SMART Health Cards: Vaccination & Testing Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-shc-vaccination-ig/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• JSON

Resource Profile: Patient Profile - General - Allowable Data

Defines a fallback (AD) profile representing a patient in a health card related to infectious disease vaccination and testing issued in jurisdictions where no jurisdiction-specific profile is available.

See here for implementation details.

Usage:

• Derived from this Resource Profile: Patient Profile - General - Data Minimization and Patient Profile - United States - Allowable Data
• Use this Resource Profile: COVID-19-specific Laboratory Test Results Bundle - Allowable Data, Infectious Disease (Generic) Laboratory Test Results Bundle - Allowable Data and Vaccination Bundle - Allowable Data
• Refer to this Resource Profile: COVID-19 Laboratory Result Observation Profile - Allowable Data, Generic Laboratory Result Observation Profile - Allowable Data and Vaccination Profile - Allowable Data

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual receiving an individual receiving a vaccination or infectious disease-related laboratory test
id		0..1	id	Should not be populated
name	SC	1..*	HumanName	Official name (i.e., legal name) of patient vc-name-invariant: Require one of the key name elements to be filled. Allows for `text` for names that cannot be cleanly categorized into `family` and `given` (https://www.nature.com/articles/d41586-020-02761-z).
text		0..1	string	Use instead of `family` and `given` if the patient's name cannot be easily split into these elements
family	S	0..1	string	Family name (often called 'Surname')
given	S	0..*	string	Parts of patient's name other than their family name that appear on photo ID; e.g., first and middle names
prefix	S	0..*	string	Parts that come before the name
suffix	S	0..*	string	Parts that come after the name
telecom
value	C	0..1	string	The actual contact point details vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization.
gender	C	0..1	code	Administrative gender use-only-if-required-by-law: SHALL be omitted UNLESS required by law in jurisdiction where SHC is issued
birthDate	S	0..1	date	The date of birth for the individual
address
text		0..0
line		0..0
city	C	0..1	string	Name of city, town etc. vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization.
district	C	0..1	string	District name (aka county) vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization.
state	C	0..1	string	Sub-unit of country (abbreviations ok) vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization.
postalCode	C	0..1	string	Postal code for area vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization.
photo		0..0
contact		0..0
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
use-only-if-required-by-law	warning	Patient.gender	SHALL be omitted UNLESS required by law in jurisdiction where SHC is issued : $this.length() = 0
vc-name-invariant	error	Patient.name	Require one of the key name elements to be filled. Allows for `text` for names that cannot be cleanly categorized into `family` and `given` (https://www.nature.com/articles/d41586-020-02761-z). : (family.exists() and given.exists()) xor text.exists()
vc-should-be-omitted-privacy	warning	Patient.telecom.value, Patient.address.city, Patient.address.district, Patient.address.state, Patient.address.postalCode	SHOULD be omitted to protect privacy and for data minimization. : $this.length() = 0

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual receiving an individual receiving a vaccination or infectious disease-related laboratory test
id	Σ	0..1	id	Should not be populated
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	Official name (i.e., legal name) of patient vc-name-invariant: Require one of the key name elements to be filled. Allows for `text` for names that cannot be cleanly categorized into `family` and `given` (https://www.nature.com/articles/d41586-020-02761-z).
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Use instead of `family` and `given` if the patient's name cannot be easily split into these elements
family	SΣ	0..1	string	Family name (often called 'Surname')
given	SΣ	0..*	string	Parts of patient's name other than their family name that appear on photo ID; e.g., first and middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
gender	ΣC	0..1	code	Administrative gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. use-only-if-required-by-law: SHALL be omitted UNLESS required by law in jurisdiction where SHC is issued
birthDate	SΣ	0..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
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

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
use-only-if-required-by-law	warning	Patient.gender	SHALL be omitted UNLESS required by law in jurisdiction where SHC is issued : $this.length() = 0
vc-name-invariant	error	Patient.name	Require one of the key name elements to be filled. Allows for `text` for names that cannot be cleanly categorized into `family` and `given` (https://www.nature.com/articles/d41586-020-02761-z). : (family.exists() and given.exists()) xor text.exists()

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual receiving an individual receiving a vaccination or infectious disease-related laboratory test
id	Σ	0..1	id	Should not be populated
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	An identifier for this patient
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	Official name (i.e., legal name) of patient vc-name-invariant: Require one of the key name elements to be filled. Allows for `text` for names that cannot be cleanly categorized into `family` and `given` (https://www.nature.com/articles/d41586-020-02761-z).
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	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Use instead of `family` and `given` if the patient's name cannot be easily split into these elements
family	SΣ	0..1	string	Family name (often called 'Surname')
given	SΣ	0..*	string	Parts of patient's name other than their family name that appear on photo ID; e.g., first and middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	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	Σ	0..*	ContactPoint	A contact detail for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	ΣC	0..1	string	The actual contact point details vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization.
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
gender	ΣC	0..1	code	Administrative gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. use-only-if-required-by-law: SHALL be omitted UNLESS required by law in jurisdiction where SHC is issued
birthDate	SΣ	0..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	Σ	0..*	Address	An address for the individual
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	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
city	ΣC	0..1	string	Name of city, town etc. vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization. Example General: Erewhon
district	ΣC	0..1	string	District name (aka county) vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization. Example General: Madison
state	ΣC	0..1	string	Sub-unit of country (abbreviations ok) vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization.
postalCode	ΣC	0..1	string	Postal code for area vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization. Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
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
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. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		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

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
use-only-if-required-by-law	warning	Patient.gender	SHALL be omitted UNLESS required by law in jurisdiction where SHC is issued : $this.length() = 0
vc-name-invariant	error	Patient.name	Require one of the key name elements to be filled. Allows for `text` for names that cannot be cleanly categorized into `family` and `given` (https://www.nature.com/articles/d41586-020-02761-z). : (family.exists() and given.exists()) xor text.exists()
vc-should-be-omitted-privacy	warning	Patient.telecom.value, Patient.address.city, Patient.address.district, Patient.address.state, Patient.address.postalCode	SHOULD be omitted to protect privacy and for data minimization. : $this.length() = 0

This structure is derived from Patient

Summary

Mandatory: 1 element
Must-Support: 6 elements
Prohibited: 4 elements

Differential View

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual receiving an individual receiving a vaccination or infectious disease-related laboratory test
id		0..1	id	Should not be populated
name	SC	1..*	HumanName	Official name (i.e., legal name) of patient vc-name-invariant: Require one of the key name elements to be filled. Allows for `text` for names that cannot be cleanly categorized into `family` and `given` (https://www.nature.com/articles/d41586-020-02761-z).
text		0..1	string	Use instead of `family` and `given` if the patient's name cannot be easily split into these elements
family	S	0..1	string	Family name (often called 'Surname')
given	S	0..*	string	Parts of patient's name other than their family name that appear on photo ID; e.g., first and middle names
prefix	S	0..*	string	Parts that come before the name
suffix	S	0..*	string	Parts that come after the name
telecom
value	C	0..1	string	The actual contact point details vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization.
gender	C	0..1	code	Administrative gender use-only-if-required-by-law: SHALL be omitted UNLESS required by law in jurisdiction where SHC is issued
birthDate	S	0..1	date	The date of birth for the individual
address
text		0..0
line		0..0
city	C	0..1	string	Name of city, town etc. vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization.
district	C	0..1	string	District name (aka county) vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization.
state	C	0..1	string	Sub-unit of country (abbreviations ok) vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization.
postalCode	C	0..1	string	Postal code for area vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization.
photo		0..0
contact		0..0
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
use-only-if-required-by-law	warning	Patient.gender	SHALL be omitted UNLESS required by law in jurisdiction where SHC is issued : $this.length() = 0
vc-name-invariant	error	Patient.name	Require one of the key name elements to be filled. Allows for `text` for names that cannot be cleanly categorized into `family` and `given` (https://www.nature.com/articles/d41586-020-02761-z). : (family.exists() and given.exists()) xor text.exists()
vc-should-be-omitted-privacy	warning	Patient.telecom.value, Patient.address.city, Patient.address.district, Patient.address.state, Patient.address.postalCode	SHOULD be omitted to protect privacy and for data minimization. : $this.length() = 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual receiving an individual receiving a vaccination or infectious disease-related laboratory test
id	Σ	0..1	id	Should not be populated
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	Official name (i.e., legal name) of patient vc-name-invariant: Require one of the key name elements to be filled. Allows for `text` for names that cannot be cleanly categorized into `family` and `given` (https://www.nature.com/articles/d41586-020-02761-z).
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Use instead of `family` and `given` if the patient's name cannot be easily split into these elements
family	SΣ	0..1	string	Family name (often called 'Surname')
given	SΣ	0..*	string	Parts of patient's name other than their family name that appear on photo ID; e.g., first and middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
gender	ΣC	0..1	code	Administrative gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. use-only-if-required-by-law: SHALL be omitted UNLESS required by law in jurisdiction where SHC is issued
birthDate	SΣ	0..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
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

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
use-only-if-required-by-law	warning	Patient.gender	SHALL be omitted UNLESS required by law in jurisdiction where SHC is issued : $this.length() = 0
vc-name-invariant	error	Patient.name	Require one of the key name elements to be filled. Allows for `text` for names that cannot be cleanly categorized into `family` and `given` (https://www.nature.com/articles/d41586-020-02761-z). : (family.exists() and given.exists()) xor text.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual receiving an individual receiving a vaccination or infectious disease-related laboratory test
id	Σ	0..1	id	Should not be populated
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	An identifier for this patient
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	Official name (i.e., legal name) of patient vc-name-invariant: Require one of the key name elements to be filled. Allows for `text` for names that cannot be cleanly categorized into `family` and `given` (https://www.nature.com/articles/d41586-020-02761-z).
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	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Use instead of `family` and `given` if the patient's name cannot be easily split into these elements
family	SΣ	0..1	string	Family name (often called 'Surname')
given	SΣ	0..*	string	Parts of patient's name other than their family name that appear on photo ID; e.g., first and middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	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	Σ	0..*	ContactPoint	A contact detail for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	ΣC	0..1	string	The actual contact point details vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization.
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
gender	ΣC	0..1	code	Administrative gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. use-only-if-required-by-law: SHALL be omitted UNLESS required by law in jurisdiction where SHC is issued
birthDate	SΣ	0..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	Σ	0..*	Address	An address for the individual
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	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
city	ΣC	0..1	string	Name of city, town etc. vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization. Example General: Erewhon
district	ΣC	0..1	string	District name (aka county) vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization. Example General: Madison
state	ΣC	0..1	string	Sub-unit of country (abbreviations ok) vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization.
postalCode	ΣC	0..1	string	Postal code for area vc-should-be-omitted-privacy: SHOULD be omitted to protect privacy and for data minimization. Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
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
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. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		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

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
use-only-if-required-by-law	warning	Patient.gender	SHALL be omitted UNLESS required by law in jurisdiction where SHC is issued : $this.length() = 0
vc-name-invariant	error	Patient.name	Require one of the key name elements to be filled. Allows for `text` for names that cannot be cleanly categorized into `family` and `given` (https://www.nature.com/articles/d41586-020-02761-z). : (family.exists() and given.exists()) xor text.exists()
vc-should-be-omitted-privacy	warning	Patient.telecom.value, Patient.address.city, Patient.address.district, Patient.address.state, Patient.address.postalCode	SHOULD be omitted to protect privacy and for data minimization. : $this.length() = 0

This structure is derived from Patient

Summary

Mandatory: 1 element
Must-Support: 6 elements
Prohibited: 4 elements

Other representations of profile: CSV, Excel, Schematron