ChanjoKE Immunization Implementation Guide, published by Intellisoft Consulting Ltd. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/ChanjoKe-FHIR-IG/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: KenyanImmunizationRegistryPatient

Kenyan Registry Profile for Patient.

Usage:

• Refer to this Resource Profile: AdverseEventProfile

Formal Views of Profile Content

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

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

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient			Patient
Slices for extension		7..*	Extension	Extension Slice: Unordered, Open by value:url
county		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
subcounty		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
constituency		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
ward		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
town		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
village		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
healthWorker		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
identifier	S	1..1	Identifier	An identifier for this patient
type
coding
code		0..1	code	Symbol in syntax defined by the system Binding: Patient Identifier type (required)
system		0..1	uri	The namespace for the identifier value Required Pattern: identification
value	S	1..1	string	The value that is unique
name
family	S	1..1	string	Family name (often called 'Surname')
given	S	1..1	string	Given names (not always 'first'). Includes middle names
gender	S	1..1	code	male | female | other | unknown
birthDate		0..0
address		0..1	Address	An address for the individual
contact	S	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
relationship		0..*	CodeableConcept	The kind of relationship Binding: Patient Contact List (required)
name		1..1	HumanName	A name associated with the contact person
telecom		1..1	ContactPoint	A contact detail for the person
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.identifier.type.coding.code	required	PTDIDTYPS https://chanjoke.intellisoftkenya.com/fhir/ValueSet/PatientIdentifierTypeVS from this IG
Patient.contact.relationship	required	PATCONTACTSLSTS https://chanjoke.intellisoftkenya.com/fhir/ValueSet/PatientContactListVS from this IG

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		7..*	Extension	Extension Slice: Unordered, Open by value:url
county		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
subcounty		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
constituency		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
ward		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
town		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
village		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
healthWorker		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	An identifier for this patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: identification
value	SΣ	1..1	string	The value that is unique Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	0..*	HumanName	A name associated with the patient
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	1..1	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
gender	SΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..1	Address	An address for the individual
contact	SC	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: Patient Contact List (required)
name		1..1	HumanName	A name associated with the contact person
telecom		1..1	ContactPoint	A contact detail for the person
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.contact.relationship	required	PATCONTACTSLSTS https://chanjoke.intellisoftkenya.com/fhir/ValueSet/PatientContactListVS from this IG
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		7..*	Extension	Extension Slice: Unordered, Open by value:url
county		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
subcounty		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
constituency		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
ward		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
town		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
village		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
healthWorker		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	An identifier for this patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Binding: Patient Identifier type (required)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: identification
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	0..*	HumanName	A name associated with the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	1..1	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
gender	SΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..1	Address	An address for the individual
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	SC	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: Patient Contact List (required)
name		1..1	HumanName	A name associated with the contact person
telecom		1..1	ContactPoint	A contact detail for the person
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier.type.coding.code	required	PTDIDTYPS https://chanjoke.intellisoftkenya.com/fhir/ValueSet/PatientIdentifierTypeVS from this IG
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	required	PATCONTACTSLSTS https://chanjoke.intellisoftkenya.com/fhir/ValueSet/PatientContactListVS from this IG
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from Patient

Summary

Mandatory: 10 elements(4 nested mandatory elements)
Must-Support: 6 elements
Prohibited: 1 element

Extensions

This structure refers to these extensions:

• https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension

Differential View

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient			Patient
Slices for extension		7..*	Extension	Extension Slice: Unordered, Open by value:url
county		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
subcounty		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
constituency		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
ward		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
town		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
village		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
healthWorker		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
identifier	S	1..1	Identifier	An identifier for this patient
type
coding
code		0..1	code	Symbol in syntax defined by the system Binding: Patient Identifier type (required)
system		0..1	uri	The namespace for the identifier value Required Pattern: identification
value	S	1..1	string	The value that is unique
name
family	S	1..1	string	Family name (often called 'Surname')
given	S	1..1	string	Given names (not always 'first'). Includes middle names
gender	S	1..1	code	male | female | other | unknown
birthDate		0..0
address		0..1	Address	An address for the individual
contact	S	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
relationship		0..*	CodeableConcept	The kind of relationship Binding: Patient Contact List (required)
name		1..1	HumanName	A name associated with the contact person
telecom		1..1	ContactPoint	A contact detail for the person
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.identifier.type.coding.code	required	PTDIDTYPS https://chanjoke.intellisoftkenya.com/fhir/ValueSet/PatientIdentifierTypeVS from this IG
Patient.contact.relationship	required	PATCONTACTSLSTS https://chanjoke.intellisoftkenya.com/fhir/ValueSet/PatientContactListVS from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		7..*	Extension	Extension Slice: Unordered, Open by value:url
county		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
subcounty		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
constituency		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
ward		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
town		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
village		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
healthWorker		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	An identifier for this patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: identification
value	SΣ	1..1	string	The value that is unique Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	0..*	HumanName	A name associated with the patient
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	1..1	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
gender	SΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..1	Address	An address for the individual
contact	SC	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: Patient Contact List (required)
name		1..1	HumanName	A name associated with the contact person
telecom		1..1	ContactPoint	A contact detail for the person
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.contact.relationship	required	PATCONTACTSLSTS https://chanjoke.intellisoftkenya.com/fhir/ValueSet/PatientContactListVS from this IG
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		7..*	Extension	Extension Slice: Unordered, Open by value:url
county		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
subcounty		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
constituency		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
ward		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
town		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
village		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
healthWorker		1..1	code	Extension for Kenya counties URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension Binding: Counties in Kenya (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	An identifier for this patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Binding: Patient Identifier type (required)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: identification
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	0..*	HumanName	A name associated with the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	SΣ	1..1	string	Family name (often called 'Surname')
given	SΣ	1..1	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
gender	SΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..1	Address	An address for the individual
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	SC	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: Patient Contact List (required)
name		1..1	HumanName	A name associated with the contact person
telecom		1..1	ContactPoint	A contact detail for the person
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier.type.coding.code	required	PTDIDTYPS https://chanjoke.intellisoftkenya.com/fhir/ValueSet/PatientIdentifierTypeVS from this IG
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	required	PATCONTACTSLSTS https://chanjoke.intellisoftkenya.com/fhir/ValueSet/PatientContactListVS from this IG
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from Patient

Summary

Mandatory: 10 elements(4 nested mandatory elements)
Must-Support: 6 elements
Prohibited: 1 element

Extensions

This structure refers to these extensions:

• https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/kenya-counties-extension

Other representations of profile: CSV, Excel, Schematron