International Patient Summary Implementation Guide
2.0.0 - STU 2
International Patient Summary Implementation Guide
2.0.0 - STU 2
International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips | Version: 2.0.0 | |||
| Standards status: Trial-use | Maturity Level: 3 | Computable Name: PatientUvIps | ||
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 generally seeks to align with guidance from the
HL7 Cross Paradigm Implementation Guide: Gender Harmony - Sex and Gender Representation. While the extensions
of Individual
Gender Identity and
Individual Pronouns are not flagged as MustSupport in IPS, we recommend implementers consult with that
guide in regards to their use. In addition,
Name to Use may be represented by setting Patient.name.use to "usual".
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Patient |
0..* | Patient | Information about an individual or animal receiving health care services | |||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
   extension:genderIdentity |
0..* | (Complex) | The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity | |||||||||
 extension:personalPronouns |
0..* | (Complex) | The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns | |||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
 identifier |
SOΣ | 0..* | Identifier | An identifier for this patient
| ||||||||
| active |
?!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
| ||||||||
| use |
?!SOΣ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
| ||||||||
| text |
SOΣ | 0..1 | string | Text representation of the full name
| ||||||||
| family |
SOΣ | 0..1 | string | Family name (often called 'Surname')
| ||||||||
 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
| ||||||||
| telecom |
SOΣ | 0..* | ContactPoint | A contact detail for the individual
| ||||||||
| gender |
SOΣ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
| ||||||||
| birthDate |
SOΣ | 1..1 | date | The date of birth for the individual
| ||||||||
 deceased[x] |
?!Σ | 0..1 | Indicates if the individual is deceased or not | |||||||||
| deceasedBoolean |
boolean | |||||||||||
| deceasedDateTime |
dateTime | |||||||||||
| address |
SOΣ | 0..* | Address | An address for the individual
| ||||||||
 generalPractitioner |
SO | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider
| ||||||||
 link |
?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | ||||||||
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| other |
Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | ||||||||
| type |
Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. | ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std. |
| Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std. |
| Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Patient | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ips-pat-1 | error | Patient.name | Patient.name.given, Patient.name.family or Patient.name.text SHALL be present |
family.exists() or given.exists() or text.exists()
|
This structure is derived from Patient
| Id | Grade | Path(s) | Description | Expression |
| ips-pat-1 | error | Patient.name | Patient.name.given, Patient.name.family or Patient.name.text SHALL be present |
family.exists() or given.exists() or text.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Patient |
0..* | Patient | Information about an individual or animal receiving health care services | |||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:genderIdentity |
0..* | (Complex) | The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity | |||||||||
| extension:personalPronouns |
0..* | (Complex) | The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
SOΣ | 0..* | Identifier | An identifier for this patient
| ||||||||
| active |
?!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
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| use |
?!SOΣ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
| ||||||||
| text |
SOΣ | 0..1 | string | Text representation of the full name
| ||||||||
| family |
SOΣ | 0..1 | string | Family name (often called 'Surname')
| ||||||||
| 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
| ||||||||
| prefix |
Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name | ||||||||
| suffix |
Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name | ||||||||
| period |
Σ | 0..1 | Period | Time period when name was/is in use | ||||||||
| telecom |
SOΣ | 0..* | ContactPoint | A contact detail for the individual
| ||||||||
| gender |
SOΣ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
| ||||||||
| birthDate |
SOΣ | 1..1 | date | The date of birth for the individual
| ||||||||
| deceased[x] |
?!Σ | 0..1 | Indicates if the individual is deceased or not | |||||||||
| deceasedBoolean |
boolean | |||||||||||
| deceasedDateTime |
dateTime | |||||||||||
| address |
SOΣ | 0..* | Address | An address for the individual
| ||||||||
| maritalStatus |
0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person. | |||||||||
| multipleBirth[x] |
0..1 | Whether patient is part of a multiple birth | ||||||||||
| multipleBirthBoolean |
boolean | |||||||||||
| multipleBirthInteger |
integer | |||||||||||
| photo |
0..* | Attachment | Image of the patient | |||||||||
| contact |
C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1 | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| relationship |
0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. | |||||||||
| name |
0..1 | HumanName | A name associated with the contact person | |||||||||
| telecom |
0..* | ContactPoint | A contact detail for the person | |||||||||
| address |
0..1 | Address | Address for the contact person | |||||||||
| gender |
0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||||||
| organization |
C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||||||
| period |
0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||||||
| communication |
0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| language |
1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
| |||||||||
| preferred |
0..1 | boolean | Language preference indicator | |||||||||
| generalPractitioner |
SO | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider
| ||||||||
| managingOrganization |
Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record | ||||||||
| link |
?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| other |
Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | ||||||||
| type |
Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. | ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Patient.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std. |
| Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std. |
| Patient.maritalStatus | Base | extensible | MaritalStatus | 📍4.0.1 | FHIR Std. |
| Patient.contact.relationship | Base | extensible | Patient Contact Relationship | 📍4.0.1 | FHIR Std. |
| Patient.contact.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std. |
| Patient.communication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Patient | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ips-pat-1 | error | Patient.name | Patient.name.given, Patient.name.family or Patient.name.text SHALL be present |
family.exists() or given.exists() or text.exists()
|
| pat-1 | error | Patient.contact | SHALL at least contain a contact's details or a reference to an organization |
name.exists() or telecom.exists() or address.exists() or organization.exists()
|
This structure is derived from Patient
Summary
Mandatory: 2 elements
Must-Support: 11 elements
Extensions
This structure refers to these extensions:
Maturity: 3
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Patient |
0..* | Patient | Information about an individual or animal receiving health care services | |||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:genderIdentity |
0..* | (Complex) | The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity | |||||||||
| extension:personalPronouns |
0..* | (Complex) | The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
SOΣ | 0..* | Identifier | An identifier for this patient
| ||||||||
| active |
?!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
| ||||||||
| use |
?!SOΣ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
| ||||||||
| text |
SOΣ | 0..1 | string | Text representation of the full name
| ||||||||
| family |
SOΣ | 0..1 | string | Family name (often called 'Surname')
| ||||||||
| 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
| ||||||||
| telecom |
SOΣ | 0..* | ContactPoint | A contact detail for the individual
| ||||||||
| gender |
SOΣ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
| ||||||||
| birthDate |
SOΣ | 1..1 | date | The date of birth for the individual
| ||||||||
| deceased[x] |
?!Σ | 0..1 | Indicates if the individual is deceased or not | |||||||||
| deceasedBoolean |
boolean | |||||||||||
| deceasedDateTime |
dateTime | |||||||||||
| address |
SOΣ | 0..* | Address | An address for the individual
| ||||||||
| generalPractitioner |
SO | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider
| ||||||||
| link |
?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| other |
Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | ||||||||
| type |
Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. | ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std. |
| Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std. |
| Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Patient | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ips-pat-1 | error | Patient.name | Patient.name.given, Patient.name.family or Patient.name.text SHALL be present |
family.exists() or given.exists() or text.exists()
|
Differential View
This structure is derived from Patient
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Patient |
Patient | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:genderIdentity |
0..* | (Complex) | The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity | |||||||||
| extension:personalPronouns |
0..* | (Complex) | The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns | |||||||||
 identifier |
SO | 0..* | Identifier | An identifier for this patient
| ||||||||
| name |
SOC | 1..* | HumanName | A name associated with the patient Constraints: ips-pat-1
| ||||||||
| use |
SO | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden
| ||||||||
| text |
SO | 0..1 | string | Text representation of the full name
| ||||||||
| family |
SO | 0..1 | string | Family name (often called 'Surname')
| ||||||||
| given |
SO | 0..* | string | Given names (not always 'first'). Includes middle names
| ||||||||
| telecom |
SO | 0..* | ContactPoint | A contact detail for the individual
| ||||||||
| gender |
SO | 0..1 | code | male | female | other | unknown
| ||||||||
| birthDate |
SO | 1..1 | date | The date of birth for the individual
| ||||||||
| address |
SO | 0..* | Address | An address for the individual
| ||||||||
| generalPractitioner |
SO | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider
| ||||||||
| Documentation for this format | ||||||||||||
| Id | Grade | Path(s) | Description | Expression |
| ips-pat-1 | error | Patient.name | Patient.name.given, Patient.name.family or Patient.name.text SHALL be present |
family.exists() or given.exists() or text.exists()
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Patient |
0..* | Patient | Information about an individual or animal receiving health care services | |||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:genderIdentity |
0..* | (Complex) | The individual's gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity | |||||||||
| extension:personalPronouns |
0..* | (Complex) | The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
SOΣ | 0..* | Identifier | An identifier for this patient
| ||||||||
| active |
?!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
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| use |
?!SOΣ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
| ||||||||
| text |
SOΣ | 0..1 | string | Text representation of the full name
| ||||||||
| family |
SOΣ | 0..1 | string | Family name (often called 'Surname')
| ||||||||
| 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
| ||||||||
| prefix |
Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name | ||||||||
| suffix |
Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name | ||||||||
| period |
Σ | 0..1 | Period | Time period when name was/is in use | ||||||||
| telecom |
SOΣ | 0..* | ContactPoint | A contact detail for the individual
| ||||||||
| gender |
SOΣ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
| ||||||||
| birthDate |
SOΣ | 1..1 | date | The date of birth for the individual
| ||||||||
| deceased[x] |
?!Σ | 0..1 | Indicates if the individual is deceased or not | |||||||||
| deceasedBoolean |
boolean | |||||||||||
| deceasedDateTime |
dateTime | |||||||||||
| address |
SOΣ | 0..* | Address | An address for the individual
| ||||||||
| maritalStatus |
0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person. | |||||||||
| multipleBirth[x] |
0..1 | Whether patient is part of a multiple birth | ||||||||||
| multipleBirthBoolean |
boolean | |||||||||||
| multipleBirthInteger |
integer | |||||||||||
| photo |
0..* | Attachment | Image of the patient | |||||||||
| contact |
C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1 | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| relationship |
0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. | |||||||||
| name |
0..1 | HumanName | A name associated with the contact person | |||||||||
| telecom |
0..* | ContactPoint | A contact detail for the person | |||||||||
| address |
0..1 | Address | Address for the contact person | |||||||||
| gender |
0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||||||
| organization |
C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||||||
| period |
0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||||||
| communication |
0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| language |
1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
| |||||||||
| preferred |
0..1 | boolean | Language preference indicator | |||||||||
| generalPractitioner |
SO | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider
| ||||||||
| managingOrganization |
Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record | ||||||||
| link |
?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| other |
Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | ||||||||
| type |
Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. | ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Patient.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std. |
| Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std. |
| Patient.maritalStatus | Base | extensible | MaritalStatus | 📍4.0.1 | FHIR Std. |
| Patient.contact.relationship | Base | extensible | Patient Contact Relationship | 📍4.0.1 | FHIR Std. |
| Patient.contact.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std. |
| Patient.communication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Patient | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ips-pat-1 | error | Patient.name | Patient.name.given, Patient.name.family or Patient.name.text SHALL be present |
family.exists() or given.exists() or text.exists()
|
| pat-1 | error | Patient.contact | SHALL at least contain a contact's details or a reference to an organization |
name.exists() or telecom.exists() or address.exists() or organization.exists()
|
This structure is derived from Patient
Summary
Mandatory: 2 elements
Must-Support: 11 elements
Extensions
This structure refers to these extensions:
Maturity: 3
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International / Patient Care. Package hl7.fhir.uv.ips#2.0.0 based on FHIR 4.0.1. Generated 2025-10-03
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change