| Left: | Patient (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips) |
| Right: | Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core) |
| Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips' vs 'https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core' |
| Error | StructureDefinition.version | Values for version differ: '2.0.0' vs '0.4.0' |
| Information | StructureDefinition.name | Values for name differ: 'PatientUvIps' vs 'CZ_PatientCore' |
| Information | StructureDefinition.title | Values for title differ: 'Patient (IPS)' vs 'Patient (CZ core)' |
| Information | StructureDefinition.date | Values for date differ: '2024-06-19T10:50:07-05:00' vs '2026-05-18T07:26:58+00:00' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Czech Republic' |
| Information | StructureDefinition.jurisdiction | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001' |
| Information | StructureDefinition.jurisdiction | Added the item 'urn:iso:std:iso:3166#CZ' |
| Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Patient' vs 'https://hl7.cz/fhir/core/StructureDefinition/cz-patient-base' |
| Information | StructureDefinition.short | Values for short differ: 'Information about an individual or animal receiving health care services' vs 'Czech Patient (base)' |
| Information | StructureDefinition.definition | Values for definition differ: 'Demographics and other administrative information about an individual or animal receiving care or other health-related services.' vs 'This profile sets minimum expectations for represention of Patient in FHIR for the purpose of the Czech national interoperability standards.' |
| Information | StructureDefinition.short | Values for short differ: 'An identifier for this patient' vs 'Patient identifiers' |
| Information | StructureDefinition.definition | Values for definition differ: 'An identifier for this patient.' vs '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.' |
| Warning | Patient.identifier | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | Patient.identifier | Element minimum cardinalities differ: '0' vs '1' |
| Information | StructureDefinition.definition | Values for definition differ: 'A name associated with the individual.' vs '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.' |
| Information | StructureDefinition.requirements | Values for requirements differ: 'Need to be able to track the patient by multiple names. Examples are your official name and a partner name. The Alphabetic representation of the name SHALL be always provided' vs '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.' |
| Warning | Patient.name.use | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | StructureDefinition.short | Values for short differ: 'Text representation of the full name' vs 'Text representation of the full name.' |
| Information | StructureDefinition.definition | Values for definition differ: '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' vs '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' |
| Information | StructureDefinition.short | Values for short differ: 'Family name (often called 'Surname')' vs 'Family name.' |
| Information | StructureDefinition.comment | Values for comment differ: '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.' vs '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 practical limitations. This element is not called 'first name' since given names do not always come first.' |
| Information | Patient.name.given | Element minimum cardinalities differ: '0' vs '1' |
| Information | StructureDefinition.definition | Values for definition differ: 'A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.' vs '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.' |
| Information | StructureDefinition.short | Values for short differ: 'male | female | other | unknown' vs 'Administrative Gender' |
| Information | StructureDefinition.definition | Values for definition differ: 'Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.' vs 'Gender for official purposes' |
| Information | StructureDefinition.definition | Values for definition differ: 'The date of birth for the individual.' vs 'The date of birth for the patient. It is RECOMMENDED to give the birthdate when available.' |
| Information | StructureDefinition.comment | Values for comment differ: '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).' vs '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).' |
| Warning | Patient.birthDate | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | StructureDefinition.short | Values for short differ: 'Indicates if the individual is deceased or not' vs 'Death information either by symptom or date of death' |
| Information | StructureDefinition.definition | Values for definition differ: 'Indicates if the individual is deceased or not.' vs 'Death information either by symptom or date of death It is RECOMMENDED to include death information in all relevant cases.' |
| Information | StructureDefinition.definition | Values for definition differ: 'An address for the individual.' vs 'An address for the individual. It is RECOMMENDED to include an address when available.' |
| Warning | Patient.address | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | StructureDefinition.short | Values for short differ: 'Marital (civil) status of a patient' vs 'Marital status' |
| Information | StructureDefinition.definition | Values for definition differ: 'A contact party (e.g. guardian, partner, friend) for the patient.' vs '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)' |
| Information | StructureDefinition.short | Values for short differ: 'The kind of relationship' vs 'Contact relationship' |
| Information | StructureDefinition.short | Values for short differ: 'A name associated with the contact person' vs 'Contact name' |
| Information | StructureDefinition.short | Values for short differ: 'A contact detail for the person' vs 'Contact details for the person' |
| Information | StructureDefinition.short | Values for short differ: 'Address for the contact person' vs 'Contact person address' |
| Information | StructureDefinition.short | Values for short differ: 'The language which can be used to communicate with the patient about his or her health' vs 'Communication language' |
| Information | StructureDefinition.short | Values for short differ: 'Patient's nominated primary care provider' vs 'A physician or provider nominated by the patient' |
| Information | StructureDefinition.definition | Values for definition differ: 'Patient's nominated care provider.' vs 'Patient's nominated care provider. 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).' |
| Information | StructureDefinition.comment | Values for comment differ: '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.' vs '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.' |
| Warning | Patient.generalPractitioner | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | StructureDefinition.definition | Values for definition differ: 'Organization that is the custodian of the patient record.' vs '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).' |
| Name | Value | Comments | |
|---|---|---|---|
 abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/Patient | https://hl7.cz/fhir/core/StructureDefinition/cz-patient-base |
|
| copyright | |||
| date | 2024-06-19T10:50:07-05:00 | 2026-05-18T07:26:58+00:00 |
|
| description | This profile represents the constraints applied to the Patient resource by the International Patient Summary (IPS) FHIR Implementation Guide and describes the minimum expectations for the Patient resource when used in the IPS composition or in one of the referred resources. | This profile sets minimum expectations for the Patient resource common to most of the use cases. It is based on EU Patient Core. |
|
| experimental | false |
| |
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |
| |
 jurisdiction[1] | urn:iso:std:iso:3166#CZ |
| |
| kind | resource | ||
| name | PatientUvIps | CZ_PatientCore |
|
| publisher | HL7 International / Patient Care | HL7 Czech Republic |
|
| purpose | |||
| status | active | ||
| title | Patient (IPS) | Patient (CZ core) |
|
| type | Patient | ||
| url | http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips | https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core |
|
| version | 2.0.0 | 0.4.0 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 Patient | 0..* | Patient | Information about an individual or animal receiving health care services | C | 0..* | CZ_PatientBase(0.4.0) | Czech Patient (base) This profile also imposes the profile Patient (EU core) (2.0.0) Constraints: cz-pat-2 | ||||||||||
| id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier | SOΣ | 0..* | Identifier | An identifier for this patient
| ΣC | 1..* | Identifier | Patient identifiers Slice: Unordered, Open by value:system Constraints: cz-pat-3 |
| ||||||||
| active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | |||||||||
 name | SOΣC | 1..* | HumanName | A name associated with the patient Constraints: ips-pat-1
| SΣC | 1..* | HumanName | A name associated with the patient | |||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| use | ?!SOΣ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name.
| ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name. |
| ||||||||
| text | SOΣ | 0..1 | string | Text representation of the full name
| SΣ | 0..1 | string | Text representation of the full name. | |||||||||
| family | SOΣ | 0..1 | string | Family name (often called 'Surname')
| SΣ | 0..1 | string | Family name. Example spanish: Valero Iglesias | |||||||||
| given | SOΣ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
| SΣ | 1..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name |
| ||||||||
| prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name | |||||||||
| suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name | |||||||||
| period | Σ | 0..1 | Period | Time period when name was/is in use | Σ | 0..1 | Period | Time period when name was/is in use | |||||||||
| telecom | SOΣ | 0..* | ContactPoint | A contact detail for the individual
| SΣ | 0..* | ContactPoint | A contact detail for the individual | |||||||||
| gender | SOΣ | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes.
| SΣ | 0..1 | code | Administrative Gender Binding: ?? (required) | |||||||||
| birthDate | SOΣ | 1..1 | date | The date of birth for the individual
| Σ | 1..1 | date | The date of birth for the individual |
| ||||||||
| id | 0..1 | string | xml:id (or equivalent in JSON) |
| |||||||||||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| |||||||||||||
| value | 0..1 | date | Primitive value for date |
| |||||||||||||
| deceased[x] | ?!Σ | 0..1 | boolean, dateTime | Indicates if the individual is deceased or not | ?!Σ | 0..1 | boolean, dateTime | Death information either by symptom or date of death | |||||||||
| address | SOΣ | 0..* | Address | An address for the individual
| Σ | 0..* | ?? | An address for the individual |
| ||||||||
| maritalStatus | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: ?? (extensible): The domestic partnership status of a person. | 0..1 | CodeableConcept | Marital status Binding: ?? (extensible): The domestic partnership status of a person. | |||||||||||
| multipleBirth[x] | 0..1 | boolean, integer | Whether patient is part of a multiple birth | 0..1 | boolean, integer | Whether patient is part of a multiple birth | |||||||||||
| photo | 0..* | Attachment | Image of the patient | 0..* | Attachment | Image of the patient | |||||||||||
| contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| relationship | 0..* | CodeableConcept | The kind of relationship Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient. | 0..* | CodeableConcept | Contact relationship Binding: ?? (required) | |||||||||||
| name | 0..1 | HumanName | A name associated with the contact person | 0..1 | HumanName | Contact name | |||||||||||
| telecom | 0..* | ContactPoint | A contact detail for the person | 0..* | ContactPoint | Contact details for the person | |||||||||||
| address | 0..1 | Address | Address for the contact person | 0..1 | ?? | Contact person address | |||||||||||
| gender | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. | 0..1 | code | male | female | other | unknown Binding: ?? (required) | |||||||||||
| organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact | C | 0..1 | Reference(Organization (CZ core)(0.4.0)) | Organization that is associated with the contact | |||||||||
| period | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||||||||
| communication | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| language | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: ?? (preferred): A human language.
| 1..1 | CodeableConcept | Communication language Binding: ?? (preferred): A human language.
| |||||||||||
| preferred | 0..1 | boolean | Language preference indicator | 0..1 | boolean | Language preference indicator | |||||||||||
| generalPractitioner | SO | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider
| 0..* | Reference(Organization (CZ core)(0.4.0) | Practitioner (CZ core)(0.4.0) | Practitioner Role (CZ core)(0.4.0)) | A physician or provider nominated by the patient |
| |||||||||
| managingOrganization | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record | Σ | 0..1 | Reference(Organization (CZ core)(0.4.0)) | Organization that is the custodian of the patient record | |||||||||
 link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | |||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | Σ | 1..1 | Reference(Patient (CZ core)(0.4.0) | Related Person (CZ core)(0.4.0)) | The other patient or related person resource that the link refers to | |||||||||
| type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: ?? (required): The type of link between this patient resource and another patient resource. | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: ?? (required): The type of link between this patient resource and another patient resource. | |||||||||
| Documentation for this format | |||||||||||||||||