Vital Records Common Library (VRCL) STU2-ballot
2.0.0 - trial-use United States of America flag

Vital Records Common Library (VRCL) STU2-ballot, published by HL7 International / Public Health. 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/vr-common-library/ and changes regularly. See the Directory of published versions

Resource Profile: Patient - Vital Records ( Abstract )

Official URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr Version: 2.0.0
Active as of 2024-07-17 Computable Name: PatientVitalRecords

This abstract Patient profile includes common extensions and slicing used across vital records.

Usage:

Formal Views of Profile Content

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

This structure is derived from USCorePatientProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient USCorePatientProfile This is an abstractprofile. Childprofiles: PatientChildVitalRecords, PatientMotherVitalRecords
... Slices for extension Content/Rules for all slices
.... birthPlace 0..1 (Complex) Place of Birth for the patient should include the state and/or country
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
..... value[x]
...... city
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ cityCode 0..1 positiveInt City Code Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode
...... district
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ districtCode 0..1 positiveInt County code
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode
...... state 0..1 string State/Jurisdiction of birth. Provide only for US or Canadian states/provinces/territories. Use value in Jurisdiction if present.
Binding: States, Territories and Provinces Vital Records (required)
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ nationalReportingJurisdictionId 0..1 string Location Jurisdiction Id Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-jurisdiction-id-vr
Binding: Jurisdictions Vital Records (required)
...... country 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
Binding: Birthplace Country Vital Records (required)
.... parentReportedAgeAtDelivery 0..2 (Complex) Extension - Reported Parent Age at Delivery - Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr
... Slices for identifier 1..* Identifier An identifier for this patient
Slice: Unordered, Open by pattern:type
.... identifier:MRN 0..* Identifier Medical Record Number
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MR
.... identifier:SSN 0..1 Identifier SSN if available and appropriate to send
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SS
..... system 1..1 uri The namespace for the identifier value
Required Pattern: http://hl7.org/fhir/sid/us-ssn
... Slices for name 1..* HumanName A name associated with the patient
Slice: Unordered, Open by value:use
.... name:All Slices Content/Rules for all slices
..... family
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... dataAbsentReason 0..1 code unknown | asked | temp | notasked | masked | unsupported | astext | error
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
..... given
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... dataAbsentReason 0..1 code unknown | asked | temp | notasked | masked | unsupported | astext | error
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... name:currentLegalName 0..1 HumanName current legal name
..... use 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Fixed Value: official
.... name:namePriorToFirstMarriage 0..1 HumanName Name prior to first marriage
..... use 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Fixed Value: maiden
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... partialDateTime 0..1 (Complex) partialDateTIme
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
..... birthTime 0..1 dateTime Time of day of birth
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
..... bypassEditFlag 0..1 (Complex) BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
...... value[x] 1..1 CodeableConcept To reflect the relevant edit possibilities for date of birth.
Binding: Date of Birth Edit Flags (NCHS) Vital Records (required): Date of Birth Edit Flags (NCHS)

... Slices for deceased[x] 0..1 boolean, dateTime Indicates if the individual is deceased or not
Slice: Unordered, Open by type:$this
.... deceased[x]:deceasedBoolean C 0..1 boolean Boolean indicator. True if the individual is deceased.
fetalDeathOnlyIfDeceased: Fetal death should only be indicated if Patient is deceased.
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... fetalDeath 0..1 boolean Boolean indicator. True if the Patient died as a fetus.
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-patient-fetal-death-vr
... address
.... Slices for extension Content/Rules for all slices
..... withinCityLimitsIndicator 0..1 Coding Used to indicate whether or not an address is within city limits.
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr
Binding: Yes No Unknown Vital Records (required): Yes No Unknown (YNU)

..... predir 0..1 string PreDirectional Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PreDirectional
..... stnum 0..1 string StreetNumber Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetNumber
..... stname 0..1 string StreetName Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName
..... stdesig 0..1 string StreetDesignator Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetDesignator
..... postdir 0..1 string PostDirectional Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PostDirectional
..... unitnumber 0..1 string UnitOrAptNumber Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/UnitOrAptNumber
.... city
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... cityCode 0..1 positiveInt City Code
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode
.... district
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... districtCode 0..1 positiveInt County code
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode
.... state 0..1 string Sub-unit of country (abbreviations ok)
Binding: States, Territories and Provinces Vital Records (required)
.... country 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
Binding: Residence Country Vital Records (required)
... multipleBirth[x] 0..1 boolean, integer If not single birth - born first, second, third, etc.
.... Slices for extension Content/Rules for all slices
..... bypassEditFlag 0..1 (Complex) BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
...... value[x] 1..1 CodeableConcept Value of extension
Binding: Plurality Edit Flags (NCHS) Vital Records (required): Plurality Edit Flags (NCHS)

..... multipleBirthTotal 0..1 positiveInt Total births in this pregnancy
URL: http://hl7.org/fhir/StructureDefinition/patient-multipleBirthTotal

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Patient.extension:birthPlace.value[x].staterequiredValueSetStatesTerritoriesAndProvincesVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-states-territories-provinces-vr
from this IG
Patient.extension:birthPlace.value[x].countryrequiredValueSetBirthplaceCountryVitalRecords (a valid code from Country Codes Vital Records)
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-birthplace-country-vr
from this IG
Patient.birthDate.extension:bypassEditFlag.value[x]requiredValueSetDateOfBirthEditFlagsVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-date-of-birth-edit-flags-vr
from this IG
Patient.address.staterequiredValueSetStatesTerritoriesAndProvincesVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-states-territories-provinces-vr
from this IG
Patient.address.countryrequiredValueSetResidenceCountryVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-residence-country-vr
from this IG
Patient.multipleBirth[x].extension:bypassEditFlag.value[x]requiredValueSetPluralityEditFlagsVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-plurality-edit-flags-vr
from this IG

Constraints

IdGradePath(s)DetailsRequirements
fetalDeathOnlyIfDeceasederrorPatient.deceased[x]:deceasedBooleanFetal death should only be indicated if Patient is deceased.
: (extension.where(url = 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-patient-fetal-death-vr').exists(value.exists() and value = 'true')) implies (value.exists() and value = 'true')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C 0..* USCorePatientProfile This is an abstractprofile. Childprofiles: PatientChildVitalRecords, PatientMotherVitalRecords
Information about an individual or animal receiving health care services
us-core-6: Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... race 0..1 (Complex) US Core Race Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
.... ethnicity 0..1 (Complex) US Core ethnicity Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
.... birthsex 0..1 code Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
Binding: Birth Sex (required): Code for sex assigned at birth


.... genderIdentity 0..1 CodeableConcept Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
Binding: Gender Identity . (extensible)
.... birthPlace 0..1 (Complex) Place of Birth for the patient should include the state and/or country
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
..... value[x] 1..1 Address Value of extension
...... 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
...... state Σ 0..1 string State/Jurisdiction of birth. Provide only for US or Canadian states/provinces/territories. Use value in Jurisdiction if present.
Binding: States, Territories and Provinces Vital Records (required)
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ nationalReportingJurisdictionId 0..1 string Location Jurisdiction Id Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-jurisdiction-id-vr
Binding: Jurisdictions Vital Records (required)
...... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
Binding: Birthplace Country Vital Records (required)
.... parentReportedAgeAtDelivery 0..2 (Complex) Extension - Reported Parent Age at Delivery - Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique within the system.
Example General: 123456
.... identifier:MRN SΣ 0..* Identifier Medical Record Number
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MR
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique within the system.
Example General: 123456
.... identifier:SSN SΣ 0..1 Identifier SSN if available and appropriate to send
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SS
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: http://hl7.org/fhir/sid/us-ssn
..... value SΣ 1..1 string The value that is unique within the system.
Example General: 123456
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... Slices for name SΣ 1..* HumanName A name associated with the patient
Slice: Unordered, Open by value:use
.... name:All Slices Content/Rules for all slices
..... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

..... family SΣC 0..1 string Family name (often called 'Surname')
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... dataAbsentReason 0..1 code unknown | asked | temp | notasked | masked | unsupported | astext | error
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
..... given SΣC 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
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... dataAbsentReason 0..1 code unknown | asked | temp | notasked | masked | unsupported | astext | error
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... name:currentLegalName SΣ 0..1 HumanName current legal name
..... use ?!Σ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: official
..... family SΣC 0..1 string Family name (often called 'Surname')
..... given SΣC 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
.... name:namePriorToFirstMarriage SΣ 0..1 HumanName Name prior to first marriage
..... use ?!Σ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: maiden
..... family SΣC 0..1 string Family name (often called 'Surname')
..... given SΣC 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 Σ 0..* ContactPoint A contact detail for the individual
.... system SΣC 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ 1..1 string The actual contact point details
.... use ?!SΣ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required)
... gender SΣ 1..1 code male | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate SΣ 0..1 date The date of birth for the individual
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... partialDateTime 0..1 (Complex) partialDateTIme
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
..... birthTime 0..1 dateTime Time of day of birth
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
..... bypassEditFlag 0..1 (Complex) BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
...... extension 0..0
...... url 1..1 uri "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag"
...... value[x] 1..1 CodeableConcept To reflect the relevant edit possibilities for date of birth.
Binding: Date of Birth Edit Flags (NCHS) Vital Records (required): Date of Birth Edit Flags (NCHS)

... Slices for deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
Slice: Unordered, Open by type:$this
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
.... deceased[x]:deceasedBoolean ?!ΣC 0..1 boolean Boolean indicator. True if the individual is deceased.
fetalDeathOnlyIfDeceased: Fetal death should only be indicated if Patient is deceased.
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... fetalDeath 0..1 boolean Boolean indicator. True if the Patient died as a fetus.
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-patient-fetal-death-vr
... address SΣ 0..* Address An address for the individual
.... Slices for extension Content/Rules for all slices
..... withinCityLimitsIndicator 0..1 Coding Used to indicate whether or not an address is within city limits.
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr
Binding: Yes No Unknown Vital Records (required): Yes No Unknown (YNU)


..... predir 0..1 string PreDirectional Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PreDirectional
..... stnum 0..1 string StreetNumber Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetNumber
..... stname 0..1 string StreetName Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName
..... stdesig 0..1 string StreetDesignator Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetDesignator
..... postdir 0..1 string PostDirectional Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PostDirectional
..... unitnumber 0..1 string UnitOrAptNumber Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/UnitOrAptNumber
.... 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
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... cityCode 0..1 positiveInt City Code
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: States, Territories and Provinces Vital Records (required)
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
.... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
Binding: Residence Country Vital Records (required)
.... period SΣ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... multipleBirth[x] 0..1 If not single birth - born first, second, third, etc.
.... multipleBirth[x]All Types Content/Rules for all Types
..... Slices for extension Content/Rules for all slices
...... bypassEditFlag 0..1 (Complex) BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Plurality Edit Flags (NCHS) Vital Records (required): Plurality Edit Flags (NCHS)

...... multipleBirthTotal 0..1 positiveInt Total births in this pregnancy
URL: http://hl7.org/fhir/StructureDefinition/patient-multipleBirthTotal
.... multipleBirthBoolean boolean
.... multipleBirthInteger integer
... communication 0..* BackboneElement A language which may be used to communicate with the patient about his or her health
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... language S 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: Language codes with language and optionally a region modifier (extensible)
... 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.extension:birthPlace.value[x].userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Patient.extension:birthPlace.value[x].staterequiredValueSetStatesTerritoriesAndProvincesVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-states-territories-provinces-vr
from this IG
Patient.extension:birthPlace.value[x].countryrequiredValueSetBirthplaceCountryVitalRecords (a valid code from Country Codes Vital Records)
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-birthplace-country-vr
from this IG
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:MRN.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:MRN.typeextensiblePattern: MR
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:SSN.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:SSN.typeextensiblePattern: SS
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.name:currentLegalName.userequiredFixed Value: official
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.name:namePriorToFirstMarriage.userequiredFixed Value: maiden
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system
from the FHIR Standard
Patient.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender
from the FHIR Standard
Patient.birthDate.extension:bypassEditFlag.value[x]requiredValueSetDateOfBirthEditFlagsVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-date-of-birth-edit-flags-vr
from this IG
Patient.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Patient.address.staterequiredValueSetStatesTerritoriesAndProvincesVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-states-territories-provinces-vr
from this IG
Patient.address.countryrequiredValueSetResidenceCountryVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-residence-country-vr
from this IG
Patient.multipleBirth[x].extension:bypassEditFlag.value[x]requiredValueSetPluralityEditFlagsVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-plurality-edit-flags-vr
from this IG
Patient.communication.languageextensibleLanguageCodesWithLanguageAndOptionallyARegionModifier
http://hl7.org/fhir/us/core/ValueSet/simple-language
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
fetalDeathOnlyIfDeceasederrorPatient.deceased[x]:deceasedBooleanFetal death should only be indicated if Patient is deceased.
: (extension.where(url = 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-patient-fetal-death-vr').exists(value.exists() and value = 'true')) implies (value.exists() and value = 'true')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C 0..* USCorePatientProfile This is an abstractprofile. Childprofiles: PatientChildVitalRecords, PatientMotherVitalRecords
Information about an individual or animal receiving health care services
us-core-6: Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... race 0..1 (Complex) US Core Race Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
.... ethnicity 0..1 (Complex) US Core ethnicity Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
.... birthsex 0..1 code Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
Binding: Birth Sex (required): Code for sex assigned at birth


.... genderIdentity 0..1 CodeableConcept Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
Binding: Gender Identity . (extensible)
.... birthPlace 0..1 (Complex) Place of Birth for the patient should include the state and/or country
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
..... value[x] 1..1 Address Value of extension
...... 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
...... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
...... line Σ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
...... city Σ 0..1 string Name of city, town etc.
Example General: Erewhon
....... id 0..1 string xml:id (or equivalent in JSON)
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ cityCode 0..1 positiveInt City Code Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode
....... value 0..1 string Primitive value for string
Max Length: 1048576
...... district Σ 0..1 string District name (aka county)
Example General: Madison
....... id 0..1 string xml:id (or equivalent in JSON)
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ districtCode 0..1 positiveInt County code
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode
....... value 0..1 string Primitive value for string
Max Length: 1048576
...... state Σ 0..1 string State/Jurisdiction of birth. Provide only for US or Canadian states/provinces/territories. Use value in Jurisdiction if present.
Binding: States, Territories and Provinces Vital Records (required)
....... id 0..1 string xml:id (or equivalent in JSON)
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ nationalReportingJurisdictionId 0..1 string Location Jurisdiction Id Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-jurisdiction-id-vr
Binding: Jurisdictions Vital Records (required)
....... value 0..1 string Primitive value for string
Max Length: 1048576
...... postalCode Σ 0..1 string Postal code for area
Example General: 9132
...... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
Binding: Birthplace Country Vital Records (required)
...... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
.... parentReportedAgeAtDelivery 0..2 (Complex) Extension - Reported Parent Age at Delivery - Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier An identifier for this patient
Slice: Unordered, Open by pattern:type
.... identifier:All Slices Content/Rules for all slices
..... 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 | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique within the system.
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:MRN SΣ 0..* Identifier Medical Record Number
..... 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 | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MR
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique within the system.
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:SSN SΣ 0..1 Identifier SSN if available and appropriate to send
..... 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 | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SS
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: http://hl7.org/fhir/sid/us-ssn
..... value SΣ 1..1 string The value that is unique within the system.
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... Slices for name SΣ 1..* HumanName A name associated with the patient
Slice: Unordered, Open by value:use
.... name:All Slices Content/Rules for all slices
..... 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 Text representation of the full name
..... family SΣC 0..1 string Family name (often called 'Surname')
...... id 0..1 string xml:id (or equivalent in JSON)
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... dataAbsentReason 0..1 code unknown | asked | temp | notasked | masked | unsupported | astext | error
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
...... value 0..1 string Primitive value for string
Max Length: 1048576
..... given SΣC 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
...... id 0..1 string xml:id (or equivalent in JSON)
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... dataAbsentReason 0..1 code unknown | asked | temp | notasked | masked | unsupported | astext | error
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
...... value 0..1 string Primitive value for string
Max Length: 1048576
..... 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
.... name:currentLegalName SΣ 0..1 HumanName current legal name
..... 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 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: official
..... text Σ 0..1 string Text representation of the full name
..... family SΣC 0..1 string Family name (often called 'Surname')
..... given SΣC 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
.... name:namePriorToFirstMarriage SΣ 0..1 HumanName Name prior to first marriage
..... 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 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: maiden
..... text Σ 0..1 string Text representation of the full name
..... family SΣC 0..1 string Family name (often called 'Surname')
..... given SΣC 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 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 SΣC 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ 1..1 string The actual contact point details
.... use ?!SΣ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required)
.... 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 SΣ 1..1 code male | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate SΣ 0..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
..... partialDateTime 0..1 (Complex) partialDateTIme
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
..... birthTime 0..1 dateTime Time of day of birth
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
..... bypassEditFlag 0..1 (Complex) BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag"
...... value[x] 1..1 CodeableConcept To reflect the relevant edit possibilities for date of birth.
Binding: Date of Birth Edit Flags (NCHS) Vital Records (required): Date of Birth Edit Flags (NCHS)

.... value 0..1 date Primitive value for date
... Slices for deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
Slice: Unordered, Open by type:$this
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
.... deceased[x]:deceasedBoolean ?!ΣC 0..1 boolean Boolean indicator. True if the individual is deceased.
fetalDeathOnlyIfDeceased: Fetal death should only be indicated if Patient is deceased.
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... fetalDeath 0..1 boolean Boolean indicator. True if the Patient died as a fetus.
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-patient-fetal-death-vr
..... value 0..1 boolean Primitive value for boolean
... address SΣ 0..* Address An address for the individual
.... id 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
..... withinCityLimitsIndicator 0..1 Coding Used to indicate whether or not an address is within city limits.
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr
Binding: Yes No Unknown Vital Records (required): Yes No Unknown (YNU)


..... predir 0..1 string PreDirectional Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PreDirectional
..... stnum 0..1 string StreetNumber Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetNumber
..... stname 0..1 string StreetName Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName
..... stdesig 0..1 string StreetDesignator Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetDesignator
..... postdir 0..1 string PostDirectional Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PostDirectional
..... unitnumber 0..1 string UnitOrAptNumber Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/UnitOrAptNumber
.... 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
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... cityCode 0..1 positiveInt City Code
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode
..... value 0..1 string Primitive value for string
Max Length: 1048576
.... district Σ 0..1 string District name (aka county)
Example General: Madison
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... districtCode 0..1 positiveInt County code
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode
..... value 0..1 string Primitive value for string
Max Length: 1048576
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: States, Territories and Provinces Vital Records (required)
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
.... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
Binding: Residence Country Vital Records (required)
.... period SΣ 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 If not single birth - born first, second, third, etc.
.... multipleBirth[x]All Types Content/Rules for all Types
..... id 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
...... bypassEditFlag 0..1 (Complex) BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Plurality Edit Flags (NCHS) Vital Records (required): Plurality Edit Flags (NCHS)

...... multipleBirthTotal 0..1 positiveInt Total births in this pregnancy
URL: http://hl7.org/fhir/StructureDefinition/patient-multipleBirthTotal
.... 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
pat-1: SHALL at least contain a contact's details or a reference to an organization
.... 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 S 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: Language codes with language and optionally a region modifier (extensible)
.... 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.extension:birthPlace.value[x].userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Patient.extension:birthPlace.value[x].typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
from the FHIR Standard
Patient.extension:birthPlace.value[x].staterequiredValueSetStatesTerritoriesAndProvincesVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-states-territories-provinces-vr
from this IG
Patient.extension:birthPlace.value[x].countryrequiredValueSetBirthplaceCountryVitalRecords (a valid code from Country Codes Vital Records)
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-birthplace-country-vr
from this IG
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:MRN.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:MRN.typeextensiblePattern: MR
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:SSN.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:SSN.typeextensiblePattern: SS
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.name:currentLegalName.userequiredFixed Value: official
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.name:namePriorToFirstMarriage.userequiredFixed Value: maiden
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system
from the FHIR Standard
Patient.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender
from the FHIR Standard
Patient.birthDate.extension:bypassEditFlag.value[x]requiredValueSetDateOfBirthEditFlagsVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-date-of-birth-edit-flags-vr
from this IG
Patient.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Patient.address.typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
from the FHIR Standard
Patient.address.staterequiredValueSetStatesTerritoriesAndProvincesVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-states-territories-provinces-vr
from this IG
Patient.address.countryrequiredValueSetResidenceCountryVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-residence-country-vr
from this IG
Patient.maritalStatusextensibleMarital Status Codes
http://hl7.org/fhir/ValueSet/marital-status
from the FHIR Standard
Patient.multipleBirth[x].extension:bypassEditFlag.value[x]requiredValueSetPluralityEditFlagsVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-plurality-edit-flags-vr
from this IG
Patient.contact.relationshipextensiblePatientContactRelationship
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.communication.languageextensibleLanguageCodesWithLanguageAndOptionallyARegionModifier
http://hl7.org/fhir/us/core/ValueSet/simple-language
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
fetalDeathOnlyIfDeceasederrorPatient.deceased[x]:deceasedBooleanFetal death should only be indicated if Patient is deceased.
: (extension.where(url = 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-patient-fetal-death-vr').exists(value.exists() and value = 'true')) implies (value.exists() and value = 'true')

This structure is derived from USCorePatientProfile

Summary

Mandatory: 0 element(4 nested mandatory elements)
Fixed: 2 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Patient.identifier
  • The element 1 is sliced based on the value of Patient.name
  • The element 1 is sliced based on the value of Patient.deceased[x]

Differential View

This structure is derived from USCorePatientProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient USCorePatientProfile This is an abstractprofile. Childprofiles: PatientChildVitalRecords, PatientMotherVitalRecords
... Slices for extension Content/Rules for all slices
.... birthPlace 0..1 (Complex) Place of Birth for the patient should include the state and/or country
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
..... value[x]
...... city
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ cityCode 0..1 positiveInt City Code Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode
...... district
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ districtCode 0..1 positiveInt County code
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode
...... state 0..1 string State/Jurisdiction of birth. Provide only for US or Canadian states/provinces/territories. Use value in Jurisdiction if present.
Binding: States, Territories and Provinces Vital Records (required)
....... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
........ nationalReportingJurisdictionId 0..1 string Location Jurisdiction Id Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-jurisdiction-id-vr
Binding: Jurisdictions Vital Records (required)
...... country 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
Binding: Birthplace Country Vital Records (required)
.... parentReportedAgeAtDelivery 0..2 (Complex) Extension - Reported Parent Age at Delivery - Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr
... Slices for identifier 1..* Identifier An identifier for this patient
Slice: Unordered, Open by pattern:type
.... identifier:MRN 0..* Identifier Medical Record Number
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MR
.... identifier:SSN 0..1 Identifier SSN if available and appropriate to send
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SS
..... system 1..1 uri The namespace for the identifier value
Required Pattern: http://hl7.org/fhir/sid/us-ssn
... Slices for name 1..* HumanName A name associated with the patient
Slice: Unordered, Open by value:use
.... name:All Slices Content/Rules for all slices
..... family
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url