Advance Care Planning (PZP)
1.0.0-rc2 - trial-use

Advance Care Planning (PZP), published by IKNL. This guide is not an authorized publication; it is the continuous build for version 1.0.0-rc2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IKNL/PZP-FHIR-R4/ and changes regularly. See the Directory of published versions

## Resource Profile: ACPContactPerson - Detailed Descriptions

Draft as of 2026-06-02

Definitions for the ACP-ContactPerson resource profile.

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

Guidance on how to interpret the contents of this table can be foundhere

0. RelatedPerson
Definition | Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.
Short | ContactA person that is related to a patient, but who is not a direct target of care
Comments | Whereas the zib ContactPerson includes all (non-healthcare professional) persons that are involved in the care for a patient, FHIR distinguishes two use cases for these persons: The RelatedPerson resource, and therefore this profile, is used to capture information about any person that is related to the patient. Information about persons that should be contacted regarding the care for the patient is captured using the `Patient.contact` resource. If a person is both a related person and a contact person, then some data duplication is inevitable.
Control | 0..*
Is Modifier | false
Summary | false
Alternate Names | Contactpersoon, nl-core-ContactPerson
Invariants | 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()`) 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. RelatedPerson.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.
Short | A set of rules under which this content was created
Comments | 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.
Control | 0..1
Type | uri
Is Modifier | true because 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
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. RelatedPerson.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).
Short | Extensions that cannot be ignored
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | 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.
Alternate Names | extensions, user content
Invariants | 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()`) 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. RelatedPerson.active
Definition | Whether this related person record is in active use.
Short | Whether this related person's record is in active use
Comments | This element is labeled as a modifier because it may be used to mark that the resource was created in error.
Control | 0..1
Type | boolean
Is Modifier | true because 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
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be able to mark a related person record as not to be used, such as if it was created in error.
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. RelatedPerson.patient
Definition | The patient this person is related to.
Short | The patient this person is related to
Control | 1..1
Type | Reference(ACP Patient, Patient)
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | We need to know which patient this RelatedPerson is related to.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. RelatedPerson.relationship
Definition | The nature of the relationship between a patient and the related person.
Short | The nature of the relationship
Control | 0..*
Binding | The codes SHOULD be taken from PatientRelationshipType http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype|4.0.1` ) The nature of the relationship between a patient and the related person.
Type | CodeableConcept
Is Modifier | false
Summary | true
Requirements | We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `RelatedPerson.relationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
12. RelatedPerson.relationship:role
Slice Name | role
Definition | When someone is or will be a legal representative, then a relationship code `24` from code system urn:oid:2.16.840.1.113883.2.4.3.11.22.472 is added. The nature of the relationship between a patient and the related person.
Short | RoleThe nature of the relationship
Comments | Note: For ACP dataset concepts id `441` (Wettelijk vertegenwoordiger / Contactpersoon) and id `478` (Eerste contactpersoon / Contactpersoon), `relationship[role]` is conceptually 1..*. However, this cardinality is not profiled because it is not mandatory in all contexts where a ContactPerson is used. Creating separate specialized profiles was considered but rejected. A single generic profile was chosen to avoid unnecessary complexity. For the ACP use case, additional codes beyond those in the existing ContactPerson RolCodelijst are required. This is permitted by the zib's extensible binding. However, the ValueSet is bound as 'required' in this slice to ensure the slicing works correctly. Therefore, an additional slice has been added containing a bound ValueSet with the extra codes.
Control | 0..*
Binding | The codes SHALL be taken from The codes SHOULD be taken from RolCodelijst (2020-09-01T00:00:00)http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype|4.0.1 (required to `http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.2--20200901000000|2020-09-01T00:00:00` ) The nature of the relationship between a patient and the related person.
Type | CodeableConcept
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.
Alternate Names | Rol
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. RelatedPerson.relationship:relationship
Slice Name | relationship
Definition | Defines the contact’s familial relationship to the patient. The nature of the relationship between a patient and the related person.
Short | RelationshipThe nature of the relationship
Control | 0..*
Binding | The codes SHALL be taken from The codes SHOULD be taken from RelatieCodelijst (2020-09-01T00:00:00)http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype|4.0.1 (required to `http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.1--20200901000000|2020-09-01T00:00:00` ) The nature of the relationship between a patient and the related person.
Type | CodeableConcept
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.
Alternate Names | Relatie
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. RelatedPerson.relationship:roleAdditional
Slice Name | roleAdditional
Definition | This slice contains codes not included in the RolCodelijst that is bound to the role slice. But has the same definition as the role slice. The nature of the relationship between a patient and the related person.
Short | The nature of the relationship
Comments | Currently, the ACPContactPersonRoleVS ValueSet contains only SNOMED CT code `310141000146103` (Schriftelijk gemachtigde zorg en behandeling).
Control | 0..*
Binding | The codes SHALL be taken from The codes SHOULD be taken from ACPContactPersonRoleVS (1.0.0-rc2)http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype|4.0.1 (required to `https://api.iknl.nl/docs/pzp/r4/ValueSet/ACP-ContactPersonRole|1.0.0-rc2` )
Type | CodeableConcept
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. RelatedPerson.name
Definition | Full name of the contact. A name associated with the person.
Short | NameInformation / PayerNameA name associated with the person
Control | 0..*
Type | HumanName
Is Modifier | false
Summary | true
Requirements | Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.
Alternate Names | Naamgegevens, BetalerNaam
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `RelatedPerson.name`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ use
20. RelatedPerson.name:nameInformation
Slice Name | nameInformation
Definition | This slice represents the person's official name information, including given names, last name and possibly the partner's last name. A name associated with the person.
Short | NameInformationA name associated with the person
Comments | This `.name` element accomodates the official parts of a Dutch name according to common international usage and optionally to the zib NameInformation v1.1 (2020). An official Dutch name is represented in FHIR as an ordinary international name, optionally augmented using extensions to specify how the last name is built up according to the Dutch rules if conformance to the zib is required. See the guidance on `.family` and on `.extension:nameUsage` for more information. Systems that need to work in a Dutch context SHOULD support the extensions as specified in `.given`, `.family` and `.extension:nameUsage`. In addition, systems SHOULD use the core elements according to the FHIR specifications to provide compatibility outside Dutch contexts. This means that: If parts of the name are specified using one or more of the structured elements, the `.text` element SHOULD be populated with a rendered version of the full name. If parts of the family name are specified using the extensions in `.family`, the `.family` element SHOULD be populated with the full family name. Note 1: The zib cannot be represented straightforward in FHIR. Especially note the guidance on `.given` on how to map the FirstNames and Initials concepts, and on `.prefix`/`.suffix` on how to map the Titles concept. Note 2: This element should only contain a person's official names. The GivenName concept is represented in another `.name` element with `.name.use` = usual. Note 3: The examples illustrate how the zib is mapped to FHIR.
Control | 0..2* This element is affected by the following invariants: ele-1
Type | HumanName(nl core NameInformation)
Is Modifier | false
Summary | true
Requirements | Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.
Alternate Names | Naamgegevens, nl-core-NameInformation
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) zib-NameInformation-1: If a prefix for a family name is specified, the family name is expected as well (`family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty().not() implies family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty().not()`) zib-NameInformation-2: If the prefix for a partner family name is specified, the partner family name is expected as well (`family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix').empty().not() implies family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-name').empty().not()`) nl-core-NameInformation-01: If parts of the name are specified using one or more of the structured elements, the `.text` element SHOULD be populated with a rendered version of the full name. This ensures compatibility with common FHIR usage. (`(family.exists() or given.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').where(value != 'IN').exists()) implies text.hasValue()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. RelatedPerson.name:nameInformation.extension:nameUsage
Slice Name | nameUsage
Definition | A code that represents the preferred display order of the components of this human name.
Short | Preferred display order of name parts
Comments | 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.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Assembly Order) (Extension Type: code)
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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()`) 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())
24. RelatedPerson.name:nameInformation.extension:nameUsage.extension
Definition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Comments | 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.
Control | 0..0*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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()`) 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 | This element introduces a set of slices on `RelatedPerson.name.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
26. RelatedPerson.name:nameInformation.extension:nameUsage.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://hl7.org/fhir/StructureDefinition/humanname-assembly-order`
28. RelatedPerson.name:nameInformation.extension:nameUsage.value[x]
Definition | This concept indicates the last name or order of last names with which the person is to be addressed. Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | NameUsageValue of extension
Control | 10..1
Binding | The codes SHALL be taken from For codes, see HumanNameAssemblyOrder (required to `http://hl7.org/fhir/ValueSet/name-assembly-order|4.0.1` ) Use ConceptMap NaamgebruikCodelijst-to-HumanNameAssemblyOrder to translate terminology from the functional model to profile terminology in ValueSet HumanNameAssemblyOrder.
Type | code, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Alternate Names | Naamgebruik
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. RelatedPerson.name:nameInformation.use
Definition | Identifies the purpose for this name.
Short | usual | official | temp | nickname | anonymous | old | maiden
Comments | Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Control | 10..1
Binding | The codes SHALL be taken from NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) The use of a human name.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names.
Pattern Value | `official`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. RelatedPerson.name:nameInformation.given
Definition | One of a person’s official first names or the initial if the full name is not known. Given name.
Short | FirstName / InitialGiven names (not always 'first'). Includes middle names
Comments | This element can be used to represent full given names or initials. `extension:givenOrInitial` SHALL be used on each repretition to specifiy if it's a full name (BR) or an initial (IN). ## Zib compatibility Tthis element is used to represent the FirstNames and Initials concepts of zib NameInformation, but the FHIR implementation deviates from the zib model. The zib defines these concepts as a list of official first names (as a single string) and a list of initials (as a single string), both optional. They both represent the official name(s) of a person and thus represent the same concept. In FHIR however, each first name is either a complete name or an initial, but not both. In addition, each name may be defined separately. Therefore, the zib concepts are implemented here in the following way: Systems SHOULD use a `.given` element for each official first name that they know of (either as a full name or an initial), in order of appearance (as specified by FHIR). Each of these elements: SHOULD be populated with the complete name if it is known, or with the initial if no more information is available. As noted, it SHALL be augmented with `extension:givenOrInitial`. Initials should thus not be communicated for each complete first name that is known, in contrast to what is specified by the zib. Receiving systems can recreate initials from the full names if needed. If a system does however only have a list of official first names and a separate list of official initials, without knowing the relationship between these two, only the full names SHOULD be communicated, while an additional `.name` instance MAY be used to communicate the initials. It is expected that the second instance just contains the initials and no other information from the zib. Receiving systems MAY ignore the second instance. Note 1: The GivenName concept should not be included here but in a separate `.name` instance where `.use` = usual. Note 2: As specified by FHIR, multiple official first names MAY be combined in a single `.given` element (separated by spaces), as long as the `.given` elements can be concatenated to form the full first name representation, and the 'extension:givenOrInitial` is used to mark the element as containing either full names or the initials. This pattern is strongly discouraged as it is hard to determine if the value pertains multiple names or a single combined name containing spaces. If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
Control | 0..* This element is affected by the following invariants: nl-core-NameInformation-01
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Alternate Names | first name, middle name, Voornaam, Initiaal
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. RelatedPerson.name:nameInformation.given.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. 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.
Short | Additional content defined by implementations
Comments | 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.
Control | 10..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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()`) 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 | This element introduces a set of slices on `RelatedPerson.name.given.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
36. RelatedPerson.name:nameInformation.given.extension:givenOrInitial
Slice Name | givenOrInitial
Definition | A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.
Short | LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
Comments | Used to indicate additional information about the name part and how it should be used.
Control | 1..* This element is affected by the following invariants: ele-1
Type | Extension(EN Qualifier) (Extension Type: code)
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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()`) 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. RelatedPerson.name:nameInformation.suffix
Definition | Noble and scientific titles. These can assist in formulating oral and formal addresing titles. Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.
Short | TitlesParts that come after the name
Comments | The zib concept 'titles' is mapped to elements `HumanName.prefix` and `HumanName.suffix`. Semantically this mapping is not complete: the zib uses a single concept that contains all the required information about noble and scientific titles, while FHIR captures the same information in a structured way. Export: Systems are expected to transform as much as possible to the FHIR datamodel and thereby to be as explicit as possible. Note that in order to mark the type of a prefix, you can use the FHIR standard extension for ISO 21090 EN Qualifiers. Examples include the use of the qualifier HON to indicate honorific prefixes and AC for academic prefixes. If it is not possible to breakup the zib concept titles to positioned prefixes and suffixes, the prefix element is used to store all information. Import: Systems need to expect and be resilient for a broader range of information stored in the prefix element than stated by it's definition.
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Alternate Names | Titels
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. RelatedPerson.name:nameInformation-GivenName
Slice Name | nameInformation-GivenName
Definition | This slice represents the name information normally used to address the person. A name associated with the person.
Short | Name of a human - parts and usageA name associated with the person
Comments | This `.name` element represents the Dutch given name ("roepnaam") according to the zib NameInformation v1.1 (2020). Note 1: This element should only contain a person's unofficial name. The official names are represented in one or more other `.name` elements with `.name.use` = official. Note 2: The examples illustrate how the zib is mapped to FHIR.
Control | 0..* This element is affected by the following invariants: ele-1
Type | HumanName(nl core NameInformation.GivenName)
Is Modifier | false
Summary | true
Requirements | Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.
Alternate Names | nl-core-NameInformation.GivenName
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. RelatedPerson.name:nameInformation-GivenName.use
Definition | Identifies the purpose for this name.
Short | usual | official | temp | nickname | anonymous | old | maiden
Comments | Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Control | 10..1
Binding | The codes SHALL be taken from NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) The use of a human name.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names.
Pattern Value | `usual`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. RelatedPerson.name:nameInformation-GivenName.family
Definition | The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Short | Family name (often called 'Surname')
Comments | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
Control | 0..01
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Alternate Names | surname
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. RelatedPerson.name:nameInformation-GivenName.given
Definition | The name normally used to address the person. Given name.
Short | GivenNameGiven names (not always 'first'). Includes middle names
Comments | If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
Control | 10..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Alternate Names | first name, middle name, Roepnaam
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. RelatedPerson.name:nameInformation-GivenName.prefix
Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.
Short | Parts that come before the name
Control | 0..0*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. RelatedPerson.name:nameInformation-GivenName.suffix
Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.
Short | Parts that come after the name
Control | 0..0*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. RelatedPerson.telecom
Definition | The contact’s telephone number and/or e-mail address. A contact detail for the person, e.g. a telephone number or an email address.
Short | ContactInformationA contact detail for the person
Comments | The cardinality mismatch between the zib (`0..1`) and FHIR (`0..*`) is explained by the containers TelephoneNumbers (`0..*`) and EmailAddresses (`0..*`) inside the ContactInformation model. The FHIR datatype ContactPoint does not have these containers. Person 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.
Control | 0..*
Type | ContactPoint
Is Modifier | false
Summary | true
Requirements | People have (primary) ways to contact them in some way such as phone, email.
Alternate Names | Contactgegevens
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `RelatedPerson.telecom`. The slices areUnordered and Open, and can be differentiated using the following discriminators: profile @ $this
54. RelatedPerson.telecom:telephoneNumbers
Slice Name | telephoneNumbers
Definition | Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc. A contact detail for the person, e.g. a telephone number or an email address.
Short | TelephoneNumbersA contact detail for the person
Comments | Implementation of the "TelephoneNumbers" concept of zib ContactInformation. Please note that, although the zib concepts TelecomType and NumberType are functionally equivalent to the FHIR concepts `ContactPoint.system` and `ContactPoint.use` respectively, a mismatch occurs on the concept of mobile phone numbers; the zib uses the first concept and FHIR the second. For this reason, the ValueSet on `ContactPoint.system` is too narrow and the zib code will need to be communicated using the ext-CodeSpecification extension. Person 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.
Control | 0..* This element is affected by the following invariants: ele-1
Type | ContactPoint(nl core ContactInformation TelephoneNumbers)
Is Modifier | false
Summary | true
Requirements | People have (primary) ways to contact them in some way such as phone, email.
Alternate Names | Telefoonnummers, nl-core-ContactInformation-TelephoneNumbers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) cpt-2: A system is required if a value is provided. (`value.empty() or system.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. RelatedPerson.telecom:telephoneNumbers.extension:comment
Slice Name | comment
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(ext Comment) (Extension Type: string)
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | false
Invariants | 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()`) 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())
58. RelatedPerson.telecom:telephoneNumbers.extension:comment.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://nictiz.nl/fhir/StructureDefinition/ext-Comment`
60. RelatedPerson.telecom:telephoneNumbers.system
Definition | The telecom or device type that the telephone number is connected to. Telecommunications form for contact point - what communications system is required to make use of the contact.
Short | TelecomTypephone | fax | email | pager | url | sms | other
Control | 10..1 This element is affected by the following invariants: cpt-2
Binding | The codes SHALL be taken from ContactInformationTelephoneNumbersSystem (4.0.1)http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 (required to `http://nictiz.nl/fhir/ValueSet/ContactInformation-TelephoneNumbersSystem|4.0.1` ) Use ConceptMap TelecomType-to-ContactInformation-TelephoneNumbersSystem to translate terminology from the functional model to profile terminology in ValueSet ContactInformation-TelephoneNumbersSystem. Telecommunications form for contact point.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Alternate Names | TelecomType
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. RelatedPerson.telecom:telephoneNumbers.system.extension:telecomType
Slice Name | telecomType
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(ext CodeSpecification) (Extension Type: CodeableConcept)
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | false
Invariants | 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()`) 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())
64. RelatedPerson.telecom:telephoneNumbers.system.extension:telecomType.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification`
66. RelatedPerson.telecom:telephoneNumbers.value
Definition | The person's telephone number. The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Short | TelephoneNumberThe actual contact point details
Comments | Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | Need to support legacy numbers that are not in a tightly controlled format.
Alternate Names | Telefoonnummer
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. RelatedPerson.telecom:telephoneNumbers.use
Definition | NumberType indicates whether the number is a landline, temporary, work telephone number. Identifies the purpose for the contact point.
Short | NumberTypehome | work | temp | old | mobile - purpose of this contact point
Comments | Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Control | 0..1
Binding | The codes SHALL be taken from ContactInformationTelephoneNumbersUse (4.0.1)http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 (required to `http://nictiz.nl/fhir/ValueSet/ContactInformation-TelephoneNumbersUse|4.0.1` ) Use ConceptMap NummerSoortCodelijst-to-ContactInformation-TelephoneNumbersUse to translate terminology from the functional model to profile terminology in ValueSet ContactInformation-TelephoneNumbersUse. Use of contact point.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
Alternate Names | NummerSoort
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. RelatedPerson.telecom:emailAddresses
Slice Name | emailAddresses
Definition | Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc. A contact detail for the person, e.g. a telephone number or an email address.
Short | EmailAddressesA contact detail for the person
Comments | Implementation of the "EmailAddresses" concept of zib ContactInformation. Person 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.
Control | 0..* This element is affected by the following invariants: ele-1
Type | ContactPoint(nl core ContactInformation EmailAddresses)
Is Modifier | false
Summary | true
Requirements | People have (primary) ways to contact them in some way such as phone, email.
Alternate Names | EmailAdressen, nl-core-ContactInformation-EmailAddresses
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) cpt-2: A system is required if a value is provided. (`value.empty() or system.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. RelatedPerson.telecom:emailAddresses.system
Definition | Telecommunications form for contact point - what communications system is required to make use of the contact.
Short | emailphone | fax | email | pager | url | sms | other
Control | 10..1 This element is affected by the following invariants: cpt-2
Binding | The codes SHALL be taken from ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 (required to `http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1` ) Telecommunications form for contact point.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Pattern Value | `email`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. RelatedPerson.telecom:emailAddresses.value
Definition | The person's e-mail address The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Short | EmailAddressThe actual contact point details
Comments | Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | Need to support legacy numbers that are not in a tightly controlled format.
Alternate Names | EmailAdres
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. RelatedPerson.telecom:emailAddresses.use
Definition | EmailAddressType indicates whether it is a private or business e-mail address. Identifies the purpose for the contact point.
Short | EmailAddressTypehome | work | temp | old | mobile - purpose of this contact point
Comments | Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Control | 0..1
Binding | The codes SHALL be taken from ContactInformationEmailAddressesUse (4.0.1)http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 (required to `http://nictiz.nl/fhir/ValueSet/ContactInformation-EmailAddressesUse|4.0.1` ) Use ConceptMap EmailSoortCodelijst-to-ContactInformation-EmailAddressesUse to translate terminology from the functional model to profile terminology in ValueSet ContactInformation-EmailAddressesUse. Use of contact point.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
Alternate Names | EmailSoort
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. RelatedPerson.address
Definition | An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world. Address where the related person can be contacted or visited.
Short | AddressInformationAddress where the related person can be contacted or visited
Comments | This datatype defines a common basis for expressing all addresses around the world, but adds extensions to express Dutch addresses specifically, according to the zib AddressInformation v1.1 (2020). A Dutch Address still is a proper FHIR Address, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype. To have true compatibility an implementer SHOULD use the core Address parts as intended. To have addresses work for Dutch context, the implementer SHOULD in addition use the extension elements. Separate address parts The first addition is that Dutch addresses make certain address parts separately communicable. These parts are required for use in true Dutch systems when dealing with Dutch addresses, but may not have value for international systems when information gets sent abroad. Custom address types The second addition is that the zib defines its own ValueSet for address types, which can only be partially expressed using the FHIR Address datatype and requires a mapping to multiple elements. The table below explains how the zib concepts are mapped to the various FHIR elements (see the ConceptMaps http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse and http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType as well). The code from the zib should also be included using the extension on `Address.extension:addressType`.
zib | .ext:addressType | .use | .type
--- | --- | --- | ---
Postal Address/Postadres | PST |  | postal
Primary Home/Officieel adres | HP | home | both
Visit Address/Woon-/verblijfadres | PHYS | home | physical
Temporary Address/Tijdelijk adres | TMP | temp |
Work Place/Werkadres | WP | work |
Vacation Home/Vakantie adres | HV | temp |
If `Address.type` is both then this is to be understood as a dual purpose address (postal and physical), unless a specific postal type address is added. Systems that support importing it like this are encouraged to do so, otherwise they may need to import this as two separate addresses. Note: FHIR core defines the AD-use extension to further specify the postal address type. However, the ValueSet used in that extension doesn't completely match the zib ValueSet. Therefore, a custom extension has been made. This doesn't preclude the use of the AD-use extension.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Address(nl core AddressInformation)
Is Modifier | false
Summary | true
Requirements | Need to keep track where the related person can be contacted per postal mail or visited.
Alternate Names | Adresgegevens, nl-core-AddressInformation
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. RelatedPerson.address.extension:addressType
Slice Name | addressType
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Comments | 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.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(ext AddressInformation.AddressType) (Extension Type: CodeableConcept)
Is Modifier | false
Standard Status | Normative (from Trial Use)
Summary | false
Alternate Names | extensions, user content
Invariants | 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()`) 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())
82. RelatedPerson.address.use
Definition | The type of address in question, such as a home address or mailing address. The purpose of this address.
Short | AddressTypehome | work | temp | old | billing - purpose of this address
Comments | Applications can assume that an address is current unless it explicitly says that it is temporary or old.
Control | 0..1
Binding | The codes SHALL be taken from AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/address-use|4.0.1` ) Use ConceptMap AdresSoortCodelijst-to-AddressUse to translate terminology from the functional model to profile terminology in ValueSet AddressUse. The use of an address.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | Allows an appropriate address to be chosen from a list of many.
Alternate Names | AdresSoort
Example | General: home
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. RelatedPerson.address.type
Definition | The type of address in question, such as a home address or mailing address. Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.
Short | AddressTypepostal | physical | both
Comments | 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). 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).
Control | 0..1
Binding | The codes SHALL be taken from AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 (required to `http://hl7.org/fhir/ValueSet/address-type|4.0.1` ) Use ConceptMap AdresSoortCodelijst-to-AddressType to translate terminology from the functional model to profile terminology in ValueSet AddressType. The type of an address (physical / postal).
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Alternate Names | AdresSoort
Example | General: both
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
86. RelatedPerson.address.city
Definition | A geographically determined area which forms part of the municipal area. For Dutch places of residence, preferably use the name from the GBA, table 33 (OID: 2.16.840.1.113883.2.4.6.14). The name of the city, town, suburb, village or other community or delivery center.
Short | PlaceOfResidenceName of city, town etc.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Alternate Names | Municpality, Woonplaats
Example | General: Erewhon
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. RelatedPerson.address.district
Definition | Municipality of residence. For Dutch municipalities, preferably use the name from the GBA, table 33 (OID: 2.16.840.1.113883.2.4.6.14). The name of the administrative area (county).
Short | MunicipalityDistrict name (aka county)
Comments | 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.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Alternate Names | County, Gemeente
Example | General: Madison
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
90. RelatedPerson.address.postalCode
Definition | Postcode of the address. In Dutch addresses, preferably use the postcode from the Postcode table (OID: 2.16.840.1.113883.2.4.4.15). A postal code designating a region defined by the postal service.
Short | PostcodePostal code for area
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Alternate Names | Zip, Postcode
Example | General: 9132
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be foundhere

0. RelatedPerson
2. RelatedPerson.patient
Type | Reference(ACP Patient)
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
4. RelatedPerson.relationship:role
Slice Name | role
Definition | When someone is or will be a legal representative, then a relationship code `24` from code system urn:oid:2.16.840.1.113883.2.4.3.11.22.472 is added.
Comments | Note: For ACP dataset concepts id `441` (Wettelijk vertegenwoordiger / Contactpersoon) and id `478` (Eerste contactpersoon / Contactpersoon), `relationship[role]` is conceptually 1..*. However, this cardinality is not profiled because it is not mandatory in all contexts where a ContactPerson is used. Creating separate specialized profiles was considered but rejected. A single generic profile was chosen to avoid unnecessary complexity. For the ACP use case, additional codes beyond those in the existing ContactPerson RolCodelijst are required. This is permitted by the zib's extensible binding. However, the ValueSet is bound as 'required' in this slice to ensure the slicing works correctly. Therefore, an additional slice has been added containing a bound ValueSet with the extra codes.
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
6. RelatedPerson.relationship:relationship
Slice Name | relationship
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
8. RelatedPerson.relationship:roleAdditional
Slice Name | roleAdditional
Definition | This slice contains codes not included in the RolCodelijst that is bound to the role slice. But has the same definition as the role slice.
Comments | Currently, the ACPContactPersonRoleVS ValueSet contains only SNOMED CT code `310141000146103` (Schriftelijk gemachtigde zorg en behandeling).
Control | 0..*
Binding | The codes SHALL be taken from ACPContactPersonRoleVS (1.0.0-rc2) (required to `https://api.iknl.nl/docs/pzp/r4/ValueSet/ACP-ContactPersonRole|1.0.0-rc2` )
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
10. RelatedPerson.name
12. RelatedPerson.name:nameInformation
Slice Name | nameInformation
14. RelatedPerson.name:nameInformation.use
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
16. RelatedPerson.name:nameInformation.family
18. RelatedPerson.name:nameInformation.family.extension:prefix
Slice Name | prefix
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
20. RelatedPerson.name:nameInformation.family.extension:lastName
Slice Name | lastName
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
22. RelatedPerson.name:nameInformation.family.extension:partnerPrefix
Slice Name | partnerPrefix
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
24. RelatedPerson.name:nameInformation.family.extension:partnerLastName
Slice Name | partnerLastName
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
26. RelatedPerson.name:nameInformation.given
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
28. RelatedPerson.name:nameInformation.suffix
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
30. RelatedPerson.name:nameInformation-GivenName
Slice Name | nameInformation-GivenName
32. RelatedPerson.name:nameInformation-GivenName.given
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
34. RelatedPerson.telecom
36. RelatedPerson.telecom:telephoneNumbers
Slice Name | telephoneNumbers
38. RelatedPerson.telecom:telephoneNumbers.extension:comment
Slice Name | comment
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
40. RelatedPerson.telecom:telephoneNumbers.system
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
42. RelatedPerson.telecom:telephoneNumbers.system.extension:telecomType
Slice Name | telecomType
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
44. RelatedPerson.telecom:telephoneNumbers.value
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
46. RelatedPerson.telecom:telephoneNumbers.use
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
48. RelatedPerson.telecom:emailAddresses
Slice Name | emailAddresses
50. RelatedPerson.telecom:emailAddresses.system
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
52. RelatedPerson.telecom:emailAddresses.value
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
54. RelatedPerson.address
56. RelatedPerson.address.use
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
58. RelatedPerson.address.type
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
60. RelatedPerson.address.line
62. RelatedPerson.address.line.extension:streetName
Slice Name | streetName
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
64. RelatedPerson.address.line.extension:houseNumber
Slice Name | houseNumber
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
66. RelatedPerson.address.line.extension:houseNumberLetter-houseNumberAddition
Slice Name | houseNumberLetter-houseNumberAddition
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
68. RelatedPerson.address.line.extension:houseNumberIndication
Slice Name | houseNumberIndication
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
70. RelatedPerson.address.line.extension:additionalInformation
Slice Name | additionalInformation
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
72. RelatedPerson.address.city
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
74. RelatedPerson.address.district
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
76. RelatedPerson.address.postalCode
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
78. RelatedPerson.address.country
80. RelatedPerson.address.country.extension:countryCode
Slice Name | countryCode
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter

Guidance on how to interpret the contents of this table can be foundhere

0. RelatedPerson
Definition | Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.
Short | Contact
Comments | Whereas the zib ContactPerson includes all (non-healthcare professional) persons that are involved in the care for a patient, FHIR distinguishes two use cases for these persons: The RelatedPerson resource, and therefore this profile, is used to capture information about any person that is related to the patient. Information about persons that should be contacted regarding the care for the patient is captured using the `Patient.contact` resource. If a person is both a related person and a contact person, then some data duplication is inevitable.
Control | 0..*
Is Modifier | false
Summary | false
Alternate Names | Contactpersoon, nl-core-ContactPerson
Invariants | 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. RelatedPerson.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id
Is Modifier | false
Summary | true
4. RelatedPerson.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.
Short | Metadata about the resource
Control | 0..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. RelatedPerson.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.
Short | A set of rules under which this content was created
Comments | 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.
Control | 0..1
Type | uri
Is Modifier | true because 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
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. RelatedPerson.language
Definition | The base language in which the resource is written.
Short | Language of the resource content
Comments | 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).
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. RelatedPerson.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.
Short | Text summary of the resource, for human interpretation
Comments | 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.
Control | 0..1
Type | Narrative
Is Modifier | false
Summary | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. RelatedPerson.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.
Short | Contained, inline Resources
Comments | 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.
Control | 0..*
Type | Resource
Is Modifier | false
Summary | false
Alternate Names | inline resources, anonymous resources, contained resources
14. RelatedPerson.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.
Short | Additional content defined by implementations
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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()`)
16. RelatedPerson.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).
Short | Extensions that cannot be ignored
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | 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.
Alternate Names | extensions, user content
Invariants | 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()`)
18. RelatedPerson.identifier
Definition | Identifier for a person within a particular scope.
Short | A human identifier for this person
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Summary | true
Requirements | People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. RelatedPerson.active
Definition | Whether this related person record is in active use.
Short | Whether this related person's record is in active use
Comments | This element is labeled as a modifier because it may be used to mark that the resource was created in error.
Control | 0..1
Type | boolean
Is Modifier | true because 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
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be able to mark a related person record as not to be used, such as if it was created in error.
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. RelatedPerson.patient
Definition | The patient this person is related to.
Short | The patient this person is related to
Control | 1..1
Type | Reference(ACP Patient)
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | We need to know which patient this RelatedPerson is related to.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. RelatedPerson.relationship
Definition | The nature of the relationship between a patient and the related person.
Short | The nature of the relationship
Control | 0..*
Binding | The codes SHOULD be taken from PatientRelationshipType (preferred to `http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype|4.0.1` ) The nature of the relationship between a patient and the related person.
Type | CodeableConcept
Is Modifier | false
Summary | true
Requirements | We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `RelatedPerson.relationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
26. RelatedPerson.relationship:role
Slice Name | role
Definition | When someone is or will be a legal representative, then a relationship code `24` from code system urn:oid:2.16.840.1.113883.2.4.3.11.22.472 is added.
Short | Role
Comments | Note: For ACP dataset concepts id `441` (Wettelijk vertegenwoordiger / Contactpersoon) and id `478` (Eerste contactpersoon / Contactpersoon), `relationship[role]` is conceptually 1..*. However, this cardinality is not profiled because it is not mandatory in all contexts where a ContactPerson is used. Creating separate specialized profiles was considered but rejected. A single generic profile was chosen to avoid unnecessary complexity. For the ACP use case, additional codes beyond those in the existing ContactPerson RolCodelijst are required. This is permitted by the zib's extensible binding. However, the ValueSet is bound as 'required' in this slice to ensure the slicing works correctly. Therefore, an additional slice has been added containing a bound ValueSet with the extra codes.
Control | 0..*
Binding | The codes SHALL be taken from RolCodelijst (2020-09-01T00:00:00) (required to `http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.2--20200901000000|2020-09-01T00:00:00` ) The nature of the relationship between a patient and the related person.
Type | CodeableConcept
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.
Alternate Names | Rol
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. RelatedPerson.relationship:relationship
Slice Name | relationship
Definition | Defines the contact’s familial relationship to the patient.
Short | Relationship
Control | 0..*
Binding | The codes SHALL be taken from RelatieCodelijst (2020-09-01T00:00:00) (required to `http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.1--20200901000000|2020-09-01T00:00:00` ) The nature of the relationship between a patient and the related person.
Type | CodeableConcept
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.
Alternate Names | Relatie
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. RelatedPerson.relationship:roleAdditional
Slice Name | roleAdditional
Definition | This slice contains codes not included in the RolCodelijst that is bound to the role slice. But has the same definition as the role slice.
Short | The nature of the relationship
Comments | Currently, the ACPContactPersonRoleVS ValueSet contains only SNOMED CT code `310141000146103` (Schriftelijk gemachtigde zorg en behandeling).
Control | 0..*
Binding | The codes SHALL be taken from ACPContactPersonRoleVS (1.0.0-rc2) (required to `https://api.iknl.nl/docs/pzp/r4/ValueSet/ACP-ContactPersonRole|1.0.0-rc2` )
Type | CodeableConcept
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. RelatedPerson.name
Definition | Full name of the contact.
Short | NameInformation / PayerName
Control | 0..*
Type | HumanName
Is Modifier | false
Summary | true
Requirements | Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.
Alternate Names | Naamgegevens, BetalerNaam
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `RelatedPerson.name`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ use
34. RelatedPerson.name:nameInformation
Slice Name | nameInformation
Definition | This slice represents the person's official name information, including given names, last name and possibly the partner's last name.
Short | NameInformation
Comments | This `.name` element accomodates the official parts of a Dutch name according to common international usage and optionally to the zib NameInformation v1.1 (2020). An official Dutch name is represented in FHIR as an ordinary international name, optionally augmented using extensions to specify how the last name is built up according to the Dutch rules if conformance to the zib is required. See the guidance on `.family` and on `.extension:nameUsage` for more information. Systems that need to work in a Dutch context SHOULD support the extensions as specified in `.given`, `.family` and `.extension:nameUsage`. In addition, systems SHOULD use the core elements according to the FHIR specifications to provide compatibility outside Dutch contexts. This means that: If parts of the name are specified using one or more of the structured elements, the `.text` element SHOULD be populated with a rendered version of the full name. If parts of the family name are specified using the extensions in `.family`, the `.family` element SHOULD be populated with the full family name. Note 1: The zib cannot be represented straightforward in FHIR. Especially note the guidance on `.given` on how to map the FirstNames and Initials concepts, and on `.prefix`/`.suffix` on how to map the Titles concept. Note 2: This element should only contain a person's official names. The GivenName concept is represented in another `.name` element with `.name.use` = usual. Note 3: The examples illustrate how the zib is mapped to FHIR.
Control | 0..2 This element is affected by the following invariants: ele-1
Type | HumanName(nl core NameInformation)
Is Modifier | false
Summary | true
Requirements | Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.
Alternate Names | Naamgegevens, nl-core-NameInformation
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) zib-NameInformation-1: If a prefix for a family name is specified, the family name is expected as well (`family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty().not() implies family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty().not()`) zib-NameInformation-2: If the prefix for a partner family name is specified, the partner family name is expected as well (`family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix').empty().not() implies family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-name').empty().not()`) nl-core-NameInformation-01: If parts of the name are specified using one or more of the structured elements, the `.text` element SHOULD be populated with a rendered version of the full name. This ensures compatibility with common FHIR usage. (`(family.exists() or given.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').where(value != 'IN').exists()) implies text.hasValue()`)
36. RelatedPerson.name:nameInformation.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
38. RelatedPerson.name:nameInformation.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.
Short | Additional content defined by implementations
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.name.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
40. RelatedPerson.name:nameInformation.extension:nameUsage
Slice Name | nameUsage
Definition | A code that represents the preferred display order of the components of this human name.
Short | Preferred display order of name parts
Comments | 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.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Assembly Order) (Extension Type: code)
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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()`)
42. RelatedPerson.name:nameInformation.extension:nameUsage.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
44. RelatedPerson.name:nameInformation.extension:nameUsage.extension
Definition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Summary | false
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.name.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
46. RelatedPerson.name:nameInformation.extension:nameUsage.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://hl7.org/fhir/StructureDefinition/humanname-assembly-order`
48. RelatedPerson.name:nameInformation.extension:nameUsage.value[x]
Definition | This concept indicates the last name or order of last names with which the person is to be addressed.
Short | NameUsage
Control | 1..1
Binding | The codes SHALL be taken from HumanNameAssemblyOrder (required to `http://hl7.org/fhir/ValueSet/name-assembly-order|4.0.1` ) Use ConceptMap NaamgebruikCodelijst-to-HumanNameAssemblyOrder to translate terminology from the functional model to profile terminology in ValueSet HumanNameAssemblyOrder.
Type | code
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Alternate Names | Naamgebruik
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. RelatedPerson.name:nameInformation.use
Definition | Identifies the purpose for this name.
Short | usual | official | temp | nickname | anonymous | old | maiden
Comments | Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Control | 1..1
Binding | The codes SHALL be taken from NameUse (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) The use of a human name.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names.
Pattern Value | `official`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. RelatedPerson.name:nameInformation.text
Definition | Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.
Short | Text representation of the full name
Comments | A representation of the full name, including given names and the family name. When implementing zib NameInformation, this representation should include the FirstNames or Initials and the family name constructed according to the NameUsage concept.
Control | 0..1 This element is affected by the following invariants: nl-core-NameInformation-01
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | A renderable, unencoded form.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. RelatedPerson.name:nameInformation.family
Definition | The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Short | Family name (often called 'Surname')
Comments | When implementing zib NameInformation, this representation should be constrcuted from the Prefix, LastName, PartnerPrefix and/or PartnerLastName concepts according to the NameUsage concept.
Control | 0..1 This element is affected by the following invariants: nl-core-NameInformation-01
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Alternate Names | surname
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) nl-core-NameInformation-02: If parts of the family name are specified using the extensions in .family, the .family element SHOULD be populated with the full family name as well. This ensures compatibility with common FHIR usage. (`(extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').exists() or extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').exists() or extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix').exists() or extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-name').exists()) implies $this.hasValue()`)
56. RelatedPerson.name:nameInformation.family.id
Definition | unique id for the element within a resource (for internal references)
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
58. RelatedPerson.name:nameInformation.family.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.
Short | Additional content defined by implementations
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.name.family.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
60. RelatedPerson.name:nameInformation.family.extension:prefix
Slice Name | prefix
Definition | The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse.
Short | Voorvoegsel derived from person's own surname
Comments | An example of a voorvoegsel is the "van" in "Ludwig van Beethoven". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Own Prefix) (Extension Type: string)
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | false
Invariants | 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()`)
62. RelatedPerson.name:nameInformation.family.extension:prefix.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
64. RelatedPerson.name:nameInformation.family.extension:prefix.extension
Definition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Summary | false
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.name.family.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
66. RelatedPerson.name:nameInformation.family.extension:prefix.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://hl7.org/fhir/StructureDefinition/humanname-own-prefix`
68. RelatedPerson.name:nameInformation.family.extension:prefix.value[x]
Definition | Prefix to the person’s own last name.
Short | Prefix
Control | 1..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Alternate Names | Voorvoegsels
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. RelatedPerson.name:nameInformation.family.extension:lastName
Slice Name | lastName
Definition | The portion of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse.
Short | Portion derived from person's own surname
Comments | If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's "maiden name".
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Own Name) (Extension Type: string)
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | false
Invariants | 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()`)
72. RelatedPerson.name:nameInformation.family.extension:lastName.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
74. RelatedPerson.name:nameInformation.family.extension:lastName.extension
Definition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Summary | false
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.name.family.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
76. RelatedPerson.name:nameInformation.family.extension:lastName.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://hl7.org/fhir/StructureDefinition/humanname-own-name`
78. RelatedPerson.name:nameInformation.family.extension:lastName.value[x]
Definition | The person’s official last name
Short | LastName
Control | 1..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Alternate Names | Achternaam
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. RelatedPerson.name:nameInformation.family.extension:partnerPrefix
Slice Name | partnerPrefix
Definition | The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person's partner's surname, as distinguished from any portion that is derived from the surname of the person's own.
Short | Voorvoegsel derived from person's partner's surname
Comments | An example of a voorvoegsel is the "van" in "Ludwig van Beethoven". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to identify it as a separate sub-component.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Partner Prefix) (Extension Type: string)
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | false
Invariants | 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()`)
82. RelatedPerson.name:nameInformation.family.extension:partnerPrefix.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
84. RelatedPerson.name:nameInformation.family.extension:partnerPrefix.extension
Definition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Summary | false
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.name.family.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
86. RelatedPerson.name:nameInformation.family.extension:partnerPrefix.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix`
88. RelatedPerson.name:nameInformation.family.extension:partnerPrefix.value[x]
Definition | Prefix to the partner’s last name.
Short | PartnerPrefix
Control | 1..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Alternate Names | VoorvoegselsPartner
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. RelatedPerson.name:nameInformation.family.extension:partnerLastName
Slice Name | partnerLastName
Definition | The portion of the family name that is derived from the person's partner's surname, as distinguished from any portion that is derived from the surname of the person's own name.
Short | Portion derived from person's partner's surname
Comments | If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's "maiden name".
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Partner Name) (Extension Type: string)
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | false
Invariants | 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()`)
92. RelatedPerson.name:nameInformation.family.extension:partnerLastName.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
94. RelatedPerson.name:nameInformation.family.extension:partnerLastName.extension
Definition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Summary | false
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.name.family.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
96. RelatedPerson.name:nameInformation.family.extension:partnerLastName.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://hl7.org/fhir/StructureDefinition/humanname-partner-name`
98. RelatedPerson.name:nameInformation.family.extension:partnerLastName.value[x]
Definition | Partner’s official last name.
Short | PartnerLastName
Control | 1..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Alternate Names | AchternaamPartner
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. RelatedPerson.name:nameInformation.family.value
Definition | The actual value
Short | Primitive value for string
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Max Length: | 1048576
102. RelatedPerson.name:nameInformation.given
Definition | One of a person’s official first names or the initial if the full name is not known.
Short | FirstName / Initial
Comments | This element can be used to represent full given names or initials. `extension:givenOrInitial` SHALL be used on each repretition to specifiy if it's a full name (BR) or an initial (IN). ## Zib compatibility Tthis element is used to represent the FirstNames and Initials concepts of zib NameInformation, but the FHIR implementation deviates from the zib model. The zib defines these concepts as a list of official first names (as a single string) and a list of initials (as a single string), both optional. They both represent the official name(s) of a person and thus represent the same concept. In FHIR however, each first name is either a complete name or an initial, but not both. In addition, each name may be defined separately. Therefore, the zib concepts are implemented here in the following way: Systems SHOULD use a `.given` element for each official first name that they know of (either as a full name or an initial), in order of appearance (as specified by FHIR). Each of these elements: SHOULD be populated with the complete name if it is known, or with the initial if no more information is available. As noted, it SHALL be augmented with `extension:givenOrInitial`. Initials should thus not be communicated for each complete first name that is known, in contrast to what is specified by the zib. Receiving systems can recreate initials from the full names if needed. If a system does however only have a list of official first names and a separate list of official initials, without knowing the relationship between these two, only the full names SHOULD be communicated, while an additional `.name` instance MAY be used to communicate the initials. It is expected that the second instance just contains the initials and no other information from the zib. Receiving systems MAY ignore the second instance. Note 1: The GivenName concept should not be included here but in a separate `.name` instance where `.use` = usual. Note 2: As specified by FHIR, multiple official first names MAY be combined in a single `.given` element (separated by spaces), as long as the `.given` elements can be concatenated to form the full first name representation, and the 'extension:givenOrInitial` is used to mark the element as containing either full names or the initials. This pattern is strongly discouraged as it is hard to determine if the value pertains multiple names or a single combined name containing spaces.
Control | 0..* This element is affected by the following invariants: nl-core-NameInformation-01
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Alternate Names | first name, middle name, Voornaam, Initiaal
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. RelatedPerson.name:nameInformation.given.id
Definition | unique id for the element within a resource (for internal references)
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
106. RelatedPerson.name:nameInformation.given.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.
Short | Additional content defined by implementations
Comments | 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.
Control | 1..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.name.given.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
108. RelatedPerson.name:nameInformation.given.extension:givenOrInitial
Slice Name | givenOrInitial
Definition | A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.
Short | LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
Comments | Used to indicate additional information about the name part and how it should be used.
Control | 1..* This element is affected by the following invariants: ele-1
Type | Extension(EN Qualifier) (Extension Type: code)
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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()`)
110. RelatedPerson.name:nameInformation.given.value
Definition | The actual value
Short | Primitive value for string
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Max Length: | 1048576
112. RelatedPerson.name:nameInformation.prefix
Definition | Noble and scientific titles. These can assist in formulating oral and formal addresing titles.
Short | Titles
Comments | The zib concept 'titles' is mapped to elements `HumanName.prefix` and `HumanName.suffix`. Semantically this mapping is not complete: the zib uses a single concept that contains all the required information about noble and scientific titles, while FHIR captures the same information in a structured way. Export: Systems are expected to transform as much as possible to the FHIR datamodel and thereby to be as explicit as possible. Note that in order to mark the type of a prefix, you can use the FHIR standard extension for ISO 21090 EN Qualifiers. Examples include the use of the qualifier HON to indicate honorific prefixes and AC for academic prefixes. If it is not possible to breakup the zib concept titles to positioned prefixes and suffixes, the prefix element is used to store all information. Import: Systems need to expect and be resilient for a broader range of information stored in the prefix element than stated by it's definition.
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Alternate Names | Titels
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. RelatedPerson.name:nameInformation.suffix
Definition | Noble and scientific titles. These can assist in formulating oral and formal addresing titles.
Short | Titles
Comments | The zib concept 'titles' is mapped to elements `HumanName.prefix` and `HumanName.suffix`. Semantically this mapping is not complete: the zib uses a single concept that contains all the required information about noble and scientific titles, while FHIR captures the same information in a structured way. Export: Systems are expected to transform as much as possible to the FHIR datamodel and thereby to be as explicit as possible. Note that in order to mark the type of a prefix, you can use the FHIR standard extension for ISO 21090 EN Qualifiers. Examples include the use of the qualifier HON to indicate honorific prefixes and AC for academic prefixes. If it is not possible to breakup the zib concept titles to positioned prefixes and suffixes, the prefix element is used to store all information. Import: Systems need to expect and be resilient for a broader range of information stored in the prefix element than stated by it's definition.
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Alternate Names | Titels
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. RelatedPerson.name:nameInformation.period
Definition | Indicates the period of time when this name was valid for the named person.
Short | Time period when name was/is in use
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Requirements | Allows names to be placed in historical context.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. RelatedPerson.name:nameInformation-GivenName
Slice Name | nameInformation-GivenName
Definition | This slice represents the name information normally used to address the person.
Short | Name of a human - parts and usage
Comments | This `.name` element represents the Dutch given name ("roepnaam") according to the zib NameInformation v1.1 (2020). Note 1: This element should only contain a person's unofficial name. The official names are represented in one or more other `.name` elements with `.name.use` = official. Note 2: The examples illustrate how the zib is mapped to FHIR.
Control | 0..* This element is affected by the following invariants: ele-1
Type | HumanName(nl core NameInformation.GivenName)
Is Modifier | false
Summary | true
Requirements | Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.
Alternate Names | nl-core-NameInformation.GivenName
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
120. RelatedPerson.name:nameInformation-GivenName.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
122. RelatedPerson.name:nameInformation-GivenName.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.
Short | Additional content defined by implementations
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.name.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
124. RelatedPerson.name:nameInformation-GivenName.use
Definition | Identifies the purpose for this name.
Short | usual | official | temp | nickname | anonymous | old | maiden
Comments | Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Control | 1..1
Binding | The codes SHALL be taken from NameUse (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) The use of a human name.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names.
Pattern Value | `usual`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. RelatedPerson.name:nameInformation-GivenName.text
Definition | Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.
Short | Text representation of the full name
Comments | Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | A renderable, unencoded form.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
128. RelatedPerson.name:nameInformation-GivenName.family
Definition | The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Short | Family name (often called 'Surname')
Comments | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
Control | 0..0
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Alternate Names | surname
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. RelatedPerson.name:nameInformation-GivenName.given
Definition | The name normally used to address the person.
Short | GivenName
Comments | If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
Control | 1..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Alternate Names | first name, middle name, Roepnaam
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
132. RelatedPerson.name:nameInformation-GivenName.prefix
Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.
Short | Parts that come before the name
Control | 0..0
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. RelatedPerson.name:nameInformation-GivenName.suffix
Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.
Short | Parts that come after the name
Control | 0..0
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
136. RelatedPerson.name:nameInformation-GivenName.period
Definition | Indicates the period of time when this name was valid for the named person.
Short | Time period when name was/is in use
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Requirements | Allows names to be placed in historical context.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
138. RelatedPerson.telecom
Definition | The contact’s telephone number and/or e-mail address.
Short | ContactInformation
Comments | The cardinality mismatch between the zib (`0..1`) and FHIR (`0..*`) is explained by the containers TelephoneNumbers (`0..*`) and EmailAddresses (`0..*`) inside the ContactInformation model. The FHIR datatype ContactPoint does not have these containers.
Control | 0..*
Type | ContactPoint
Is Modifier | false
Summary | true
Requirements | People have (primary) ways to contact them in some way such as phone, email.
Alternate Names | Contactgegevens
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `RelatedPerson.telecom`. The slices areUnordered and Open, and can be differentiated using the following discriminators: profile @ $this
140. RelatedPerson.telecom:telephoneNumbers
Slice Name | telephoneNumbers
Definition | Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.
Short | TelephoneNumbers
Comments | Implementation of the "TelephoneNumbers" concept of zib ContactInformation. Please note that, although the zib concepts TelecomType and NumberType are functionally equivalent to the FHIR concepts `ContactPoint.system` and `ContactPoint.use` respectively, a mismatch occurs on the concept of mobile phone numbers; the zib uses the first concept and FHIR the second. For this reason, the ValueSet on `ContactPoint.system` is too narrow and the zib code will need to be communicated using the ext-CodeSpecification extension.
Control | 0..* This element is affected by the following invariants: ele-1
Type | ContactPoint(nl core ContactInformation TelephoneNumbers)
Is Modifier | false
Summary | true
Requirements | People have (primary) ways to contact them in some way such as phone, email.
Alternate Names | Telefoonnummers, nl-core-ContactInformation-TelephoneNumbers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) cpt-2: A system is required if a value is provided. (`value.empty() or system.exists()`)
142. RelatedPerson.telecom:telephoneNumbers.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
144. RelatedPerson.telecom:telephoneNumbers.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.
Short | Additional content defined by implementations
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.telecom.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
146. RelatedPerson.telecom:telephoneNumbers.extension:comment
Slice Name | comment
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(ext Comment) (Extension Type: string)
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | false
Invariants | 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()`)
148. RelatedPerson.telecom:telephoneNumbers.extension:comment.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
150. RelatedPerson.telecom:telephoneNumbers.extension:comment.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.
Short | Additional content defined by implementations
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.telecom.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
152. RelatedPerson.telecom:telephoneNumbers.extension:comment.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://nictiz.nl/fhir/StructureDefinition/ext-Comment`
154. RelatedPerson.telecom:telephoneNumbers.extension:comment.value[x]
Definition | Explanation about the telephone number and how to use it. It can be indicated, for example, that it is a department number (for healthcare professionnels) or that availability by phone is only possible during a specified part of the day.
Short | Comment
Control | 0..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Alternate Names | Toelichting
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
156. RelatedPerson.telecom:telephoneNumbers.system
Definition | The telecom or device type that the telephone number is connected to.
Short | TelecomType
Control | 1..1 This element is affected by the following invariants: cpt-2
Binding | The codes SHALL be taken from ContactInformationTelephoneNumbersSystem (4.0.1) (required to `http://nictiz.nl/fhir/ValueSet/ContactInformation-TelephoneNumbersSystem|4.0.1` ) Use ConceptMap TelecomType-to-ContactInformation-TelephoneNumbersSystem to translate terminology from the functional model to profile terminology in ValueSet ContactInformation-TelephoneNumbersSystem.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Alternate Names | TelecomType
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
158. RelatedPerson.telecom:telephoneNumbers.system.id
Definition | unique id for the element within a resource (for internal references)
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
160. RelatedPerson.telecom:telephoneNumbers.system.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.
Short | Additional content defined by implementations
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.telecom.system.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
162. RelatedPerson.telecom:telephoneNumbers.system.extension:telecomType
Slice Name | telecomType
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(ext CodeSpecification) (Extension Type: CodeableConcept)
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | false
Invariants | 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()`)
164. RelatedPerson.telecom:telephoneNumbers.system.extension:telecomType.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
166. RelatedPerson.telecom:telephoneNumbers.system.extension:telecomType.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.
Short | Additional content defined by implementations
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.telecom.system.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
168. RelatedPerson.telecom:telephoneNumbers.system.extension:telecomType.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification`
170. RelatedPerson.telecom:telephoneNumbers.system.extension:telecomType.value[x]
Definition | The telecom or device type that the telephone number is connected to.
Short | TelecomType
Control | 0..1
Binding | The codes SHALL be taken from TelecomTypeCodelijst (2020-09-01T00:00:00) (required to `http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.6.1--20200901000000|2020-09-01T00:00:00` )
Type | CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | false
Alternate Names | TelecomType
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
172. RelatedPerson.telecom:telephoneNumbers.system.value
Definition | Primitive value for code
Short | Primitive value for code
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
174. RelatedPerson.telecom:telephoneNumbers.value
Definition | The person's telephone number.
Short | TelephoneNumber
Comments | Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | Need to support legacy numbers that are not in a tightly controlled format.
Alternate Names | Telefoonnummer
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
176. RelatedPerson.telecom:telephoneNumbers.use
Definition | NumberType indicates whether the number is a landline, temporary, work telephone number.
Short | NumberType
Comments | Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Control | 0..1
Binding | The codes SHALL be taken from ContactInformationTelephoneNumbersUse (4.0.1) (required to `http://nictiz.nl/fhir/ValueSet/ContactInformation-TelephoneNumbersUse|4.0.1` ) Use ConceptMap NummerSoortCodelijst-to-ContactInformation-TelephoneNumbersUse to translate terminology from the functional model to profile terminology in ValueSet ContactInformation-TelephoneNumbersUse.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
Alternate Names | NummerSoort
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
178. RelatedPerson.telecom:telephoneNumbers.rank
Definition | Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.
Short | Specify preferred order of use (1 = highest)
Comments | Note that rank does not necessarily follow the order in which the contacts are represented in the instance.
Control | 0..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
180. RelatedPerson.telecom:telephoneNumbers.period
Definition | Time period when the contact point was/is in use.
Short | Time period when the contact point was/is in use
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. RelatedPerson.telecom:emailAddresses
Slice Name | emailAddresses
Definition | Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.
Short | EmailAddresses
Comments | Implementation of the "EmailAddresses" concept of zib ContactInformation.
Control | 0..* This element is affected by the following invariants: ele-1
Type | ContactPoint(nl core ContactInformation EmailAddresses)
Is Modifier | false
Summary | true
Requirements | People have (primary) ways to contact them in some way such as phone, email.
Alternate Names | EmailAdressen, nl-core-ContactInformation-EmailAddresses
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) cpt-2: A system is required if a value is provided. (`value.empty() or system.exists()`)
184. RelatedPerson.telecom:emailAddresses.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
186. RelatedPerson.telecom:emailAddresses.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.
Short | Additional content defined by implementations
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.telecom.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
188. RelatedPerson.telecom:emailAddresses.system
Definition | Telecommunications form for contact point - what communications system is required to make use of the contact.
Short | email
Control | 1..1 This element is affected by the following invariants: cpt-2
Binding | The codes SHALL be taken from ContactPointSystem (required to `http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1` ) Telecommunications form for contact point.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Pattern Value | `email`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
190. RelatedPerson.telecom:emailAddresses.value
Definition | The person's e-mail address
Short | EmailAddress
Comments | Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | Need to support legacy numbers that are not in a tightly controlled format.
Alternate Names | EmailAdres
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
192. RelatedPerson.telecom:emailAddresses.use
Definition | EmailAddressType indicates whether it is a private or business e-mail address.
Short | EmailAddressType
Comments | Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Control | 0..1
Binding | The codes SHALL be taken from ContactInformationEmailAddressesUse (4.0.1) (required to `http://nictiz.nl/fhir/ValueSet/ContactInformation-EmailAddressesUse|4.0.1` ) Use ConceptMap EmailSoortCodelijst-to-ContactInformation-EmailAddressesUse to translate terminology from the functional model to profile terminology in ValueSet ContactInformation-EmailAddressesUse.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
Alternate Names | EmailSoort
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
194. RelatedPerson.telecom:emailAddresses.rank
Definition | Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.
Short | Specify preferred order of use (1 = highest)
Comments | Note that rank does not necessarily follow the order in which the contacts are represented in the instance.
Control | 0..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
196. RelatedPerson.telecom:emailAddresses.period
Definition | Time period when the contact point was/is in use.
Short | Time period when the contact point was/is in use
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
198. RelatedPerson.gender
Definition | Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.
Short | male | female | other | unknown
Control | 0..1
Binding | The codes SHALL be taken from AdministrativeGender (required to `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` ) The gender of a person used for administrative purposes.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Needed for identification of the person, in combination with (at least) name and birth date.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
200. RelatedPerson.birthDate
Definition | The date on which the related person was born.
Short | The date on which the related person was born
Control | 0..1
Type | date
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
202. RelatedPerson.address
Definition | An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world.
Short | AddressInformation
Comments | This datatype defines a common basis for expressing all addresses around the world, but adds extensions to express Dutch addresses specifically, according to the zib AddressInformation v1.1 (2020). A Dutch Address still is a proper FHIR Address, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype. To have true compatibility an implementer SHOULD use the core Address parts as intended. To have addresses work for Dutch context, the implementer SHOULD in addition use the extension elements. Separate address parts The first addition is that Dutch addresses make certain address parts separately communicable. These parts are required for use in true Dutch systems when dealing with Dutch addresses, but may not have value for international systems when information gets sent abroad. Custom address types The second addition is that the zib defines its own ValueSet for address types, which can only be partially expressed using the FHIR Address datatype and requires a mapping to multiple elements. The table below explains how the zib concepts are mapped to the various FHIR elements (see the ConceptMaps http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse and http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType as well). The code from the zib should also be included using the extension on `Address.extension:addressType`.
zib | .ext:addressType | .use | .type
--- | --- | --- | ---
Postal Address/Postadres | PST |  | postal
Primary Home/Officieel adres | HP | home | both
Visit Address/Woon-/verblijfadres | PHYS | home | physical
Temporary Address/Tijdelijk adres | TMP | temp |
Work Place/Werkadres | WP | work |
Vacation Home/Vakantie adres | HV | temp |
If `Address.type` is both then this is to be understood as a dual purpose address (postal and physical), unless a specific postal type address is added. Systems that support importing it like this are encouraged to do so, otherwise they may need to import this as two separate addresses. Note: FHIR core defines the AD-use extension to further specify the postal address type. However, the ValueSet used in that extension doesn't completely match the zib ValueSet. Therefore, a custom extension has been made. This doesn't preclude the use of the AD-use extension.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Address(nl core AddressInformation)
Is Modifier | false
Summary | true
Requirements | Need to keep track where the related person can be contacted per postal mail or visited.
Alternate Names | Adresgegevens, nl-core-AddressInformation
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
204. RelatedPerson.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.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
206. RelatedPerson.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.
Short | Additional content defined by implementations
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.address.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
208. RelatedPerson.address.extension:addressType
Slice Name | addressType
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Comments | 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.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(ext AddressInformation.AddressType) (Extension Type: CodeableConcept)
Is Modifier | false
Standard Status | Normative (from Trial Use)
Summary | false
Alternate Names | extensions, user content
Invariants | 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()`)
210. RelatedPerson.address.use
Definition | The type of address in question, such as a home address or mailing address.
Short | AddressType
Comments | Applications can assume that an address is current unless it explicitly says that it is temporary or old.
Control | 0..1
Binding | The codes SHALL be taken from AddressUse (required to `http://hl7.org/fhir/ValueSet/address-use|4.0.1` ) Use ConceptMap AdresSoortCodelijst-to-AddressUse to translate terminology from the functional model to profile terminology in ValueSet AddressUse.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Requirements | Allows an appropriate address to be chosen from a list of many.
Alternate Names | AdresSoort
Example | General: home
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
212. RelatedPerson.address.type
Definition | The type of address in question, such as a home address or mailing address.
Short | AddressType
Comments | 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).
Control | 0..1
Binding | The codes SHALL be taken from AddressType (required to `http://hl7.org/fhir/ValueSet/address-type|4.0.1` ) Use ConceptMap AdresSoortCodelijst-to-AddressType to translate terminology from the functional model to profile terminology in ValueSet AddressType.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Alternate Names | AdresSoort
Example | General: both
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
214. RelatedPerson.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.
Short | Text representation of the address
Comments | 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.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | A renderable, unencoded form.
Example | General: 137 Nowhere Street, Erewhon 9132
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
216. RelatedPerson.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.
Short | Street name, number, direction & P.O. Box etc.
Comments | The mapping of zib AddressInformation on the FHIR Address datatype is the result of compatibility with HL7v3, which is the format that a lot of healthcare data in the Netherlands is stored in. The elements of Address stored in the address-part extensions will be ignored by applications that do not support them, so any information in them should also be duplicated in the `Address.line` to which they are attached. The value of `Address.line` should be populated with a complete string representation of all the separate extension values, like: "[Street] [HouseNumberIndication] [HouseNumber] [HouseNumberLetter] [HouseNumberAddition]".
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Example | General: 137 Nowhere Street
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
218. RelatedPerson.address.line.id
Definition | unique id for the element within a resource (for internal references)
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
220. RelatedPerson.address.line.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.
Short | Additional content defined by implementations
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.address.line.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
222. RelatedPerson.address.line.extension:streetName
Slice Name | streetName
Definition | streetName.
Short | streetName
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(ADXP Street Name) (Extension Type: string)
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | false
Invariants | 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()`)
224. RelatedPerson.address.line.extension:streetName.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
226. RelatedPerson.address.line.extension:streetName.extension
Definition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Summary | false
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.address.line.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
228. RelatedPerson.address.line.extension:streetName.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName`
230. RelatedPerson.address.line.extension:streetName.value[x]
Definition | Street name of the address.
Short | Street
Control | 1..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Alternate Names | Straat
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
232. RelatedPerson.address.line.extension:houseNumber
Slice Name | houseNumber
Definition | The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building.
Short | houseNumber
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(ADXP House Number) (Extension Type: string)
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | false
Invariants | 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()`)
234. RelatedPerson.address.line.extension:houseNumber.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
236. RelatedPerson.address.line.extension:houseNumber.extension
Definition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Summary | false
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.address.line.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
238. RelatedPerson.address.line.extension:houseNumber.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber`
240. RelatedPerson.address.line.extension:houseNumber.value[x]
Definition | House number of the address.
Short | HouseNumber
Control | 1..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Alternate Names | Huisnummer
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
242. RelatedPerson.address.line.extension:houseNumberLetter-houseNumberAddition
Slice Name | houseNumberLetter-houseNumberAddition
Definition | Any alphabetic character, fraction or other text that may appear after the numeric portion of a building number.
Short | buildingNumberSuffix
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(ADXP Building Number Suffix) (Extension Type: string)
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | false
Invariants | 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()`)
244. RelatedPerson.address.line.extension:houseNumberLetter-houseNumberAddition.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
246. RelatedPerson.address.line.extension:houseNumberLetter-houseNumberAddition.extension
Definition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Summary | false
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.address.line.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
248. RelatedPerson.address.line.extension:houseNumberLetter-houseNumberAddition.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix`
250. RelatedPerson.address.line.extension:houseNumberLetter-houseNumberAddition.value[x]
Definition | Export: If a HouseNumberLetter as well as a HouseNumberAddition is known: HouseNumberLetter first, followed by a space and finally the HouseNumberAddition. If only a HouseNumberLetter is known, send just that. No trailing space is required. If only a HouseNumberAddition is known, communicate that with a leading space. Import If the value of buildingNumberSuffix contains no space, then the whole value is considered to be the HouseNumberLetter. If the value of buildingNumberSuffix contains a space, then everything before the first space is considered to be the HouseNumberLetter, and the everything trailing the first space is considered to be the HouseNumberAddition. Note: While a leading space is allowed in string values in FHIR, the parsing of such space cannot be guaranteed in XML representations. Although aware of this issue, this mapping is not changed because of compatibility reasons. If an implementer cannot parse a leading space, the practical risk of mapping a HouseNumberIndication to a HouseNumberAddition is deemed insignificant.
Short | HouseNumberLetter / HouseNumberAddition
Control | 1..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Alternate Names | Huisnummerletter, Huisnummertoevoeging
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
252. RelatedPerson.address.line.extension:houseNumberIndication
Slice Name | houseNumberIndication
Definition | This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342"). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch "t.o." means "opposite to" for house boats located across the street facing houses).
Short | additionalLocator
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(ADXP Additional Locator) (Extension Type: string)
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | false
Invariants | 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()`)
254. RelatedPerson.address.line.extension:houseNumberIndication.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
256. RelatedPerson.address.line.extension:houseNumberIndication.extension
Definition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Summary | false
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.address.line.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
258. RelatedPerson.address.line.extension:houseNumberIndication.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator`
260. RelatedPerson.address.line.extension:houseNumberIndication.value[x]
Definition | The indication used for addresses which do not consist of the usual street name and house number.
Short | HouseNumberIndication
Comments | The mapping of zib AddressInformation on the FHIR Address datatype is the result of compatibility with HL7v3, which is the format that a lot of healthcare data in the Netherlands is stored in. As a result of this, the coded zib HouseNumberIndication concept (CD datatype) is mapped to a FHIR string datatype with a constraint added (the value can only be 'by' or 'to').
Control | 1..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Alternate Names | AanduidingBijNummer
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) houseNumberIndication: Must have value 'by' or 'to' (`$this in ('by' | 'to')`)
262. RelatedPerson.address.line.extension:additionalInformation
Slice Name | additionalInformation
Definition | The number or name of a specific unit contained within a building or complex, as assigned by that building or complex.
Short | unitID
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(ADXP Unit ID) (Extension Type: string)
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | false
Invariants | 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()`)
264. RelatedPerson.address.line.extension:additionalInformation.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
266. RelatedPerson.address.line.extension:additionalInformation.extension
Definition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Summary | false
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.address.line.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
268. RelatedPerson.address.line.extension:additionalInformation.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID`
270. RelatedPerson.address.line.extension:additionalInformation.value[x]
Definition | Extra information such as the building name, building number, entrance, route number.
Short | AdditionalInformation
Control | 1..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Alternate Names | AdditioneleInformatie
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
272. RelatedPerson.address.line.value
Definition | The actual value
Short | Primitive value for string
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Max Length: | 1048576
274. RelatedPerson.address.city
Definition | A geographically determined area which forms part of the municipal area. For Dutch places of residence, preferably use the name from the GBA, table 33 (OID: 2.16.840.1.113883.2.4.6.14).
Short | PlaceOfResidence
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Alternate Names | Municpality, Woonplaats
Example | General: Erewhon
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
276. RelatedPerson.address.district
Definition | Municipality of residence. For Dutch municipalities, preferably use the name from the GBA, table 33 (OID: 2.16.840.1.113883.2.4.6.14).
Short | Municipality
Comments | 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.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Alternate Names | County, Gemeente
Example | General: Madison
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
278. RelatedPerson.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).
Short | Sub-unit of country (abbreviations ok)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Alternate Names | Province, Territory
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
280. RelatedPerson.address.postalCode
Definition | Postcode of the address. In Dutch addresses, preferably use the postcode from the Postcode table (OID: 2.16.840.1.113883.2.4.4.15).
Short | Postcode
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | true
Alternate Names | Zip, Postcode
Example | General: 9132
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
282. RelatedPerson.address.country
Definition | Country - a nation as commonly understood or generally accepted.
Short | Country (e.g. can be ISO 3166 2 or 3 letter code)
Comments | The FHIR datatype does not properly support coding the country using a CodeableConcept or Coding datatype. If the sender supports coded countries, it SHALL send the coded value using the ext-CodeSpecification extension under `Address.country.extension:countryCode`.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
284. RelatedPerson.address.country.id
Definition | unique id for the element within a resource (for internal references)
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
286. RelatedPerson.address.country.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.
Short | Additional content defined by implementations
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.address.country.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
288. RelatedPerson.address.country.extension:countryCode
Slice Name | countryCode
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(ext CodeSpecification) (Extension Type: CodeableConcept)
Is Modifier | false
Obligations |
Obligations | Actor
SHALL:populate-if-known | ACP Actor Provider
SHALL:no-error | ACP Actor Consulter
Summary | false
Invariants | 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()`)
290. RelatedPerson.address.country.extension:countryCode.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
292. RelatedPerson.address.country.extension:countryCode.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.
Short | Additional content defined by implementations
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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 | This element introduces a set of slices on `RelatedPerson.address.country.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
294. RelatedPerson.address.country.extension:countryCode.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Fixed Value | `http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification`
296. RelatedPerson.address.country.extension:countryCode.value[x]
Definition | Country in which the address is located.
Short | Country
Control | 0..1
Binding | The codes SHALL be taken from LandCodelijsten (2020-09-01T00:00:00) (required to `http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.10--20200901000000|2020-09-01T00:00:00` )
Type | CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | false
Alternate Names | Land
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
298. RelatedPerson.address.country.value
Definition | The actual value
Short | Primitive value for string
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
Max Length: | 1048576
300. RelatedPerson.address.period
Definition | Time period when address was/is in use.
Short | Time period when address was/is in use
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Requirements | Allows addresses to be placed in historical context.
Example | General: { "start" : "2010-03-23", "end" : "2010-07-01" }
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
302. RelatedPerson.photo
Definition | Image of the person.
Short | Image of the person
Control | 0..*
Type | Attachment
Is Modifier | false
Summary | false
Requirements | Many EHR systems have the capability to capture an image of persons. Fits with newer social media usage too.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
304. RelatedPerson.period
Definition | The period of time during which this relationship is or was active. If there are no dates defined, then the interval is unknown.
Short | Period of time that this relationship is considered valid
Control | 0..1
Type | Period
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
306. RelatedPerson.communication
Definition | A language which may be used to communicate with about the patient's health.
Short | A language which may be used to communicate with about the patient's health
Comments | 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 RelatedPerson.Communication associations. If the RelatedPerson does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Requirements | If a related person does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
308. RelatedPerson.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.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
310. RelatedPerson.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.
Short | Additional content defined by implementations
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | 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()`)
312. RelatedPerson.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).
Short | Extensions that cannot be ignored even if unrecognized
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | 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.
Alternate Names | extensions, user content, modifiers
Invariants | 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()`)
314. RelatedPerson.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.
Short | The language which can be used to communicate with the patient about his or her health
Comments | 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.
Control | 1..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | CodeableConcept
Is Modifier | false
Summary | false
Requirements | Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
316. RelatedPerson.communication.preferred
Definition | Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).
Short | Language preference indicator
Comments | This language is specifically identified for communicating healthcare information.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Requirements | 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.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)