantsele-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.

                                              ShortUnique id for inter-element referencing
                                              Control0..1
                                              Typestring
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              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.

                                              ShortAdditional 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.

                                              Control0..*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-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).

                                              ShortExtensions 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.

                                              Control0..*
                                              TypeExtension
                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                              Summarytrue
                                              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 Namesextensions, user content, modifiers
                                              Invariantsele-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.

                                              ShortThe 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.

                                              Control1..1
                                              BindingThe codes SHOULD be taken from CommonLanguages
                                              (preferred to http://hl7.org/fhir/ValueSet/languages)

                                              A human language.

                                              Additional BindingsPurpose
                                              AllLanguagesMax Binding
                                              TypeCodeableConcept
                                              Is Modifierfalse
                                              Summaryfalse
                                              Requirements

                                              Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

                                              Invariantsele-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).

                                              ShortLanguage preference indicator
                                              Comments

                                              This language is specifically identified for communicating healthcare information.

                                              Control0..1
                                              Typeboolean
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summaryfalse
                                              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.

                                              Invariantsele-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).

                                              ShortLékař 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.

                                              Control0..*
                                              TypeReference(Organization (CZ), Practitioner (CZ), Practitioner Role (CZ))
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Must Support TypesNo must-support rules about the choice of types/profiles
                                              Summaryfalse
                                              Alternate NamescareProvider
                                              Invariantsele-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).

                                              ShortOrganizace, 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).

                                              Control0..1
                                              TypeReference(Organization (CZ))
                                              Is Modifierfalse
                                              Summarytrue
                                              Requirements

                                              Need to know who recognizes this patient record, manages and updates it.

                                              Invariantsele-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.

                                              ShortLink to another patient resource that concerns the same actual person
                                              Comments

                                              There is no assumption that linked patient records have mutual links.

                                              Control0..*
                                              TypeBackboneElement
                                              Is Modifiertrue 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'
                                              Summarytrue
                                              Requirements

                                              There are multiple use cases:

                                              • Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
                                              • Distribution of patient information across multiple servers.
                                              Invariantsele-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.

                                              ShortUnique id for inter-element referencing
                                              Control0..1
                                              Typestring
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              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.

                                              ShortAdditional 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.

                                              Control0..*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-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).

                                              ShortExtensions 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.

                                              Control0..*
                                              TypeExtension
                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                              Summarytrue
                                              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 Namesextensions, user content, modifiers
                                              Invariantsele-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.

                                              ShortThe 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.

                                              Control1..1
                                              TypeReference(Patient, RelatedPerson)
                                              Is Modifierfalse
                                              Summarytrue
                                              Invariantsele-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.

                                              Shortreplaced-by | replaces | refer | seealso
                                              Control1..1
                                              BindingThe 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.

                                              Typecode
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))