Swedish Base Profiles Implementation Guide
1.1.0 - release

Swedish Base Profiles Implementation Guide, publicerad av HL7 Sweden. Denna guide är inte en auktoriserad publikation; det är den kontinuerliga byggnaden för version 1.1.0 byggd av FHIR (HL7® FHIR® Standard) CI Build. Denna version baseras på det aktuella innehållet i https://github.com/HL7Sweden/basprofiler-r4/ och ändras regelbundet. Se katalogen över publicerade versioner

## Resource Profile: SEBasePatient - Detailed Descriptions

Active as of 2026-09-04

Definitions for the SEBasePatient resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Vägledning om hur innehållet i denna tabell ska tolkas finnshär-- no content: do not translate #1 --

0. Patient
Definition | Demographics and other administrative information about an individual or animal receiving care or other health-related services.
Kort | Information about an individual or animal receiving health care services
Kontroll | 0..*
Är modifierare | false
Sammanfattning | false
Alternativa namn | SubjectOfCare Client Resident
Invarianter | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Patient.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Kort | A set of rules under which this content was created
Kommentarer | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Kontroll | 0..1
Typ | uri
Är modifierare | true eftersom This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Patient.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Kort | Extensions that cannot be ignored
Kommentarer | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Kontroll | 0..*
Typ | Extension
Är modifierare | true eftersom Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Sammanfattning | false
Krav | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternativa namn | extensions, user content
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. Patient.identifier
Definition | An identifier for this patient.
Kort | An identifier for this patient
Notera | Detta är en verksamhetsidentifierare, inte en resursidentifierare (se diskussion)
Kontroll | 0..*
Typ | Identifier
Är modifierare | false
Sammanfattning | true
Krav | Patients are almost always assigned specific numerical identifiers.
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | Detta element introducerar en uppsättning skivor på `Patient.identifier`. Skivorna ärOordnad och Open, och kan särskiljas med hjälp av följande diskriminatorer: value @ system
8. Patient.identifier:personnummer
Skivnamn | personnummer
Definition | An identifier for this patient.
Kort | An identifier for this patient
Notera | Detta är en verksamhetsidentifierare, inte en resursidentifierare (se diskussion)
Kontroll | 0..1*
Typ | Identifier
Är modifierare | false
Sammanfattning | true
Krav | Patients are almost always assigned specific numerical identifiers.
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Patient.identifier:personnummer.use
Definition | The purpose of this identifier.
Kort | usual | official | temp | secondary | old (If known)
Kommentarer | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Kontroll | 0..1
Bindning | Koderna SKA tas från IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Typ | code
Är modifierare | true eftersom This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Patient.identifier:personnummer.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Kort | The namespace for the identifier value
Kommentarer | Identifier.system is always case sensitive.
Kontroll | 10..1
Typ | uri
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Mönstervärde | `http://electronichealth.se/identifier/personnummer`
Exempel | General: http://www.acme.com/identifiers/patient
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Patient.identifier:samordningsnummer
Skivnamn | samordningsnummer
Definition | An identifier for this patient.
Kort | An identifier for this patient
Notera | Detta är en verksamhetsidentifierare, inte en resursidentifierare (se diskussion)
Kontroll | 0..1*
Typ | Identifier
Är modifierare | false
Sammanfattning | true
Krav | Patients are almost always assigned specific numerical identifiers.
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Patient.identifier:samordningsnummer.use
Definition | The purpose of this identifier.
Kort | usual | official | temp | secondary | old (If known)
Kommentarer | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Kontroll | 0..1
Bindning | Koderna SKA tas från IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Typ | code
Är modifierare | true eftersom This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Patient.identifier:samordningsnummer.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Kort | The namespace for the identifier value
Kommentarer | Identifier.system is always case sensitive.
Kontroll | 10..1
Typ | uri
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Mönstervärde | `http://electronichealth.se/identifier/samordningsnummer`
Exempel | General: http://www.acme.com/identifiers/patient
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Patient.identifier:nationelltReservnummer
Skivnamn | nationelltReservnummer
Definition | An identifier for this patient.
Kort | An identifier for this patient
Notera | Detta är en verksamhetsidentifierare, inte en resursidentifierare (se diskussion)
Kontroll | 0..1*
Typ | Identifier
Är modifierare | false
Sammanfattning | true
Krav | Patients are almost always assigned specific numerical identifiers.
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Patient.identifier:nationelltReservnummer.use
Definition | The purpose of this identifier.
Kort | usual | official | temp | secondary | old (If known)
Kommentarer | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Kontroll | 0..1
Bindning | Koderna SKA tas från IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Typ | code
Är modifierare | true eftersom This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Patient.identifier:nationelltReservnummer.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Kort | The namespace for the identifier value
Kommentarer | Identifier.system is always case sensitive.
Kontroll | 10..1
Typ | uri
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Mönstervärde | `http://electronichealth.se/identifier/nationelltReservnummer`
Exempel | General: http://www.acme.com/identifiers/patient
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Patient.active
Definition | Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.
Kort | Whether this patient's record is in active use
Kommentarer | If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.
Kontroll | 0..1
Typ | boolean
Är modifierare | true eftersom This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | Need to be able to mark a patient record as not to be used because it was created in error.
Betydelse om saknas | This resource is generally assumed to be active if no value is provided for the active element
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Patient.name
Definition | A name associated with the individual.
Kort | A name associated with the patient
Kommentarer | A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Kontroll | 0..1*
Typ | HumanName(SEBaseHumanName)
Är modifierare | false
Sammanfattning | true
Krav | Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Patient.deceased[x]
Definition | Indicates if the individual is deceased or not.
Kort | Indicates if the individual is deceased or not
Kommentarer | If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.
Kontroll | 0..1
Typ | Val av: boolean, dateTime
[x] Notera | SeVal av datatyperför mer information om hur [x] används
Är modifierare | true eftersom This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Patient.maritalStatus
Definition | This field contains a patient's most recent marital (civil) status.
Kort | Marital (civil) status of a patient
Kontroll | 0..1
Bindning | Om inte olämpligt SKA dessa koder tas från SE ValueSet for marital status http://hl7.org/fhir/ValueSet/marital-status|4.0.1 (extensible to `http://hl7.se/fhir/ig/base/ValueSet/SEBaseMaritalStatusVS` )
Typ | CodeableConcept
Är modifierare | false
Sammanfattning | false
Krav | Most, if not all systems capture it.
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Patient.link
Definition | Link to another patient resource that concerns the same actual patient.
Kort | Link to another patient resource that concerns the same actual person
Kommentarer | There is no assumption that linked patient records have mutual links.
Kontroll | 0..*
Typ | BackboneElement
Är modifierare | true eftersom This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
Sammanfattning | true
Krav | There are multiple use cases: Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and Distribution of patient information across multiple servers.
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Patient.link.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Kort | Extensions that cannot be ignored even if unrecognized
Kommentarer | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Kontroll | 0..*
Typ | Extension
Är modifierare | true eftersom Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Sammanfattning | true
Krav | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternativa namn | extensions, user content, modifiers
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
38. Patient.link.other
Definition | The other patient resource that the link refers to.
Kort | The other patient or related person resource that the link refers to
Kommentarer | Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.
Kontroll | 1..1
Typ | Reference(Patient, RelatedPerson)
Är modifierare | false
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Patient.link.type
Definition | The type of link between this patient resource and another patient resource.
Kort | replaced-by | replaces | refer | seealso
Kontroll | 1..1
Bindning | Koderna SKA tas från LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 (required to `http://hl7.org/fhir/ValueSet/link-type|4.0.1` ) The type of link between this patient resource and another patient resource.
Typ | code
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Vägledning om hur innehållet i denna tabell ska tolkas finnshär-- no content: do not translate #1 --

0. Patient
2. Patient.meta
4. Patient.meta.security
6. Patient.meta.security.code
Bindning | Om inte olämpligt SKA dessa koder tas från SE ValueSet security labels (extensible to `http://hl7.se/fhir/ig/base/ValueSet/SecurityLabelVS` )
8. Patient.identifier
Notera | Detta är en verksamhetsidentifierare, inte en resursidentifierare (se diskussion)
Slicing | Detta element introducerar en uppsättning skivor på `Patient.identifier`. Skivorna ärOordnad och Open, och kan särskiljas med hjälp av följande diskriminatorer: value @ system
10. Patient.identifier:personnummer
Skivnamn | personnummer
Notera | Detta är en verksamhetsidentifierare, inte en resursidentifierare (se diskussion)
Kontroll | 0..1
12. Patient.identifier:personnummer.system
Kontroll | 1..?
Mönstervärde | `http://electronichealth.se/identifier/personnummer`
14. Patient.identifier:samordningsnummer
Skivnamn | samordningsnummer
Notera | Detta är en verksamhetsidentifierare, inte en resursidentifierare (se diskussion)
Kontroll | 0..1
16. Patient.identifier:samordningsnummer.system
Kontroll | 1..?
Mönstervärde | `http://electronichealth.se/identifier/samordningsnummer`
18. Patient.identifier:nationelltReservnummer
Skivnamn | nationelltReservnummer
Notera | Detta är en verksamhetsidentifierare, inte en resursidentifierare (se diskussion)
Kontroll | 0..1
20. Patient.identifier:nationelltReservnummer.system
Kontroll | 1..?
Mönstervärde | `http://electronichealth.se/identifier/nationelltReservnummer`
22. Patient.name
Kontroll | 0..1
Typ | HumanName(SEBaseHumanName)
24. Patient.address
26. Patient.address.extension:officialAddressType
Skivnamn | officialAddressType
Kontroll | 0..1
Typ | Extension(SE extension for official address types) (Extensionstyp: CodeableConcept)
28. Patient.maritalStatus
Bindning | Om inte olämpligt SKA dessa koder tas från SE ValueSet for marital status (extensible to `http://hl7.se/fhir/ig/base/ValueSet/SEBaseMaritalStatusVS` )

Vägledning om hur innehållet i denna tabell ska tolkas finnshär-- no content: do not translate #1 --

0. Patient
Definition | Demographics and other administrative information about an individual or animal receiving care or other health-related services.
Kort | Information about an individual or animal receiving health care services
Kontroll | 0..*
Är modifierare | false
Sammanfattning | false
Alternativa namn | SubjectOfCare Client Resident
Invarianter | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (`contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`)
2. Patient.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Kort | Logical id of this artifact
Kommentarer | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Kontroll | 0..1
Typ | id
Är modifierare | false
Sammanfattning | true
4. Patient.meta
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Kort | Metadata about the resource
Kontroll | 0..1
Typ | Meta
Är modifierare | false
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Patient.meta.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Kort | Unique id for inter-element referencing
Kontroll | 0..1
Typ | string
Är modifierare | false
XML-format | I XML-formatet representeras denna egenskap som ett attribut.
Sammanfattning | false
8. Patient.meta.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Kort | Additional content defined by implementations
Kommentarer | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Kontroll | 0..*
Typ | Extension
Är modifierare | false
Sammanfattning | false
Alternativa namn | extensions, user content
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Detta element introducerar en uppsättning skivor på `Patient.meta.extension`. Skivorna ärOordnad och Open, och kan särskiljas med hjälp av följande diskriminatorer: value @ url
10. Patient.meta.versionId
Definition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Kort | Version specific identifier
Kommentarer | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
Kontroll | 0..1
Typ | id
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Patient.meta.lastUpdated
Definition | When the resource last changed - e.g. when the version changed.
Kort | When the resource version last changed
Kommentarer | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
Kontroll | 0..1
Typ | instant
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
14. Patient.meta.source
Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Kort | Identifies where the resource comes from
Kommentarer | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Kontroll | 0..1
Typ | uri
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. Patient.meta.profile
Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
Kort | Profiles this resource claims to conform to
Kommentarer | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Kontroll | 0..*
Typ | canonical(StructureDefinition)
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
18. Patient.meta.security
Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Kort | Security Labels applied to this resource
Kommentarer | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Kontroll | 0..*
Bindning | Om inte olämpligt SKA dessa koder tas från All Security Labels (extensible to `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` ) Security Labels from the Healthcare Privacy and Security Classification System.
Typ | Coding
Är modifierare | false
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. Patient.meta.security.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Kort | Unique id for inter-element referencing
Kontroll | 0..1
Typ | string
Är modifierare | false
XML-format | I XML-formatet representeras denna egenskap som ett attribut.
Sammanfattning | false
22. Patient.meta.security.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Kort | Additional content defined by implementations
Kommentarer | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Kontroll | 0..*
Typ | Extension
Är modifierare | false
Sammanfattning | false
Alternativa namn | extensions, user content
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Detta element introducerar en uppsättning skivor på `Patient.meta.security.extension`. Skivorna ärOordnad och Open, och kan särskiljas med hjälp av följande diskriminatorer: value @ url
24. Patient.meta.security.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Kort | Identity of the terminology system
Kommentarer | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Kontroll | 0..1
Typ | uri
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | Need to be unambiguous about the source of the definition of the symbol.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. Patient.meta.security.version
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Kort | Version of the system - if relevant
Kommentarer | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Notera | Detta är ett verksamhetsversions-id, inte ett resursversions-id (se diskussion)
Kontroll | 0..1
Typ | string
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. Patient.meta.security.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Kort | Symbol in syntax defined by the system
Kontroll | 0..1
Bindning | Om inte olämpligt SKA dessa koder tas från SE ValueSet security labels (extensible to `http://hl7.se/fhir/ig/base/ValueSet/SecurityLabelVS` )
Typ | code
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | Need to refer to a particular code in the system.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. Patient.meta.security.display
Definition | A representation of the meaning of the code in the system, following the rules of the system.
Kort | Representation defined by the system
Kontroll | 0..1
Typ | string
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. Patient.meta.security.userSelected
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Kort | If this coding was chosen directly by the user
Kommentarer | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Kontroll | 0..1
Typ | boolean
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. Patient.meta.tag
Definition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Kort | Tags applied to this resource
Kommentarer | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Kontroll | 0..*
Bindning | För exempelkoder, se CommonTags (example to `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` ) Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Typ | Coding
Är modifierare | false
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. Patient.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Kort | A set of rules under which this content was created
Kommentarer | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Kontroll | 0..1
Typ | uri
Är modifierare | true eftersom This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. Patient.language
Definition | The base language in which the resource is written.
Kort | Language of the resource content
Kommentarer | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Kontroll | 0..1
Bindning | Koderna BÖR tas från CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Ytterligare bindningar | Syfte
AllLanguages | Maxbindning
Typ | code
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | false
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. Patient.text
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Kort | Text summary of the resource, for human interpretation
Kommentarer | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Kontroll | 0..1
Typ | Narrative
Är modifierare | false
Sammanfattning | false
Alternativa namn | narrative, html, xhtml, display
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. Patient.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Kort | Contained, inline Resources
Kommentarer | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Kontroll | 0..*
Typ | Resource
Är modifierare | false
Sammanfattning | false
Alternativa namn | inline resources, anonymous resources, contained resources
44. Patient.extension
Definition | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Kort | Additional content defined by implementations
Kommentarer | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Kontroll | 0..*
Typ | Extension
Är modifierare | false
Sammanfattning | false
Alternativa namn | extensions, user content
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
46. Patient.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Kort | Extensions that cannot be ignored
Kommentarer | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Kontroll | 0..*
Typ | Extension
Är modifierare | true eftersom Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Sammanfattning | false
Krav | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternativa namn | extensions, user content
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
48. Patient.identifier
Definition | An identifier for this patient.
Kort | An identifier for this patient
Notera | Detta är en verksamhetsidentifierare, inte en resursidentifierare (se diskussion)
Kontroll | 0..*
Typ | Identifier
Är modifierare | false
Sammanfattning | true
Krav | Patients are almost always assigned specific numerical identifiers.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Detta element introducerar en uppsättning skivor på `Patient.identifier`. Skivorna ärOordnad och Open, och kan särskiljas med hjälp av följande diskriminatorer: value @ system
50. Patient.identifier:personnummer
Skivnamn | personnummer
Definition | An identifier for this patient.
Kort | An identifier for this patient
Notera | Detta är en verksamhetsidentifierare, inte en resursidentifierare (se diskussion)
Kontroll | 0..1
Typ | Identifier
Är modifierare | false
Sammanfattning | true
Krav | Patients are almost always assigned specific numerical identifiers.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. Patient.identifier:personnummer.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Kort | Unique id for inter-element referencing
Kontroll | 0..1
Typ | string
Är modifierare | false
XML-format | I XML-formatet representeras denna egenskap som ett attribut.
Sammanfattning | false
54. Patient.identifier:personnummer.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Kort | Additional content defined by implementations
Kommentarer | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Kontroll | 0..*
Typ | Extension
Är modifierare | false
Sammanfattning | false
Alternativa namn | extensions, user content
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Detta element introducerar en uppsättning skivor på `Patient.identifier.extension`. Skivorna ärOordnad och Open, och kan särskiljas med hjälp av följande diskriminatorer: value @ url
56. Patient.identifier:personnummer.use
Definition | The purpose of this identifier.
Kort | usual | official | temp | secondary | old (If known)
Kommentarer | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Kontroll | 0..1
Bindning | Koderna SKA tas från IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Typ | code
Är modifierare | true eftersom This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. Patient.identifier:personnummer.type
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Kort | Description of identifier
Kommentarer | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Kontroll | 0..1
Bindning | Om inte olämpligt SKA dessa koder tas från Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Typ | CodeableConcept
Är modifierare | false
Sammanfattning | true
Krav | Allows users to make use of identifiers when the identifier system is not known.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. Patient.identifier:personnummer.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Kort | The namespace for the identifier value
Kommentarer | Identifier.system is always case sensitive.
Kontroll | 1..1
Typ | uri
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Mönstervärde | `http://electronichealth.se/identifier/personnummer`
Exempel | General: http://www.acme.com/identifiers/patient
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. Patient.identifier:personnummer.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Kort | The value that is unique
Kommentarer | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Kontroll | 0..1
Typ | string
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Exempel | General: 123456
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. Patient.identifier:personnummer.period
Definition | Time period during which identifier is/was valid for use.
Kort | Time period when id is/was valid for use
Kontroll | 0..1
Typ | Period
Är modifierare | false
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. Patient.identifier:personnummer.assigner
Definition | Organization that issued/manages the identifier.
Kort | Organization that issued id (may be just text)
Kommentarer | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Kontroll | 0..1
Typ | Reference(Organization)
Är modifierare | false
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. Patient.identifier:samordningsnummer
Skivnamn | samordningsnummer
Definition | An identifier for this patient.
Kort | An identifier for this patient
Notera | Detta är en verksamhetsidentifierare, inte en resursidentifierare (se diskussion)
Kontroll | 0..1
Typ | Identifier
Är modifierare | false
Sammanfattning | true
Krav | Patients are almost always assigned specific numerical identifiers.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. Patient.identifier:samordningsnummer.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Kort | Unique id for inter-element referencing
Kontroll | 0..1
Typ | string
Är modifierare | false
XML-format | I XML-formatet representeras denna egenskap som ett attribut.
Sammanfattning | false
72. Patient.identifier:samordningsnummer.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Kort | Additional content defined by implementations
Kommentarer | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Kontroll | 0..*
Typ | Extension
Är modifierare | false
Sammanfattning | false
Alternativa namn | extensions, user content
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Detta element introducerar en uppsättning skivor på `Patient.identifier.extension`. Skivorna ärOordnad och Open, och kan särskiljas med hjälp av följande diskriminatorer: value @ url
74. Patient.identifier:samordningsnummer.use
Definition | The purpose of this identifier.
Kort | usual | official | temp | secondary | old (If known)
Kommentarer | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Kontroll | 0..1
Bindning | Koderna SKA tas från IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Typ | code
Är modifierare | true eftersom This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. Patient.identifier:samordningsnummer.type
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Kort | Description of identifier
Kommentarer | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Kontroll | 0..1
Bindning | Om inte olämpligt SKA dessa koder tas från Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Typ | CodeableConcept
Är modifierare | false
Sammanfattning | true
Krav | Allows users to make use of identifiers when the identifier system is not known.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
78. Patient.identifier:samordningsnummer.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Kort | The namespace for the identifier value
Kommentarer | Identifier.system is always case sensitive.
Kontroll | 1..1
Typ | uri
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Mönstervärde | `http://electronichealth.se/identifier/samordningsnummer`
Exempel | General: http://www.acme.com/identifiers/patient
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. Patient.identifier:samordningsnummer.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Kort | The value that is unique
Kommentarer | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Kontroll | 0..1
Typ | string
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Exempel | General: 123456
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. Patient.identifier:samordningsnummer.period
Definition | Time period during which identifier is/was valid for use.
Kort | Time period when id is/was valid for use
Kontroll | 0..1
Typ | Period
Är modifierare | false
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. Patient.identifier:samordningsnummer.assigner
Definition | Organization that issued/manages the identifier.
Kort | Organization that issued id (may be just text)
Kommentarer | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Kontroll | 0..1
Typ | Reference(Organization)
Är modifierare | false
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. Patient.identifier:nationelltReservnummer
Skivnamn | nationelltReservnummer
Definition | An identifier for this patient.
Kort | An identifier for this patient
Notera | Detta är en verksamhetsidentifierare, inte en resursidentifierare (se diskussion)
Kontroll | 0..1
Typ | Identifier
Är modifierare | false
Sammanfattning | true
Krav | Patients are almost always assigned specific numerical identifiers.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. Patient.identifier:nationelltReservnummer.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Kort | Unique id for inter-element referencing
Kontroll | 0..1
Typ | string
Är modifierare | false
XML-format | I XML-formatet representeras denna egenskap som ett attribut.
Sammanfattning | false
90. Patient.identifier:nationelltReservnummer.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Kort | Additional content defined by implementations
Kommentarer | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Kontroll | 0..*
Typ | Extension
Är modifierare | false
Sammanfattning | false
Alternativa namn | extensions, user content
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Detta element introducerar en uppsättning skivor på `Patient.identifier.extension`. Skivorna ärOordnad och Open, och kan särskiljas med hjälp av följande diskriminatorer: value @ url
92. Patient.identifier:nationelltReservnummer.use
Definition | The purpose of this identifier.
Kort | usual | official | temp | secondary | old (If known)
Kommentarer | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Kontroll | 0..1
Bindning | Koderna SKA tas från IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Typ | code
Är modifierare | true eftersom This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. Patient.identifier:nationelltReservnummer.type
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Kort | Description of identifier
Kommentarer | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Kontroll | 0..1
Bindning | Om inte olämpligt SKA dessa koder tas från Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Typ | CodeableConcept
Är modifierare | false
Sammanfattning | true
Krav | Allows users to make use of identifiers when the identifier system is not known.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. Patient.identifier:nationelltReservnummer.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Kort | The namespace for the identifier value
Kommentarer | Identifier.system is always case sensitive.
Kontroll | 1..1
Typ | uri
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Mönstervärde | `http://electronichealth.se/identifier/nationelltReservnummer`
Exempel | General: http://www.acme.com/identifiers/patient
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. Patient.identifier:nationelltReservnummer.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Kort | The value that is unique
Kommentarer | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Kontroll | 0..1
Typ | string
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Exempel | General: 123456
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. Patient.identifier:nationelltReservnummer.period
Definition | Time period during which identifier is/was valid for use.
Kort | Time period when id is/was valid for use
Kontroll | 0..1
Typ | Period
Är modifierare | false
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. Patient.identifier:nationelltReservnummer.assigner
Definition | Organization that issued/manages the identifier.
Kort | Organization that issued id (may be just text)
Kommentarer | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Kontroll | 0..1
Typ | Reference(Organization)
Är modifierare | false
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. Patient.active
Definition | Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.
Kort | Whether this patient's record is in active use
Kommentarer | If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.
Kontroll | 0..1
Typ | boolean
Är modifierare | true eftersom This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | Need to be able to mark a patient record as not to be used because it was created in error.
Betydelse om saknas | This resource is generally assumed to be active if no value is provided for the active element
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. Patient.name
Definition | A name associated with the individual.
Kort | A name associated with the patient
Kommentarer | A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Kontroll | 0..1
Typ | HumanName(SEBaseHumanName)
Är modifierare | false
Sammanfattning | true
Krav | Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. Patient.telecom
Definition | A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.
Kort | A contact detail for the individual
Kommentarer | A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).
Kontroll | 0..*
Typ | ContactPoint
Är modifierare | false
Sammanfattning | true
Krav | People have (primary) ways to contact them in some way such as phone, email.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. Patient.gender
Definition | Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.
Kort | male | female | other | unknown
Kommentarer | The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.
Kontroll | 0..1
Bindning | Koderna SKA tas från AdministrativeGender (required to `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` ) The gender of a person used for administrative purposes.
Typ | code
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | Needed for identification of the individual, in combination with (at least) name and birth date.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. Patient.birthDate
Definition | The date of birth for the individual.
Kort | The date of birth for the individual
Kommentarer | At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).
Kontroll | 0..1
Typ | date
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | Age of the individual drives many clinical processes.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
LOINC-kod | 21112-8
114. Patient.deceased[x]
Definition | Indicates if the individual is deceased or not.
Kort | Indicates if the individual is deceased or not
Kommentarer | If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.
Kontroll | 0..1
Typ | Val av: boolean, dateTime
[x] Notera | SeVal av datatyperför mer information om hur [x] används
Är modifierare | true eftersom This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. Patient.address
Definition | An address for the individual.
Kort | An address for the individual
Kommentarer | Patient may have multiple addresses with different uses or applicable periods.
Kontroll | 0..*
Typ | Address
Är modifierare | false
Sammanfattning | true
Krav | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. Patient.address.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Kort | Unique id for inter-element referencing
Kontroll | 0..1
Typ | string
Är modifierare | false
XML-format | I XML-formatet representeras denna egenskap som ett attribut.
Sammanfattning | false
120. Patient.address.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Kort | Additional content defined by implementations
Kommentarer | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Kontroll | 0..*
Typ | Extension
Är modifierare | false
Sammanfattning | false
Alternativa namn | extensions, user content
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Detta element introducerar en uppsättning skivor på `Patient.address.extension`. Skivorna ärOordnad och Open, och kan särskiljas med hjälp av följande diskriminatorer: value @ url
122. Patient.address.extension:officialAddressType
Skivnamn | officialAddressType
Definition | This extension defines the official ValueSet to be used when expressing address type in accordance with the Swedish authorities
Kort | SE extension for official address types
Kontroll | 0..1
Typ | Extension(SE extension for official address types) (Extensionstyp: CodeableConcept)
Är modifierare | false
Sammanfattning | false
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
124. Patient.address.use
Definition | The purpose of this address.
Kort | home | work | temp | old | billing - purpose of this address
Kommentarer | Applications can assume that an address is current unless it explicitly says that it is temporary or old.
Kontroll | 0..1
Bindning | Koderna SKA tas från AddressUse (required to `http://hl7.org/fhir/ValueSet/address-use|4.0.1` ) The use of an address.
Typ | code
Är modifierare | true eftersom This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | Allows an appropriate address to be chosen from a list of many.
Exempel | General: home
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. Patient.address.type
Definition | Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.
Kort | postal | physical | both
Kommentarer | The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).
Kontroll | 0..1
Bindning | Koderna SKA tas från AddressType (required to `http://hl7.org/fhir/ValueSet/address-type|4.0.1` ) The type of an address (physical / postal).
Typ | code
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Exempel | General: both
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
128. Patient.address.text
Definition | Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.
Kort | Text representation of the address
Kommentarer | Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Kontroll | 0..1
Typ | string
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Krav | A renderable, unencoded form.
Exempel | General: 137 Nowhere Street, Erewhon 9132
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. Patient.address.line
Definition | This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.
Kort | Street name, number, direction & P.O. Box etc.
Kontroll | 0..*
Typ | string
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Exempel | General: 137 Nowhere Street
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
132. Patient.address.city
Definition | The name of the city, town, suburb, village or other community or delivery center.
Kort | Name of city, town etc.
Kontroll | 0..1
Typ | string
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Alternativa namn | Municpality
Exempel | General: Erewhon
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. Patient.address.district
Definition | The name of the administrative area (county).
Kort | District name (aka county)
Kommentarer | District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.
Kontroll | 0..1
Typ | string
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Alternativa namn | County
Exempel | General: Madison
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
136. Patient.address.state
Definition | Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).
Kort | Sub-unit of country (abbreviations ok)
Kontroll | 0..1
Typ | string
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Alternativa namn | Province, Territory
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
138. Patient.address.postalCode
Definition | A postal code designating a region defined by the postal service.
Kort | Postal code for area
Kontroll | 0..1
Typ | string
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Alternativa namn | Zip
Exempel | General: 9132
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
140. Patient.address.country
Definition | Country - a nation as commonly understood or generally accepted.
Kort | Country (e.g. can be ISO 3166 2 or 3 letter code)
Kommentarer | ISO 3166 3 letter codes can be used in place of a human readable country name.
Kontroll | 0..1
Typ | string
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. Patient.address.period
Definition | Time period when address was/is in use.
Kort | Time period when address was/is in use
Kontroll | 0..1
Typ | Period
Är modifierare | false
Sammanfattning | true
Krav | Allows addresses to be placed in historical context.
Exempel | General: { "start" : "2010-03-23", "end" : "2010-07-01" }
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. Patient.maritalStatus
Definition | This field contains a patient's most recent marital (civil) status.
Kort | Marital (civil) status of a patient
Kontroll | 0..1
Bindning | Om inte olämpligt SKA dessa koder tas från SE ValueSet for marital status (extensible to `http://hl7.se/fhir/ig/base/ValueSet/SEBaseMaritalStatusVS` )
Typ | CodeableConcept
Är modifierare | false
Sammanfattning | false
Krav | Most, if not all systems capture it.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. Patient.multipleBirth[x]
Definition | Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).
Kort | Whether patient is part of a multiple birth
Kommentarer | Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).
Kontroll | 0..1
Typ | Val av: boolean, integer
[x] Notera | SeVal av datatyperför mer information om hur [x] används
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | false
Krav | For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
148. Patient.photo
Definition | Image of the patient.
Kort | Image of the patient
Kommentarer | Guidelines: Use id photos, not clinical photos. Limit dimensions to thumbnail. Keep byte count low to ease resource updates.
Kontroll | 0..*
Typ | Attachment
Är modifierare | false
Sammanfattning | false
Krav | Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
150. Patient.contact
Definition | A contact party (e.g. guardian, partner, friend) for the patient.
Kort | A contact party (e.g. guardian, partner, friend) for the patient
Kommentarer | Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.
Kontroll | 0..*
Typ | BackboneElement
Är modifierare | false
Sammanfattning | false
Krav | Need to track people you can contact about the patient.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) pat-1: SHALL at least contain a contact's details or a reference to an organization (`name.exists() or telecom.exists() or address.exists() or organization.exists()`)
152. Patient.contact.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Kort | Unique id for inter-element referencing
Kontroll | 0..1
Typ | string
Är modifierare | false
XML-format | I XML-formatet representeras denna egenskap som ett attribut.
Sammanfattning | false
154. Patient.contact.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Kort | Additional content defined by implementations
Kommentarer | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Kontroll | 0..*
Typ | Extension
Är modifierare | false
Sammanfattning | false
Alternativa namn | extensions, user content
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
156. Patient.contact.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Kort | Extensions that cannot be ignored even if unrecognized
Kommentarer | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Kontroll | 0..*
Typ | Extension
Är modifierare | true eftersom Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Sammanfattning | true
Krav | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternativa namn | extensions, user content, modifiers
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
158. Patient.contact.relationship
Definition | The nature of the relationship between the patient and the contact person.
Kort | The kind of relationship
Kontroll | 0..*
Bindning | Om inte olämpligt SKA dessa koder tas från PatientContactRelationship (extensible to `http://hl7.org/fhir/ValueSet/patient-contactrelationship|4.0.1` ) The nature of the relationship between a patient and a contact person for that patient.
Typ | CodeableConcept
Är modifierare | false
Sammanfattning | false
Krav | Used to determine which contact person is the most relevant to approach, depending on circumstances.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
160. Patient.contact.name
Definition | A name associated with the contact person.
Kort | A name associated with the contact person
Kontroll | 0..1
Typ | HumanName
Är modifierare | false
Sammanfattning | false
Krav | Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
162. Patient.contact.telecom
Definition | A contact detail for the person, e.g. a telephone number or an email address.
Kort | A contact detail for the person
Kommentarer | Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.
Kontroll | 0..*
Typ | ContactPoint
Är modifierare | false
Sammanfattning | false
Krav | People have (primary) ways to contact them in some way such as phone, email.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
164. Patient.contact.address
Definition | Address for the contact person.
Kort | Address for the contact person
Kontroll | 0..1
Typ | Address
Är modifierare | false
Sammanfattning | false
Krav | Need to keep track where the contact person can be contacted per postal mail or visited.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
166. Patient.contact.gender
Definition | Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.
Kort | male | female | other | unknown
Kontroll | 0..1
Bindning | Koderna SKA tas från AdministrativeGender (required to `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` ) The gender of a person used for administrative purposes.
Typ | code
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | false
Krav | Needed to address the person correctly.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
168. Patient.contact.organization
Definition | Organization on behalf of which the contact is acting or for which the contact is working.
Kort | Organization that is associated with the contact
Kontroll | 0..1 Detta element påverkas av följande invarianter: pat-1
Typ | Reference(Organization)
Är modifierare | false
Sammanfattning | false
Krav | For guardians or business related contacts, the organization is relevant.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
170. Patient.contact.period
Definition | The period during which this contact person or organization is valid to be contacted relating to this patient.
Kort | The period during which this contact person or organization is valid to be contacted relating to this patient
Kontroll | 0..1
Typ | Period
Är modifierare | false
Sammanfattning | false
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
172. Patient.communication
Definition | A language which may be used to communicate with the patient about his or her health.
Kort | A language which may be used to communicate with the patient about his or her health
Kommentarer | If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.
Kontroll | 0..*
Typ | BackboneElement
Är modifierare | false
Sammanfattning | false
Krav | If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
174. Patient.communication.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Kort | Unique id for inter-element referencing
Kontroll | 0..1
Typ | string
Är modifierare | false
XML-format | I XML-formatet representeras denna egenskap som ett attribut.
Sammanfattning | false
176. Patient.communication.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Kort | Additional content defined by implementations
Kommentarer | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Kontroll | 0..*
Typ | Extension
Är modifierare | false
Sammanfattning | false
Alternativa namn | extensions, user content
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
178. Patient.communication.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Kort | Extensions that cannot be ignored even if unrecognized
Kommentarer | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Kontroll | 0..*
Typ | Extension
Är modifierare | true eftersom Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Sammanfattning | true
Krav | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternativa namn | extensions, user content, modifiers
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
180. Patient.communication.language
Definition | The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.
Kort | The language which can be used to communicate with the patient about his or her health
Kommentarer | The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.
Kontroll | 1..1
Bindning | Koderna BÖR tas från CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Ytterligare bindningar | Syfte
AllLanguages | Maxbindning
Typ | CodeableConcept
Är modifierare | false
Sammanfattning | false
Krav | Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. Patient.communication.preferred
Definition | Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).
Kort | Language preference indicator
Kommentarer | This language is specifically identified for communicating healthcare information.
Kontroll | 0..1
Typ | boolean
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | false
Krav | People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
184. Patient.generalPractitioner
Definition | Patient's nominated care provider.
Kort | Patient's nominated primary care provider
Kommentarer | This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.
Kontroll | 0..*
Typ | Reference(Organization, Practitioner, PractitionerRole)
Är modifierare | false
Sammanfattning | false
Alternativa namn | careProvider
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
186. Patient.managingOrganization
Definition | Organization that is the custodian of the patient record.
Kort | Organization that is the custodian of the patient record
Kommentarer | There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).
Kontroll | 0..1
Typ | Reference(Organization)
Är modifierare | false
Sammanfattning | true
Krav | Need to know who recognizes this patient record, manages and updates it.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
188. Patient.link
Definition | Link to another patient resource that concerns the same actual patient.
Kort | Link to another patient resource that concerns the same actual person
Kommentarer | There is no assumption that linked patient records have mutual links.
Kontroll | 0..*
Typ | BackboneElement
Är modifierare | true eftersom This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
Sammanfattning | true
Krav | There are multiple use cases: Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and Distribution of patient information across multiple servers.
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
190. Patient.link.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Kort | Unique id for inter-element referencing
Kontroll | 0..1
Typ | string
Är modifierare | false
XML-format | I XML-formatet representeras denna egenskap som ett attribut.
Sammanfattning | false
192. Patient.link.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Kort | Additional content defined by implementations
Kommentarer | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Kontroll | 0..*
Typ | Extension
Är modifierare | false
Sammanfattning | false
Alternativa namn | extensions, user content
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
194. Patient.link.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Kort | Extensions that cannot be ignored even if unrecognized
Kommentarer | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Kontroll | 0..*
Typ | Extension
Är modifierare | true eftersom Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Sammanfattning | true
Krav | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternativa namn | extensions, user content, modifiers
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
196. Patient.link.other
Definition | The other patient resource that the link refers to.
Kort | The other patient or related person resource that the link refers to
Kommentarer | Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.
Kontroll | 1..1
Typ | Reference(Patient, RelatedPerson)
Är modifierare | false
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
198. Patient.link.type
Definition | The type of link between this patient resource and another patient resource.
Kort | replaced-by | replaces | refer | seealso
Kontroll | 1..1
Bindning | Koderna SKA tas från LinkType (required to `http://hl7.org/fhir/ValueSet/link-type|4.0.1` ) The type of link between this patient resource and another patient resource.
Typ | code
Är modifierare | false
Primitivt värde | Detta primitiva element kan vara närvarande, frånvarande eller ersättas av en extension
Sammanfattning | true
Invarianter | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)