HL7 Czech Base and Core FHIR IG
1.1.0 - ci-build Czechia flag

HL7 Czech Base and Core FHIR IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 1.1.0 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: RelatedPerson: AnimalSpecimen - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 2

Definitions for the animal-specimen-cz-core resource profile

Guidance on how to interpret the contents of this table can be foundhere

0. RelatedPerson
Definition

Czech national core profile defines how to represent Related Person in HL7 FHIR.


Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.

ShortCzech Related person (core profile)A person that is related to a patient, but who is not a direct target of care
Comments

The source is primarily used for attribution of information, as individuals are often the source of information about the patient.

Control0..*
Is Modifierfalse
Impose ProfileThis profile also requires that the instance also conform this additional profile:
Summaryfalse
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. RelatedPerson.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. RelatedPerson.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.

Control10..*
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 RelatedPerson.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. RelatedPerson.extension:specimen-animal
    Slice Namespecimen-animal
    Definition

    This extension should be used to specifiy that a practitioner or RelatedPerson resource is a service animal.

    ShortThe Species of the Service Animal
    Control1..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Practitioner Animal Species) (Extension Type: CodeableConcept)
    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())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. RelatedPerson.extension:specimen-animal.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())
    SlicingThis element introduces a set of slices on RelatedPerson.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 10. RelatedPerson.extension:specimen-animal.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/practitioner-animalSpecies
      12. RelatedPerson.extension:specimen-animal.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
      Control10..1
      BindingFor example codes, see For codes, see Types of species
      (example to https://ncez.mzcr.cz/terminology/ValueSet/cz-lab-species-type)
      TypeCodeableConcept, 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
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      14. RelatedPerson.extension:recordedSexOrGender
      Slice NamerecordedSexOrGender
      Definition

      A sex or gender property for the individual from a document or other record

      ShortA recorded sex or gender property for the individual
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Person Recorded Sex Or Gender) (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())
      16. RelatedPerson.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())
      18. RelatedPerson.identifier
      Definition

      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.


      Identifier for a person within a particular scope.

      ShortA human identifier for this person
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Is Modifierfalse
      Summarytrue
      Requirements

      People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

      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 RelatedPerson.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ system
      • 20. RelatedPerson.identifier:RC
        Slice NameRC
        Definition

        Patient identifier assigned under the Czech Population Registration Act.


        Identifier for a person within a particular scope.

        ShortPersonal NumberA human identifier for this person
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..0*
        TypeIdentifier(National birth number)
        Is Modifierfalse
        Summarytrue
        Requirements

        People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        22. RelatedPerson.identifier:CPOJ
        Slice NameCPOJ
        Definition

        An unique patient identifier (číslo pojištěnce) according to the National Health Insurance Register


        Identifier for a person within a particular scope.

        ShortHealth Insurance NumberA human identifier for this person
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..0*
        TypeIdentifier
        Is Modifierfalse
        Summarytrue
        Requirements

        People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        27. RelatedPerson.identifier:PAS
        Slice NamePAS
        Definition

        Passport number including issuing country code.


        Identifier for a person within a particular scope.

        ShortPassport NumberA human identifier for this person
        Comments

        Passport number can be used as a temporary person identifier for a foreign citizen in situations where national health sector identifier (RID/DRID) has not been assigned yet.

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

        People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

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

        An unique patient identifier (resortní identifikátor RID) or temporary patient identifier (DRID) according to the National Patient Register (KRP)


        Identifier for a person within a particular scope.

        ShortNational Health Sector IdentifierA human identifier for this person
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..0*
        TypeIdentifier(National health sector identifier)
        Is Modifierfalse
        Summarytrue
        Requirements

        People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        31. RelatedPerson.identifier:OP
        Slice NameOP
        Definition

        Personal Id card number including the country code of the issuer.


        Identifier for a person within a particular scope.

        ShortNational Identity Card NumberA human identifier for this person
        Comments

        National Identity Card number can be used as a temporary person identifier for a foreign citizen in situations where national health sector identifier (RID/DRID) has not been assigned yet.

        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..0*
        TypeIdentifier(Personal ID card identifier)
        Is Modifierfalse
        Summarytrue
        Requirements

        People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        33. RelatedPerson.active
        Definition

        Whether this related person record is in active use.

        ShortWhether this related person's record is in active use
        Comments

        This element is labeled as a modifier because it may be used to mark that the resource was created in error.

        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 related person record as not to be used, such as if 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()))
        35. RelatedPerson.patient
        Definition

        The patient this person is related to.

        ShortThe patient this person is related to
        Control1..1
        TypeReference(Patient (CZ core), Patient)
        Is Modifierfalse
        Summarytrue
        Requirements

        We need to know which patient this RelatedPerson is related to.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        37. RelatedPerson.relationship
        Definition

        The nature of the relationship between a patient and the related person.

        ShortThe nature of the relationship
        Control0..0*
        BindingThe codes SHOULD be taken from PatientRelationshipTypehttp://hl7.org/fhir/ValueSet/relatedperson-relationshiptype|4.0.1
        (preferred to http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype|4.0.1)

        The nature of the relationship between a patient and the related person.

        TypeCodeableConcept
        Is Modifierfalse
        Summarytrue
        Requirements

        We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        39. RelatedPerson.name
        Definition

        A name associated with the person.

        ShortThe name of the animalA name associated with the person
        Comments

        The name of the animal if relevant. For example, if the animal is a pet, the name of the pet can be recorded here.

        Control0..1*
        TypeHumanName
        Is Modifierfalse
        Summarytrue
        Requirements

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

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        cz-relPer-1: RelatedPerson.name.given, RelatedPerson.name.family, RelatedPerson.name.text or data-absent-reason MUST be filled (family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists())
        41. RelatedPerson.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()))
        43. RelatedPerson.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.

        Control10..*
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Alternate Namesfirst name, middle name
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        45. RelatedPerson.telecom
        Definition

        A contact detail for the person, e.g. a telephone number or an email address.

        ShortA contact detail for the person
        Comments

        Person 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..0*
        TypeContactPoint
        Is Modifierfalse
        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()))
        47. RelatedPerson.gender
        Definition

        Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.

        Shortmale | female | other | unknown
        Control0..01
        BindingThe codes SHALL be taken from Gender for administrative purposeshttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
        (required to https://hl7.cz/terminology/ValueSet/administrative-gender-cz)
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Needed for identification of the person, 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()))
        49. RelatedPerson.address
        Definition

        Address where the related person can be contacted or visited.

        ShortAddress where the related person can be contacted or visited
        Control0..0*
        TypeAddress(Address (CZ))
        Is Modifierfalse
        Summarytrue
        Requirements

        Need to keep track where the related 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()))
        51. RelatedPerson.photo
        Definition

        Image of the person.

        ShortImage of the person
        Control0..0*
        TypeAttachment
        Is Modifierfalse
        Summaryfalse
        Requirements

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

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        53. RelatedPerson.period
        Definition

        The period of time during which this relationship is or was active. If there are no dates defined, then the interval is unknown.

        ShortPeriod of time that this relationship is considered valid
        Control0..01
        TypePeriod
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        55. RelatedPerson.communication
        Definition

        A language which may be used to communicate with about the patient's health.

        ShortA language which may be used to communicate with about the patient's 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 RelatedPerson.Communication associations. If the RelatedPerson does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

        Control0..0*
        TypeBackboneElement
        Is Modifierfalse
        Summaryfalse
        Requirements

        If a related person does not speak the local language, interpreters may be required, so languages spoken and proficiency is an 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()))

        Guidance on how to interpret the contents of this table can be foundhere

        0. RelatedPerson
        Impose ProfileThis profile also requires that the instance also conform this additional profile:
        2. RelatedPerson.extension
        Control1..?
        SlicingThis element introduces a set of slices on RelatedPerson.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 4. RelatedPerson.extension:specimen-animal
          Slice Namespecimen-animal
          Control1..1
          TypeExtension(Practitioner Animal Species) (Extension Type: CodeableConcept)
          6. RelatedPerson.extension:specimen-animal.value[x]
          BindingFor example codes, see Types of species
          (example to https://ncez.mzcr.cz/terminology/ValueSet/cz-lab-species-type)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          8. RelatedPerson.extension:recordedSexOrGender
          Slice NamerecordedSexOrGender
          Control0..1
          TypeExtension(Person Recorded Sex Or Gender) (Complex Extension)
          10. RelatedPerson.identifier:RC
          Slice NameRC
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..0
          12. RelatedPerson.identifier:CPOJ
          Slice NameCPOJ
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..0
          14. RelatedPerson.identifier:RID
          Slice NameRID
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..0
          16. RelatedPerson.identifier:OP
          Slice NameOP
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..0
          18. RelatedPerson.relationship
          Control0..0
          20. RelatedPerson.name
          ShortThe name of the animal
          Comments

          The name of the animal if relevant. For example, if the animal is a pet, the name of the pet can be recorded here.

          22. RelatedPerson.telecom
          Control0..0
          24. RelatedPerson.gender
          Control0..0
          26. RelatedPerson.address
          Control0..0
          28. RelatedPerson.photo
          Control0..0
          30. RelatedPerson.period
          Control0..0
          32. RelatedPerson.communication
          Control0..0

          Guidance on how to interpret the contents of this table can be foundhere

          0. RelatedPerson
          Definition

          Czech national core profile defines how to represent Related Person in HL7 FHIR.

          ShortCzech Related person (core profile)
          Comments

          The source is primarily used for attribution of information, as individuals are often the source of information about the patient.

          Control0..*
          Is Modifierfalse
          Impose ProfileThis profile also requires that the instance also conform this additional profile:
          Summaryfalse
          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. RelatedPerson.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. RelatedPerson.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. RelatedPerson.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. RelatedPerson.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|4.0.1)

          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
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          10. RelatedPerson.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. RelatedPerson.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. RelatedPerson.extension
          Definition

          An Extension

          ShortExtension
          Control1..*
          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 RelatedPerson.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 16. RelatedPerson.extension:specimen-animal
            Slice Namespecimen-animal
            Definition

            This extension should be used to specifiy that a practitioner or RelatedPerson resource is a service animal.

            ShortThe Species of the Service Animal
            Control1..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Practitioner Animal Species) (Extension Type: CodeableConcept)
            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())
            18. RelatedPerson.extension:specimen-animal.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
            20. RelatedPerson.extension:specimen-animal.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 RelatedPerson.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 22. RelatedPerson.extension:specimen-animal.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/practitioner-animalSpecies
              24. RelatedPerson.extension:specimen-animal.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
              BindingFor example codes, see Types of species
              (example to https://ncez.mzcr.cz/terminology/ValueSet/cz-lab-species-type)
              TypeCodeableConcept
              [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()))
              26. RelatedPerson.extension:recordedSexOrGender
              Slice NamerecordedSexOrGender
              Definition

              A sex or gender property for the individual from a document or other record

              ShortA recorded sex or gender property for the individual
              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension(Person Recorded Sex Or Gender) (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())
              28. RelatedPerson.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())
              30. RelatedPerson.identifier
              Definition

              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.

              ShortA human identifier for this person
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..*
              TypeIdentifier
              Is Modifierfalse
              Summarytrue
              Requirements

              People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

              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 RelatedPerson.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ system
              • 32. RelatedPerson.identifier:RC
                Slice NameRC
                Definition

                Patient identifier assigned under the Czech Population Registration Act.

                ShortPersonal Number
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..0
                TypeIdentifier(National birth number)
                Is Modifierfalse
                Summarytrue
                Requirements

                People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                34. RelatedPerson.identifier:CPOJ
                Slice NameCPOJ
                Definition

                An unique patient identifier (číslo pojištěnce) according to the National Health Insurance Register

                ShortHealth Insurance Number
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..0
                TypeIdentifier
                Is Modifierfalse
                Summarytrue
                Requirements

                People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                44. RelatedPerson.identifier:PAS
                Slice NamePAS
                Definition

                Passport number including issuing country code.

                ShortPassport Number
                Comments

                Passport number can be used as a temporary person identifier for a foreign citizen in situations where national health sector identifier (RID/DRID) has not been assigned yet.

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

                People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

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

                An unique patient identifier (resortní identifikátor RID) or temporary patient identifier (DRID) according to the National Patient Register (KRP)

                ShortNational Health Sector Identifier
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..0
                TypeIdentifier(National health sector identifier)
                Is Modifierfalse
                Summarytrue
                Requirements

                People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                48. RelatedPerson.identifier:OP
                Slice NameOP
                Definition

                Personal Id card number including the country code of the issuer.

                ShortNational Identity Card Number
                Comments

                National Identity Card number can be used as a temporary person identifier for a foreign citizen in situations where national health sector identifier (RID/DRID) has not been assigned yet.

                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..0
                TypeIdentifier(Personal ID card identifier)
                Is Modifierfalse
                Summarytrue
                Requirements

                People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                50. RelatedPerson.active
                Definition

                Whether this related person record is in active use.

                ShortWhether this related person's record is in active use
                Comments

                This element is labeled as a modifier because it may be used to mark that the resource was created in error.

                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 related person record as not to be used, such as if 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()))
                52. RelatedPerson.patient
                Definition

                The patient this person is related to.

                ShortThe patient this person is related to
                Control1..1
                TypeReference(Patient (CZ core))
                Is Modifierfalse
                Summarytrue
                Requirements

                We need to know which patient this RelatedPerson is related to.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                54. RelatedPerson.relationship
                Definition

                The nature of the relationship between a patient and the related person.

                ShortThe nature of the relationship
                Control0..0
                BindingThe codes SHOULD be taken from PatientRelationshipType
                (preferred to http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype|4.0.1)

                The nature of the relationship between a patient and the related person.

                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                Requirements

                We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                56. RelatedPerson.name
                Definition

                A name associated with the person.

                ShortThe name of the animal
                Comments

                The name of the animal if relevant. For example, if the animal is a pet, the name of the pet can be recorded here.

                Control0..1
                TypeHumanName
                Is Modifierfalse
                Summarytrue
                Requirements

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

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                cz-relPer-1: RelatedPerson.name.given, RelatedPerson.name.family, RelatedPerson.name.text or data-absent-reason MUST be filled (family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists())
                58. RelatedPerson.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
                60. RelatedPerson.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 RelatedPerson.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 62. RelatedPerson.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()))
                  64. RelatedPerson.name.text
                  Definition

                  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
                  Summarytrue
                  Requirements

                  A renderable, unencoded form.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  66. RelatedPerson.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
                  Summarytrue
                  Alternate Namessurname
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  68. RelatedPerson.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.

                  Control1..*
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Alternate Namesfirst name, middle name
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  70. RelatedPerson.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()))
                  72. RelatedPerson.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()))
                  74. RelatedPerson.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()))
                  76. RelatedPerson.telecom
                  Definition

                  A contact detail for the person, e.g. a telephone number or an email address.

                  ShortA contact detail for the person
                  Comments

                  Person 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..0
                  TypeContactPoint
                  Is Modifierfalse
                  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()))
                  78. RelatedPerson.gender
                  Definition

                  Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.

                  Shortmale | female | other | unknown
                  Control0..0
                  BindingThe codes SHALL be taken from Gender for administrative purposes
                  (required to https://hl7.cz/terminology/ValueSet/administrative-gender-cz)
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Needed for identification of the person, 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()))
                  80. RelatedPerson.birthDate
                  Definition

                  The date of birth for the related person.It is RECOMMENDED to give the birthdate when available.

                  ShortThe date on which the related person was born
                  Control0..1
                  Typedate
                  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()))
                  82. RelatedPerson.address
                  Definition

                  Address where the related person can be contacted or visited.

                  ShortAddress where the related person can be contacted or visited
                  Control0..0
                  TypeAddress(Address (CZ))
                  Is Modifierfalse
                  Summarytrue
                  Requirements

                  Need to keep track where the related 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()))
                  84. RelatedPerson.photo
                  Definition

                  Image of the person.

                  ShortImage of the person
                  Control0..0
                  TypeAttachment
                  Is Modifierfalse
                  Summaryfalse
                  Requirements

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

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  86. RelatedPerson.period
                  Definition

                  The period of time during which this relationship is or was active. If there are no dates defined, then the interval is unknown.

                  ShortPeriod of time that this relationship is considered valid
                  Control0..0
                  TypePeriod
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  88. RelatedPerson.communication
                  Definition

                  A language which may be used to communicate with about the patient's health.

                  ShortA language which may be used to communicate with about the patient's 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 RelatedPerson.Communication associations. If the RelatedPerson does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

                  Control0..0
                  TypeBackboneElement
                  Is Modifierfalse
                  Summaryfalse
                  Requirements

                  If a related person does not speak the local language, interpreters may be required, so languages spoken and proficiency is an 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()))