Vital Records Common Library (VRCL) FHIR Implementation Guide, 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
Mappings for the Patient-child-vr resource profile.
| Name | RIM Mapping | CDA (R2) | FiveWs Pattern Mapping | HL7 v2 Mapping | LOINC code for the element |
 Patient |
Patient[classCode=PAT] |
ClinicalDocument.recordTarget.patientRole |
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  Patient / id |
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  Patient / meta |
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  Patient / implicitRules |
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  Patient / language |
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  Patient / text |
Act.text? |
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  Patient / contained |
N/A |
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  Patient / Slices for extension |
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   Patient / Slices for extension / extension:race |
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   Patient / Slices for extension / extension:ethnicity |
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   Patient / Slices for extension / extension:birthsex |
player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender |
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    Patient / Slices for extension / extension:birthsex / id |
n/a |
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    Patient / Slices for extension / extension:birthsex / extension |
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    Patient / Slices for extension / extension:birthsex / url |
N/A |
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    Patient / Slices for extension / extension:birthsex / value[x] |
N/A |
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   Patient / Slices for extension / extension:genderIdentity |
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   Patient / Slices for extension / extension:birthPlace |
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    Patient / Slices for extension / extension:birthPlace / id |
n/a |
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    Patient / Slices for extension / extension:birthPlace / extension |
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    Patient / Slices for extension / extension:birthPlace / url |
N/A |
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    Patient / Slices for extension / extension:birthPlace / value[x] |
N/A |
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     Patient / Slices for extension / extension:birthPlace / value[x] / id |
n/a |
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     Patient / Slices for extension / extension:birthPlace / value[x] / extension |
n/a |
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     Patient / Slices for extension / extension:birthPlace / value[x] / use |
unique(./use) |
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XAD.7 |
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     Patient / Slices for extension / extension:birthPlace / value[x] / type |
unique(./use) |
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XAD.18 |
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     Patient / Slices for extension / extension:birthPlace / value[x] / text |
./formatted |
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XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6 |
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     Patient / Slices for extension / extension:birthPlace / value[x] / line |
AD.part[parttype = AL] |
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XAD.1 and XAD.2 have different meanings for a company address than for a person address) |
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     Patient / Slices for extension / extension:birthPlace / value[x] / city |
AD.part[parttype = CTY] |
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XAD.3 |
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      Patient / Slices for extension / extension:birthPlace / value[x] / city / id |
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      Patient / Slices for extension / extension:birthPlace / value[x] / city / Slices for extension |
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      Patient / Slices for extension / extension:birthPlace / value[x] / city / Slices for extension |
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       Patient / Slices for extension / extension:birthPlace / value[x] / city / Slices for extension / extension:cityCode |
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      Patient / Slices for extension / extension:birthPlace / value[x] / city / value |
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     Patient / Slices for extension / extension:birthPlace / value[x] / district |
AD.part[parttype = CNT | CPA] |
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XAD.9 |
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      Patient / Slices for extension / extension:birthPlace / value[x] / district / id |
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      Patient / Slices for extension / extension:birthPlace / value[x] / district / Slices for extension |
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      Patient / Slices for extension / extension:birthPlace / value[x] / district / Slices for extension |
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       Patient / Slices for extension / extension:birthPlace / value[x] / district / Slices for extension / extension:districtCode |
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      Patient / Slices for extension / extension:birthPlace / value[x] / district / value |
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     Patient / Slices for extension / extension:birthPlace / value[x] / state |
AD.part[parttype = STA] |
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XAD.4 |
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      Patient / Slices for extension / extension:birthPlace / value[x] / state / id |
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      Patient / Slices for extension / extension:birthPlace / value[x] / state / Slices for extension |
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      Patient / Slices for extension / extension:birthPlace / value[x] / state / Slices for extension |
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       Patient / Slices for extension / extension:birthPlace / value[x] / state / Slices for extension / extension:nationalReportingJurisdictionId |
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      Patient / Slices for extension / extension:birthPlace / value[x] / state / value |
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     Patient / Slices for extension / extension:birthPlace / value[x] / postalCode |
AD.part[parttype = ZIP] |
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XAD.5 |
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     Patient / Slices for extension / extension:birthPlace / value[x] / country |
AD.part[parttype = CNT] |
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XAD.6 |
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     Patient / Slices for extension / extension:birthPlace / value[x] / period |
./usablePeriod[type="IVL<TS>"] |
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XAD.12 / XAD.13 + XAD.14 |
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   Patient / Slices for extension / extension:parentReportedAgeAtDelivery |
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    Patient / Slices for extension / extension:parentReportedAgeAtDelivery / id |
n/a |
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    Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension |
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    Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension |
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     Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reportedAge |
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      Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reportedAge / id |
n/a |
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      Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reportedAge / extension |
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      Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reportedAge / url |
N/A |
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      Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reportedAge / value[x] |
N/A |
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       Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reportedAge / value[x] / id |
n/a |
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       Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reportedAge / value[x] / extension |
n/a |
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       Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reportedAge / value[x] / value |
- PQ.value
- CO.value
- MO.value
- IVL.high or IVL.low depending on the value
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SN.2 / CQ - N/A |
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       Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reportedAge / value[x] / comparator |
IVL properties |
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SN.1 / CQ.1 |
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       Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reportedAge / value[x] / unit |
PQ.unit |
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(see OBX.6 etc.) / CQ.2 |
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       Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reportedAge / value[x] / system |
- CO.codeSystem
- PQ.translation.codeSystem
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(see OBX.6 etc.) / CQ.2 |
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       Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reportedAge / value[x] / code |
- PQ.code
- MO.currency
- PQ.translation.code
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(see OBX.6 etc.) / CQ.2 |
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     Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:motherOrFather |
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      Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:motherOrFather / id |
n/a |
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      Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:motherOrFather / extension |
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      Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:motherOrFather / url |
N/A |
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      Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:motherOrFather / value[x] |
N/A |
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     Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reporter |
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      Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reporter / id |
n/a |
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      Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reporter / extension |
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      Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reporter / url |
N/A |
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      Patient / Slices for extension / extension:parentReportedAgeAtDelivery / Slices for extension / extension:reporter / value[x] |
N/A |
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    Patient / Slices for extension / extension:parentReportedAgeAtDelivery / url |
N/A |
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    Patient / Slices for extension / extension:parentReportedAgeAtDelivery / value[x] |
N/A |
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  Patient / modifierExtension |
N/A |
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  Patient / Slices for identifier |
id |
.id |
FiveWs.identifier |
PID-3 |
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   Patient / Slices for identifier / identifier:MRN |
id |
.id |
FiveWs.identifier |
PID-3 |
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    Patient / Slices for identifier / identifier:MRN / id |
n/a |
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    Patient / Slices for identifier / identifier:MRN / extension |
n/a |
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    Patient / Slices for identifier / identifier:MRN / use |
Role.code or implied by context |
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N/A |
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    Patient / Slices for identifier / identifier:MRN / type |
Role.code or implied by context |
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CX.5 |
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     Patient / Slices for identifier / identifier:MRN / type / id |
n/a |
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     Patient / Slices for identifier / identifier:MRN / type / extension |
n/a |
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     Patient / Slices for identifier / identifier:MRN / type / coding |
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      Patient / Slices for identifier / identifier:MRN / type / coding / id |
n/a |
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      Patient / Slices for identifier / identifier:MRN / type / coding / extension |
n/a |
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      Patient / Slices for identifier / identifier:MRN / type / coding / system |
./codeSystem |
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C*E.3 |
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      Patient / Slices for identifier / identifier:MRN / type / coding / version |
./codeSystemVersion |
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C*E.7 |
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      Patient / Slices for identifier / identifier:MRN / type / coding / code |
./code |
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C*E.1 |
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      Patient / Slices for identifier / identifier:MRN / type / coding / display |
CV.displayName |
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C*E.2 - but note this is not well followed |
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      Patient / Slices for identifier / identifier:MRN / type / coding / userSelected |
CD.codingRationale |
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Sometimes implied by being first |
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     Patient / Slices for identifier / identifier:MRN / type / text |
./originalText[mediaType/code="text/plain"]/data |
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C*E.9. But note many systems use C*E.2 for this |
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    Patient / Slices for identifier / identifier:MRN / system |
II.root or Role.id.root |
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CX.4 / EI-2-4 |
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    Patient / Slices for identifier / identifier:MRN / value |
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
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CX.1 / EI.1 |
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    Patient / Slices for identifier / identifier:MRN / period |
Role.effectiveTime or implied by context |
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CX.7 + CX.8 |
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    Patient / Slices for identifier / identifier:MRN / assigner |
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
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   Patient / Slices for identifier / identifier:SSN |
id |
.id |
FiveWs.identifier |
PID-3 |
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    Patient / Slices for identifier / identifier:SSN / id |
n/a |
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    Patient / Slices for identifier / identifier:SSN / extension |
n/a |
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    Patient / Slices for identifier / identifier:SSN / use |
Role.code or implied by context |
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N/A |
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    Patient / Slices for identifier / identifier:SSN / type |
Role.code or implied by context |
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CX.5 |
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    Patient / Slices for identifier / identifier:SSN / system |
II.root or Role.id.root |
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CX.4 / EI-2-4 |
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    Patient / Slices for identifier / identifier:SSN / value |
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
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CX.1 / EI.1 |
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    Patient / Slices for identifier / identifier:SSN / period |
Role.effectiveTime or implied by context |
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CX.7 + CX.8 |
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    Patient / Slices for identifier / identifier:SSN / assigner |
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
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  Patient / active |
statusCode |
n/a |
FiveWs.status |
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  Patient / Slices for name |
name |
.patient.name |
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   Patient / Slices for name / name:All Slices |
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    Patient / Slices for name / name:All Slices / id |
n/a |
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    Patient / Slices for name / name:All Slices / extension |
n/a |
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    Patient / Slices for name / name:All Slices / use |
unique(./use) |
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- XPN.7
- but often indicated by which field contains the name
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    Patient / Slices for name / name:All Slices / text |
./formatted |
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implied by XPN.11 |
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    Patient / Slices for name / name:All Slices / family |
./part[partType = FAM] |
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XPN.1/FN.1 |
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     Patient / Slices for name / name:All Slices / family / id |
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     Patient / Slices for name / name:All Slices / family / Slices for extension |
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      Patient / Slices for name / name:All Slices / family / Slices for extension / extension:dataAbsentReason |
ANY.nullFlavor |
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     Patient / Slices for name / name:All Slices / family / value |
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    Patient / Slices for name / name:All Slices / given |
./part[partType = GIV] |
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XPN.2 + XPN.3 |
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     Patient / Slices for name / name:All Slices / given / id |
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     Patient / Slices for name / name:All Slices / given / Slices for extension |
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      Patient / Slices for name / name:All Slices / given / Slices for extension / extension:dataAbsentReason |
ANY.nullFlavor |
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     Patient / Slices for name / name:All Slices / given / value |
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    Patient / Slices for name / name:All Slices / prefix |
./part[partType = PFX] |
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XPN.5 |
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    Patient / Slices for name / name:All Slices / suffix |
./part[partType = SFX] |
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XPN/4 |
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    Patient / Slices for name / name:All Slices / period |
./usablePeriod[type="IVL<TS>"] |
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XPN.13 + XPN.14 |
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   Patient / Slices for name / name:currentLegalName |
name |
.patient.name |
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    Patient / Slices for name / name:currentLegalName / id |
n/a |
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    Patient / Slices for name / name:currentLegalName / extension |
n/a |
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    Patient / Slices for name / name:currentLegalName / use |
unique(./use) |
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- XPN.7
- but often indicated by which field contains the name
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    Patient / Slices for name / name:currentLegalName / text |
./formatted |
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implied by XPN.11 |
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    Patient / Slices for name / name:currentLegalName / family |
./part[partType = FAM] |
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XPN.1/FN.1 |
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    Patient / Slices for name / name:currentLegalName / given |
./part[partType = GIV] |
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XPN.2 + XPN.3 |
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    Patient / Slices for name / name:currentLegalName / prefix |
./part[partType = PFX] |
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XPN.5 |
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    Patient / Slices for name / name:currentLegalName / suffix |
./part[partType = SFX] |
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XPN/4 |
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    Patient / Slices for name / name:currentLegalName / period |
./usablePeriod[type="IVL<TS>"] |
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XPN.13 + XPN.14 |
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   Patient / Slices for name / name:namePriorToFirstMarriage |
name |
.patient.name |
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    Patient / Slices for name / name:namePriorToFirstMarriage / id |
n/a |
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    Patient / Slices for name / name:namePriorToFirstMarriage / extension |
n/a |
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    Patient / Slices for name / name:namePriorToFirstMarriage / use |
unique(./use) |
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- XPN.7
- but often indicated by which field contains the name
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    Patient / Slices for name / name:namePriorToFirstMarriage / text |
./formatted |
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implied by XPN.11 |
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    Patient / Slices for name / name:namePriorToFirstMarriage / family |
./part[partType = FAM] |
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XPN.1/FN.1 |
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    Patient / Slices for name / name:namePriorToFirstMarriage / given |
./part[partType = GIV] |
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XPN.2 + XPN.3 |
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    Patient / Slices for name / name:namePriorToFirstMarriage / prefix |
./part[partType = PFX] |
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XPN.5 |
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    Patient / Slices for name / name:namePriorToFirstMarriage / suffix |
./part[partType = SFX] |
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XPN/4 |
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    Patient / Slices for name / name:namePriorToFirstMarriage / period |
./usablePeriod[type="IVL<TS>"] |
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XPN.13 + XPN.14 |
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  Patient / telecom |
telecom |
.telecom |
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   Patient / telecom / id |
n/a |
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   Patient / telecom / extension |
n/a |
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   Patient / telecom / system |
./scheme |
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XTN.3 |
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   Patient / telecom / value |
./url |
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XTN.1 (or XTN.12) |
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   Patient / telecom / use |
unique(./use) |
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XTN.2 - but often indicated by field |
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   Patient / telecom / rank |
n/a |
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n/a |
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   Patient / telecom / period |
./usablePeriod[type="IVL<TS>"] |
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N/A |
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  Patient / gender |
player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender |
.patient.administrativeGenderCode |
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PID-8 |
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  Patient / birthDate |
player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime |
.patient.birthTime |
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PID-7 |
21112-8 |
   Patient / birthDate / id |
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   Patient / birthDate / Slices for extension |
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    Patient / birthDate / Slices for extension / extension:partialDateTime |
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    Patient / birthDate / Slices for extension / extension:birthTime |
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    Patient / birthDate / Slices for extension / extension:bypassEditFlag |
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     Patient / birthDate / Slices for extension / extension:bypassEditFlag / id |
n/a |
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     Patient / birthDate / Slices for extension / extension:bypassEditFlag / extension |
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     Patient / birthDate / Slices for extension / extension:bypassEditFlag / url |
N/A |
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     Patient / birthDate / Slices for extension / extension:bypassEditFlag / value[x] |
N/A |
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   Patient / birthDate / value |
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  Patient / Slices for deceased[x] |
- player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd
- player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime
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n/a |
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PID-30 (bool) and PID-29 (datetime) |
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   Patient / Slices for deceased[x] / deceased[x]:deceasedBoolean |
- player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd
- player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime
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n/a |
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PID-30 (bool) and PID-29 (datetime) |
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    Patient / Slices for deceased[x] / deceased[x]:deceasedBoolean / id |
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    Patient / Slices for deceased[x] / deceased[x]:deceasedBoolean / Slices for extension |
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    Patient / Slices for deceased[x] / deceased[x]:deceasedBoolean / Slices for extension |
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     Patient / Slices for deceased[x] / deceased[x]:deceasedBoolean / Slices for extension / extension:fetalDeath |
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    Patient / Slices for deceased[x] / deceased[x]:deceasedBoolean / value |
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  Patient / address |
addr |
.addr |
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PID-11 |
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   Patient / address / id |
n/a |
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   Patient / address / Slices for extension |
n/a |
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    Patient / address / Slices for extension / extension:withinCityLimitsIndicator |
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    Patient / address / Slices for extension / extension:predir |
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    Patient / address / Slices for extension / extension:stnum |
|
|
|
|
|
    Patient / address / Slices for extension / extension:stname |
|
|
|
|
|
    Patient / address / Slices for extension / extension:stdesig |
|
|
|
|
|
    Patient / address / Slices for extension / extension:postdir |
|
|
|
|
|
    Patient / address / Slices for extension / extension:unitnumber |
|
|
|
|
|
   Patient / address / use |
unique(./use) |
|
|
XAD.7 |
|
   Patient / address / type |
unique(./use) |
|
|
XAD.18 |
|
   Patient / address / text |
./formatted |
|
|
XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6 |
|
   Patient / address / line |
AD.part[parttype = AL] |
|
|
XAD.1 and XAD.2 have different meanings for a company address than for a person address) |
|
   Patient / address / city |
AD.part[parttype = CTY] |
|
|
XAD.3 |
|
    Patient / address / city / id |
|
|
|
|
|
    Patient / address / city / Slices for extension |
|
|
|
|
|
     Patient / address / city / Slices for extension / extension:cityCode |
|
|
|
|
|
    Patient / address / city / value |
|
|
|
|
|
   Patient / address / district |
AD.part[parttype = CNT | CPA] |
|
|
XAD.9 |
|
    Patient / address / district / id |
|
|
|
|
|
    Patient / address / district / Slices for extension |
|
|
|
|
|
     Patient / address / district / Slices for extension / extension:districtCode |
|
|
|
|
|
    Patient / address / district / value |
|
|
|
|
|
   Patient / address / state |
AD.part[parttype = STA] |
|
|
XAD.4 |
|
   Patient / address / postalCode |
AD.part[parttype = ZIP] |
|
|
XAD.5 |
|
   Patient / address / country |
AD.part[parttype = CNT] |
|
|
XAD.6 |
|
   Patient / address / period |
./usablePeriod[type="IVL<TS>"] |
|
|
XAD.12 / XAD.13 + XAD.14 |
|
  Patient / maritalStatus |
player[classCode=PSN]/maritalStatusCode |
.patient.maritalStatusCode |
|
PID-16 |
|
  Patient / multipleBirth[x] |
- player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd
- player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber
|
n/a |
|
- PID-24 (bool)
- PID-25 (integer)
|
|
   Patient / multipleBirth[x] / id |
n/a |
|
|
|
|
   Patient / multipleBirth[x] / Slices for extension |
n/a |
|
|
|
|
    Patient / multipleBirth[x] / Slices for extension / extension:bypassEditFlag |
|
|
|
|
|
     Patient / multipleBirth[x] / Slices for extension / extension:bypassEditFlag / id |
n/a |
|
|
|
|
     Patient / multipleBirth[x] / Slices for extension / extension:bypassEditFlag / extension |
|
|
|
|
|
     Patient / multipleBirth[x] / Slices for extension / extension:bypassEditFlag / url |
N/A |
|
|
|
|
     Patient / multipleBirth[x] / Slices for extension / extension:bypassEditFlag / value[x] |
N/A |
|
|
|
|
    Patient / multipleBirth[x] / Slices for extension / extension:multipleBirthTotal |
|
|
|
|
|
     Patient / multipleBirth[x] / Slices for extension / extension:multipleBirthTotal / id |
n/a |
|
|
|
|
     Patient / multipleBirth[x] / Slices for extension / extension:multipleBirthTotal / extension |
|
|
|
|
|
     Patient / multipleBirth[x] / Slices for extension / extension:multipleBirthTotal / url |
N/A |
|
|
|
|
     Patient / multipleBirth[x] / Slices for extension / extension:multipleBirthTotal / value[x] |
N/A |
|
|
|
|
  Patient / photo |
player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc |
n/a |
|
OBX-5 - needs a profile |
|
  Patient / contact |
player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON] |
n/a |
|
|
|
   Patient / contact / id |
n/a |
|
|
|
|
   Patient / contact / extension |
n/a |
|
|
|
|
   Patient / contact / modifierExtension |
N/A |
|
|
|
|
   Patient / contact / relationship |
code |
n/a |
|
|
|
   Patient / contact / name |
name |
n/a |
|
NK1-2 |
|
   Patient / contact / telecom |
telecom |
n/a |
|
|
|
   Patient / contact / address |
addr |
n/a |
|
NK1-4 |
|
   Patient / contact / gender |
player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender |
n/a |
|
NK1-15 |
|
   Patient / contact / organization |
scoper |
n/a |
|
- NK1-13
- NK1-30
- NK1-31
- NK1-32
- NK1-41
|
|
   Patient / contact / period |
effectiveTime |
n/a |
|
|
|
  Patient / communication |
LanguageCommunication |
patient.languageCommunication |
|
|
|
   Patient / communication / id |
n/a |
|
|
|
|
   Patient / communication / extension |
n/a |
|
|
|
|
   Patient / communication / modifierExtension |
N/A |
|
|
|
|
   Patient / communication / language |
player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code |
.languageCode |
|
|
|
   Patient / communication / preferred |
preferenceInd |
.preferenceInd |
|
PID-15 |
|
  Patient / generalPractitioner |
subjectOf.CareEvent.performer.AssignedEntity |
n/a |
|
PD1-4 |
|
  Patient / managingOrganization |
scoper |
.providerOrganization |
|
|
|
  Patient / link |
outboundLink |
n/a |
|
|
|
   Patient / link / id |
n/a |
|
|
|
|
   Patient / link / extension |
n/a |
|
|
|
|
   Patient / link / modifierExtension |
N/A |
|
|
|
|
   Patient / link / other |
id |
n/a |
|
|
|
   Patient / link / type |
typeCode |
n/a |
|
|
|
Documentation for this format |