Kenya Emergency Care Implementation Guide
0.1.0 - ci-build
Kenya Emergency Care Implementation Guide
0.1.0 - ci-build
Kenya Emergency Care Implementation Guide, published by Digital Health Agency (DHA), Kenya. 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/Kenya-Emergency-FHIR-IG/ and changes regularly. See the Directory of published versions
| Official URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-patient | Version: 0.1.0 | |||
| Active as of 2026-08-07 | Computable Name: EMPatient | |||
Represents a patient receiving pre-hospital or emergency services in Kenya.
The profile supports identified and unidentified patients, temporary emergency tracking, identity verification, minimal emergency demographics, and reconciliation of temporary Patient records with verified Patient records.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Patient |
C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: EMPatientIdentifierRequired, EMPatientUnknownRequiresTemporaryIdentifier, EMPatientVerifiedIdentityRequirements, EMPatientBirthDateOrApproximateAge, EMPatientInactiveRequiresReplacement |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:unidentifiedPatient |
S | 1..1 | boolean | Whether the patient's identity is currently unknown URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient |
| extension:patientIdentityVerified |
S | 0..1 | boolean | Whether the patient's identity has been verified URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-patient-identity-verified |
| extension:approximateAge |
S | 0..1 | Age | Estimated age when the exact date of birth is unavailable URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-approximate-age |
 extension:isAdult |
S | 0..1 | boolean | Triage-level adult or minor status URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-is-adult |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 Slices for identifier |
SΣ | 0..* | Identifier | Official or temporary identifiers assigned to the patient Slice: Unordered, Open by value:system |
 identifier:nationalId |
SΣ | 0..1 | Identifier | Known patient's official identifier |
  use |
?!SΣ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
 type |
SΣ | 0..1 | CodeableConcept | Description of identifier Binding: http://hie.go.ke/fhir/ValueSet/em-id-type (required) |
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hie.go.ke/fhir/identifier/patient-official-id |
 value |
SΣ | 1..1 | string | Literal official identification number Example General: 123456 |
 identifier:tempTrackingNumber |
SΣ | 0..1 | Identifier | Emergency temporary patient tracking number |
 use |
?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: temp |
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hie.go.ke/fhir/identifier/patient-temp-tracking |
| value |
SΣ | 1..1 | string | System-generated emergency tracking number Example General: 123456 |
| active |
?!SΣ | 1..1 | boolean | Whether the Patient record remains in active use |
| name |
SΣ | 0..1 | HumanName | Known or operational patient name |
| use |
?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. |
 text |
SΣ | 0..1 | string | Full patient name or unidentified-patient display name |
| telecom |
Σ | 0..* | ContactPoint | Patient contact details when available |
| gender |
SΣ | 0..1 | code | Administrative gender recorded during emergency assessment Binding: AdministrativeGender (required) |
| birthDate |
SΣ | 0..1 | date | Exact and verified date of birth |
| Slices for deceased[x] |
?!SΣ | 0..1 | Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this | |
| deceasedBoolean |
boolean | |||
| deceasedDateTime |
dateTime | |||
| deceased[x]:deceasedBoolean |
?!Σ | 0..1 | boolean | Whether the patient has been pronounced deceased |
| deceased[x]:deceasedDateTime |
?!Σ | 0..1 | dateTime | Known date and time of death |
| address |
Σ | 0..* | Address | Patient home address when available |
 link |
?!SΣ | 0..* | BackboneElement | Link to another Patient record for the same individual |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
 other |
SΣ | 1..1 | Reference(Patient) | Other Patient record representing the same individual |
| type |
SΣ | 1..1 | code | Nature of the relationship between the Patient records Binding: LinkType (required) |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Patient.identifier:nationalId.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Patient.identifier:nationalId.type | Base | required | http://hie.go.ke/fhir/ValueSet/em-id-type | Not State | Unknown |
| Patient.identifier:tempTrackingNumber.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std. |
| Patient.gender | Base | required | AdministrativeGender | 📦4.0.1 | FHIR Std. |
| Patient.link.type | Base | required | LinkType | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| EMPatientBirthDateOrApproximateAge | error | Patient | The patient should not have both an exact birth date and an approximate age. |
birthDate.exists() implies
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-approximate-age'
).empty()
|
| EMPatientIdentifierRequired | error | Patient | The patient must have either an official national identifier or an emergency temporary tracking number. |
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-official-id'
or
system = 'http://hie.go.ke/fhir/identifier/patient-temp-tracking'
).exists()
|
| EMPatientInactiveRequiresReplacement | error | Patient | An inactive emergency Patient record must identify its replacement through Patient.link using the replaced-by relationship. |
active = false implies
link.where(type = 'replaced-by').other.exists()
|
| EMPatientUnknownRequiresTemporaryIdentifier | error | Patient | An unidentified patient must have an emergency temporary tracking number. |
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient'
).value.ofType(boolean) = true implies
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-temp-tracking'
).exists()
|
| EMPatientVerifiedIdentityRequirements | error | Patient | When identity verification is true, the patient must no longer be marked as unidentified and must have an official identifier. |
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-patient-identity-verified'
).value.ofType(boolean) = true implies (
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient'
).value.ofType(boolean) = false
and
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-official-id'
).exists()
)
|
| 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()
|
This structure is derived from Patient
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Patient |
C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: EMPatientIdentifierRequired, EMPatientUnknownRequiresTemporaryIdentifier, EMPatientVerifiedIdentityRequirements, EMPatientBirthDateOrApproximateAge, EMPatientInactiveRequiresReplacement |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:unidentifiedPatient |
S | 1..1 | boolean | Whether the patient's identity is currently unknown URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient |
| extension:patientIdentityVerified |
S | 0..1 | boolean | Whether the patient's identity has been verified URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-patient-identity-verified |
| extension:approximateAge |
S | 0..1 | Age | Estimated age when the exact date of birth is unavailable URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-approximate-age |
| extension:isAdult |
S | 0..1 | boolean | Triage-level adult or minor status URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-is-adult |
| Slices for identifier |
S | 0..* | Identifier | Official or temporary identifiers assigned to the patient Slice: Unordered, Open by value:system |
| identifier:nationalId |
S | 0..1 | Identifier | Known patient's official identifier |
 use |
S | 0..1 | code | usual | official | temp | secondary | old (If known) |
| type |
S | 0..1 | CodeableConcept | Description of identifier Binding: http://hie.go.ke/fhir/ValueSet/em-id-type (required) |
| system |
S | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hie.go.ke/fhir/identifier/patient-official-id |
| value |
S | 1..1 | string | Literal official identification number |
| identifier:tempTrackingNumber |
S | 0..1 | Identifier | Emergency temporary patient tracking number |
| use |
S | 1..1 | code | usual | official | temp | secondary | old (If known) Fixed Value: temp |
| system |
S | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hie.go.ke/fhir/identifier/patient-temp-tracking |
| value |
S | 1..1 | string | System-generated emergency tracking number |
| active |
S | 1..1 | boolean | Whether the Patient record remains in active use |
| name |
S | 0..1 | HumanName | Known or operational patient name |
| text |
S | 0..1 | string | Full patient name or unidentified-patient display name |
| telecom |
0..* | ContactPoint | Patient contact details when available | |
| gender |
S | 0..1 | code | Administrative gender recorded during emergency assessment Binding: AdministrativeGender (required) |
| birthDate |
S | 0..1 | date | Exact and verified date of birth |
| Slices for deceased[x] |
S | 0..1 | boolean, dateTime | Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this |
| deceased[x]:deceasedBoolean |
0..1 | boolean | Whether the patient has been pronounced deceased | |
| deceased[x]:deceasedDateTime |
0..1 | dateTime | Known date and time of death | |
| address |
0..* | Address | Patient home address when available | |
| link |
S | 0..* | BackboneElement | Link to another Patient record for the same individual |
| other |
S | 1..1 | Reference(Patient) | Other Patient record representing the same individual |
| type |
S | 1..1 | code | Nature of the relationship between the Patient records Binding: LinkType (required) |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Patient.identifier:nationalId.type | Base | required | http://hie.go.ke/fhir/ValueSet/em-id-type | Not State | Unknown |
| Patient.gender | Base | required | AdministrativeGender | 📦4.0.1 | FHIR Std. |
| Patient.link.type | Base | required | LinkType | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| EMPatientBirthDateOrApproximateAge | error | Patient | The patient should not have both an exact birth date and an approximate age. |
birthDate.exists() implies
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-approximate-age'
).empty()
|
| EMPatientIdentifierRequired | error | Patient | The patient must have either an official national identifier or an emergency temporary tracking number. |
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-official-id'
or
system = 'http://hie.go.ke/fhir/identifier/patient-temp-tracking'
).exists()
|
| EMPatientInactiveRequiresReplacement | error | Patient | An inactive emergency Patient record must identify its replacement through Patient.link using the replaced-by relationship. |
active = false implies
link.where(type = 'replaced-by').other.exists()
|
| EMPatientUnknownRequiresTemporaryIdentifier | error | Patient | An unidentified patient must have an emergency temporary tracking number. |
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient'
).value.ofType(boolean) = true implies
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-temp-tracking'
).exists()
|
| EMPatientVerifiedIdentityRequirements | error | Patient | When identity verification is true, the patient must no longer be marked as unidentified and must have an official identifier. |
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-patient-identity-verified'
).value.ofType(boolean) = true implies (
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient'
).value.ofType(boolean) = false
and
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-official-id'
).exists()
)
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Patient |
C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: EMPatientIdentifierRequired, EMPatientUnknownRequiresTemporaryIdentifier, EMPatientVerifiedIdentityRequirements, EMPatientBirthDateOrApproximateAge, EMPatientInactiveRequiresReplacement | ||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:unidentifiedPatient |
S | 1..1 | boolean | Whether the patient's identity is currently unknown URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient | ||||
| extension:patientIdentityVerified |
S | 0..1 | boolean | Whether the patient's identity has been verified URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-patient-identity-verified | ||||
| extension:approximateAge |
S | 0..1 | Age | Estimated age when the exact date of birth is unavailable URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-approximate-age | ||||
| extension:isAdult |
S | 0..1 | boolean | Triage-level adult or minor status URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-is-adult | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier |
SΣ | 0..* | Identifier | Official or temporary identifiers assigned to the patient Slice: Unordered, Open by value:system | ||||
| identifier:nationalId |
SΣ | 0..1 | Identifier | Known patient's official identifier | ||||
| 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 |
?!SΣ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
SΣ | 0..1 | CodeableConcept | Description of identifier Binding: http://hie.go.ke/fhir/ValueSet/em-id-type (required) | ||||
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hie.go.ke/fhir/identifier/patient-official-id | ||||
| value |
SΣ | 1..1 | string | Literal official identification number Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| identifier:tempTrackingNumber |
SΣ | 0..1 | Identifier | Emergency temporary patient tracking number | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: temp | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hie.go.ke/fhir/identifier/patient-temp-tracking | ||||
| value |
SΣ | 1..1 | string | System-generated emergency tracking number 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 |
?!SΣ | 1..1 | boolean | Whether the Patient record remains in active use | ||||
| name |
SΣ | 0..1 | HumanName | Known or operational patient name | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. | ||||
| text |
SΣ | 0..1 | string | Full patient name or unidentified-patient display name | ||||
| family |
Σ | 0..1 | string | Family name (often called 'Surname') | ||||
| given |
Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name | ||||
| prefix |
Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name | ||||
| suffix |
Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name | ||||
| period |
Σ | 0..1 | Period | Time period when name was/is in use | ||||
| telecom |
Σ | 0..* | ContactPoint | Patient contact details when available | ||||
| gender |
SΣ | 0..1 | code | Administrative gender recorded during emergency assessment Binding: AdministrativeGender (required) | ||||
| birthDate |
SΣ | 0..1 | date | Exact and verified date of birth | ||||
| Slices for deceased[x] |
?!SΣ | 0..1 | Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this | |||||
| deceasedBoolean |
boolean | |||||||
| deceasedDateTime |
dateTime | |||||||
| deceased[x]:deceasedBoolean |
?!Σ | 0..1 | boolean | Whether the patient has been pronounced deceased | ||||
| deceased[x]:deceasedDateTime |
?!Σ | 0..1 | dateTime | Known date and time of death | ||||
| address |
Σ | 0..* | Address | Patient home address when available | ||||
| 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 |
C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| relationship |
0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. | |||||
| name |
0..1 | HumanName | A name associated with the contact person | |||||
| telecom |
0..* | ContactPoint | A contact detail for the person | |||||
| address |
0..1 | Address | Address for the contact person | |||||
| gender |
0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
| organization |
C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
| period |
0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
| communication |
0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| language |
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.
| |||||
| 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 |
?!SΣ | 0..* | BackboneElement | Link to another Patient record for the same individual | ||||
| 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 |
SΣ | 1..1 | Reference(Patient) | Other Patient record representing the same individual | ||||
| type |
SΣ | 1..1 | code | Nature of the relationship between the Patient records Binding: LinkType (required) | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Patient.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Patient.identifier:nationalId.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Patient.identifier:nationalId.type | Base | required | http://hie.go.ke/fhir/ValueSet/em-id-type | Not State | Unknown |
| Patient.identifier:tempTrackingNumber.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Patient.identifier:tempTrackingNumber.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std. |
| Patient.gender | Base | required | AdministrativeGender | 📦4.0.1 | FHIR Std. |
| Patient.maritalStatus | Base | extensible | MaritalStatus | 📍4.0.1 | FHIR Std. |
| Patient.contact.relationship | Base | extensible | Patient Contact Relationship | 📍4.0.1 | FHIR Std. |
| Patient.contact.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std. |
| Patient.communication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Patient.link.type | Base | required | LinkType | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| EMPatientBirthDateOrApproximateAge | error | Patient | The patient should not have both an exact birth date and an approximate age. |
birthDate.exists() implies
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-approximate-age'
).empty()
|
| EMPatientIdentifierRequired | error | Patient | The patient must have either an official national identifier or an emergency temporary tracking number. |
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-official-id'
or
system = 'http://hie.go.ke/fhir/identifier/patient-temp-tracking'
).exists()
|
| EMPatientInactiveRequiresReplacement | error | Patient | An inactive emergency Patient record must identify its replacement through Patient.link using the replaced-by relationship. |
active = false implies
link.where(type = 'replaced-by').other.exists()
|
| EMPatientUnknownRequiresTemporaryIdentifier | error | Patient | An unidentified patient must have an emergency temporary tracking number. |
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient'
).value.ofType(boolean) = true implies
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-temp-tracking'
).exists()
|
| EMPatientVerifiedIdentityRequirements | error | Patient | When identity verification is true, the patient must no longer be marked as unidentified and must have an official identifier. |
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-patient-identity-verified'
).value.ofType(boolean) = true implies (
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient'
).value.ofType(boolean) = false
and
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-official-id'
).exists()
)
|
| 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: 3 elements(5 nested mandatory elements)
Must-Support: 23 elements
Fixed: 3 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Patient |
C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: EMPatientIdentifierRequired, EMPatientUnknownRequiresTemporaryIdentifier, EMPatientVerifiedIdentityRequirements, EMPatientBirthDateOrApproximateAge, EMPatientInactiveRequiresReplacement |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:unidentifiedPatient |
S | 1..1 | boolean | Whether the patient's identity is currently unknown URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient |
| extension:patientIdentityVerified |
S | 0..1 | boolean | Whether the patient's identity has been verified URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-patient-identity-verified |
| extension:approximateAge |
S | 0..1 | Age | Estimated age when the exact date of birth is unavailable URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-approximate-age |
| extension:isAdult |
S | 0..1 | boolean | Triage-level adult or minor status URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-is-adult |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for identifier |
SΣ | 0..* | Identifier | Official or temporary identifiers assigned to the patient Slice: Unordered, Open by value:system |
| identifier:nationalId |
SΣ | 0..1 | Identifier | Known patient's official identifier |
| use |
?!SΣ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| type |
SΣ | 0..1 | CodeableConcept | Description of identifier Binding: http://hie.go.ke/fhir/ValueSet/em-id-type (required) |
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hie.go.ke/fhir/identifier/patient-official-id |
| value |
SΣ | 1..1 | string | Literal official identification number Example General: 123456 |
| identifier:tempTrackingNumber |
SΣ | 0..1 | Identifier | Emergency temporary patient tracking number |
| use |
?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: temp |
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hie.go.ke/fhir/identifier/patient-temp-tracking |
| value |
SΣ | 1..1 | string | System-generated emergency tracking number Example General: 123456 |
| active |
?!SΣ | 1..1 | boolean | Whether the Patient record remains in active use |
| name |
SΣ | 0..1 | HumanName | Known or operational patient name |
| use |
?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. |
| text |
SΣ | 0..1 | string | Full patient name or unidentified-patient display name |
| telecom |
Σ | 0..* | ContactPoint | Patient contact details when available |
| gender |
SΣ | 0..1 | code | Administrative gender recorded during emergency assessment Binding: AdministrativeGender (required) |
| birthDate |
SΣ | 0..1 | date | Exact and verified date of birth |
| Slices for deceased[x] |
?!SΣ | 0..1 | Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this | |
| deceasedBoolean |
boolean | |||
| deceasedDateTime |
dateTime | |||
| deceased[x]:deceasedBoolean |
?!Σ | 0..1 | boolean | Whether the patient has been pronounced deceased |
| deceased[x]:deceasedDateTime |
?!Σ | 0..1 | dateTime | Known date and time of death |
| address |
Σ | 0..* | Address | Patient home address when available |
| link |
?!SΣ | 0..* | BackboneElement | Link to another Patient record for the same individual |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| other |
SΣ | 1..1 | Reference(Patient) | Other Patient record representing the same individual |
| type |
SΣ | 1..1 | code | Nature of the relationship between the Patient records Binding: LinkType (required) |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Patient.identifier:nationalId.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Patient.identifier:nationalId.type | Base | required | http://hie.go.ke/fhir/ValueSet/em-id-type | Not State | Unknown |
| Patient.identifier:tempTrackingNumber.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std. |
| Patient.gender | Base | required | AdministrativeGender | 📦4.0.1 | FHIR Std. |
| Patient.link.type | Base | required | LinkType | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| EMPatientBirthDateOrApproximateAge | error | Patient | The patient should not have both an exact birth date and an approximate age. |
birthDate.exists() implies
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-approximate-age'
).empty()
|
| EMPatientIdentifierRequired | error | Patient | The patient must have either an official national identifier or an emergency temporary tracking number. |
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-official-id'
or
system = 'http://hie.go.ke/fhir/identifier/patient-temp-tracking'
).exists()
|
| EMPatientInactiveRequiresReplacement | error | Patient | An inactive emergency Patient record must identify its replacement through Patient.link using the replaced-by relationship. |
active = false implies
link.where(type = 'replaced-by').other.exists()
|
| EMPatientUnknownRequiresTemporaryIdentifier | error | Patient | An unidentified patient must have an emergency temporary tracking number. |
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient'
).value.ofType(boolean) = true implies
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-temp-tracking'
).exists()
|
| EMPatientVerifiedIdentityRequirements | error | Patient | When identity verification is true, the patient must no longer be marked as unidentified and must have an official identifier. |
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-patient-identity-verified'
).value.ofType(boolean) = true implies (
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient'
).value.ofType(boolean) = false
and
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-official-id'
).exists()
)
|
| 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()
|
Differential View
This structure is derived from Patient
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Patient |
C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: EMPatientIdentifierRequired, EMPatientUnknownRequiresTemporaryIdentifier, EMPatientVerifiedIdentityRequirements, EMPatientBirthDateOrApproximateAge, EMPatientInactiveRequiresReplacement |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:unidentifiedPatient |
S | 1..1 | boolean | Whether the patient's identity is currently unknown URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient |
| extension:patientIdentityVerified |
S | 0..1 | boolean | Whether the patient's identity has been verified URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-patient-identity-verified |
| extension:approximateAge |
S | 0..1 | Age | Estimated age when the exact date of birth is unavailable URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-approximate-age |
| extension:isAdult |
S | 0..1 | boolean | Triage-level adult or minor status URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-is-adult |
| Slices for identifier |
S | 0..* | Identifier | Official or temporary identifiers assigned to the patient Slice: Unordered, Open by value:system |
| identifier:nationalId |
S | 0..1 | Identifier | Known patient's official identifier |
| use |
S | 0..1 | code | usual | official | temp | secondary | old (If known) |
| type |
S | 0..1 | CodeableConcept | Description of identifier Binding: http://hie.go.ke/fhir/ValueSet/em-id-type (required) |
| system |
S | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hie.go.ke/fhir/identifier/patient-official-id |
| value |
S | 1..1 | string | Literal official identification number |
| identifier:tempTrackingNumber |
S | 0..1 | Identifier | Emergency temporary patient tracking number |
| use |
S | 1..1 | code | usual | official | temp | secondary | old (If known) Fixed Value: temp |
| system |
S | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hie.go.ke/fhir/identifier/patient-temp-tracking |
| value |
S | 1..1 | string | System-generated emergency tracking number |
| active |
S | 1..1 | boolean | Whether the Patient record remains in active use |
| name |
S | 0..1 | HumanName | Known or operational patient name |
| text |
S | 0..1 | string | Full patient name or unidentified-patient display name |
| telecom |
0..* | ContactPoint | Patient contact details when available | |
| gender |
S | 0..1 | code | Administrative gender recorded during emergency assessment Binding: AdministrativeGender (required) |
| birthDate |
S | 0..1 | date | Exact and verified date of birth |
| Slices for deceased[x] |
S | 0..1 | boolean, dateTime | Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this |
| deceased[x]:deceasedBoolean |
0..1 | boolean | Whether the patient has been pronounced deceased | |
| deceased[x]:deceasedDateTime |
0..1 | dateTime | Known date and time of death | |
| address |
0..* | Address | Patient home address when available | |
| link |
S | 0..* | BackboneElement | Link to another Patient record for the same individual |
| other |
S | 1..1 | Reference(Patient) | Other Patient record representing the same individual |
| type |
S | 1..1 | code | Nature of the relationship between the Patient records Binding: LinkType (required) |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Patient.identifier:nationalId.type | Base | required | http://hie.go.ke/fhir/ValueSet/em-id-type | Not State | Unknown |
| Patient.gender | Base | required | AdministrativeGender | 📦4.0.1 | FHIR Std. |
| Patient.link.type | Base | required | LinkType | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| EMPatientBirthDateOrApproximateAge | error | Patient | The patient should not have both an exact birth date and an approximate age. |
birthDate.exists() implies
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-approximate-age'
).empty()
|
| EMPatientIdentifierRequired | error | Patient | The patient must have either an official national identifier or an emergency temporary tracking number. |
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-official-id'
or
system = 'http://hie.go.ke/fhir/identifier/patient-temp-tracking'
).exists()
|
| EMPatientInactiveRequiresReplacement | error | Patient | An inactive emergency Patient record must identify its replacement through Patient.link using the replaced-by relationship. |
active = false implies
link.where(type = 'replaced-by').other.exists()
|
| EMPatientUnknownRequiresTemporaryIdentifier | error | Patient | An unidentified patient must have an emergency temporary tracking number. |
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient'
).value.ofType(boolean) = true implies
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-temp-tracking'
).exists()
|
| EMPatientVerifiedIdentityRequirements | error | Patient | When identity verification is true, the patient must no longer be marked as unidentified and must have an official identifier. |
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-patient-identity-verified'
).value.ofType(boolean) = true implies (
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient'
).value.ofType(boolean) = false
and
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-official-id'
).exists()
)
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Patient |
C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: EMPatientIdentifierRequired, EMPatientUnknownRequiresTemporaryIdentifier, EMPatientVerifiedIdentityRequirements, EMPatientBirthDateOrApproximateAge, EMPatientInactiveRequiresReplacement | ||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:unidentifiedPatient |
S | 1..1 | boolean | Whether the patient's identity is currently unknown URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient | ||||
| extension:patientIdentityVerified |
S | 0..1 | boolean | Whether the patient's identity has been verified URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-patient-identity-verified | ||||
| extension:approximateAge |
S | 0..1 | Age | Estimated age when the exact date of birth is unavailable URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-approximate-age | ||||
| extension:isAdult |
S | 0..1 | boolean | Triage-level adult or minor status URL: https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-is-adult | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier |
SΣ | 0..* | Identifier | Official or temporary identifiers assigned to the patient Slice: Unordered, Open by value:system | ||||
| identifier:nationalId |
SΣ | 0..1 | Identifier | Known patient's official identifier | ||||
| 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 |
?!SΣ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
SΣ | 0..1 | CodeableConcept | Description of identifier Binding: http://hie.go.ke/fhir/ValueSet/em-id-type (required) | ||||
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hie.go.ke/fhir/identifier/patient-official-id | ||||
| value |
SΣ | 1..1 | string | Literal official identification number Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| identifier:tempTrackingNumber |
SΣ | 0..1 | Identifier | Emergency temporary patient tracking number | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: temp | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system |
SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hie.go.ke/fhir/identifier/patient-temp-tracking | ||||
| value |
SΣ | 1..1 | string | System-generated emergency tracking number 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 |
?!SΣ | 1..1 | boolean | Whether the Patient record remains in active use | ||||
| name |
SΣ | 0..1 | HumanName | Known or operational patient name | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. | ||||
| text |
SΣ | 0..1 | string | Full patient name or unidentified-patient display name | ||||
| family |
Σ | 0..1 | string | Family name (often called 'Surname') | ||||
| given |
Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name | ||||
| prefix |
Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name | ||||
| suffix |
Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name | ||||
| period |
Σ | 0..1 | Period | Time period when name was/is in use | ||||
| telecom |
Σ | 0..* | ContactPoint | Patient contact details when available | ||||
| gender |
SΣ | 0..1 | code | Administrative gender recorded during emergency assessment Binding: AdministrativeGender (required) | ||||
| birthDate |
SΣ | 0..1 | date | Exact and verified date of birth | ||||
| Slices for deceased[x] |
?!SΣ | 0..1 | Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this | |||||
| deceasedBoolean |
boolean | |||||||
| deceasedDateTime |
dateTime | |||||||
| deceased[x]:deceasedBoolean |
?!Σ | 0..1 | boolean | Whether the patient has been pronounced deceased | ||||
| deceased[x]:deceasedDateTime |
?!Σ | 0..1 | dateTime | Known date and time of death | ||||
| address |
Σ | 0..* | Address | Patient home address when available | ||||
| 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 |
C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| relationship |
0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. | |||||
| name |
0..1 | HumanName | A name associated with the contact person | |||||
| telecom |
0..* | ContactPoint | A contact detail for the person | |||||
| address |
0..1 | Address | Address for the contact person | |||||
| gender |
0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
| organization |
C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
| period |
0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
| communication |
0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| language |
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.
| |||||
| 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 |
?!SΣ | 0..* | BackboneElement | Link to another Patient record for the same individual | ||||
| 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 |
SΣ | 1..1 | Reference(Patient) | Other Patient record representing the same individual | ||||
| type |
SΣ | 1..1 | code | Nature of the relationship between the Patient records Binding: LinkType (required) | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Patient.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Patient.identifier:nationalId.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Patient.identifier:nationalId.type | Base | required | http://hie.go.ke/fhir/ValueSet/em-id-type | Not State | Unknown |
| Patient.identifier:tempTrackingNumber.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Patient.identifier:tempTrackingNumber.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std. |
| Patient.gender | Base | required | AdministrativeGender | 📦4.0.1 | FHIR Std. |
| Patient.maritalStatus | Base | extensible | MaritalStatus | 📍4.0.1 | FHIR Std. |
| Patient.contact.relationship | Base | extensible | Patient Contact Relationship | 📍4.0.1 | FHIR Std. |
| Patient.contact.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std. |
| Patient.communication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Patient.link.type | Base | required | LinkType | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| EMPatientBirthDateOrApproximateAge | error | Patient | The patient should not have both an exact birth date and an approximate age. |
birthDate.exists() implies
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-approximate-age'
).empty()
|
| EMPatientIdentifierRequired | error | Patient | The patient must have either an official national identifier or an emergency temporary tracking number. |
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-official-id'
or
system = 'http://hie.go.ke/fhir/identifier/patient-temp-tracking'
).exists()
|
| EMPatientInactiveRequiresReplacement | error | Patient | An inactive emergency Patient record must identify its replacement through Patient.link using the replaced-by relationship. |
active = false implies
link.where(type = 'replaced-by').other.exists()
|
| EMPatientUnknownRequiresTemporaryIdentifier | error | Patient | An unidentified patient must have an emergency temporary tracking number. |
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient'
).value.ofType(boolean) = true implies
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-temp-tracking'
).exists()
|
| EMPatientVerifiedIdentityRequirements | error | Patient | When identity verification is true, the patient must no longer be marked as unidentified and must have an official identifier. |
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-patient-identity-verified'
).value.ofType(boolean) = true implies (
extension.where(
url = 'https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-unidentified-patient'
).value.ofType(boolean) = false
and
identifier.where(
system = 'http://hie.go.ke/fhir/identifier/patient-official-id'
).exists()
)
|
| 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: 3 elements(5 nested mandatory elements)
Must-Support: 23 elements
Fixed: 3 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron