JohnMoehrke PHR FHIR API, published by John Moehrke (himself). This guide is not an authorized publication; it is the continuous build for version 0.5.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/JohnMoehrke/phr/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON

Resource Profile: VA MHV PHR Patient

A profile on the Patient resource for MHV PHR exposing Patient using FHIR API.

• based on US-Core for Patient
• mapping from patient details in eVault (not from VIA/HDR transaction)
  • all elements populated from eVault PHR patient service
  • phrVPRDAO.fetchDetailPatientInfo(icn)
• identifier
  • value = GetPatientId
  • system = http://va.gov/identifiers/system/200MH
  • not using ICN but rather the id value known to eVault. There is concern the ICN is not unique enough.
• name - First and Last Name
• gender
• birthDate
• active = true
• The Identifier for the ICN in an identifier with system=urn:oid:2.16.840.1.113883.4.349
• populating identifier with GetPatientId() - the MHV patientId (jwt subjectId) with system value of http://va.gov/identifiers/system/200MH

mapping concerns:

• name seems to only populate first and last, but puts them both in given
• eVault also has, but are not being used in the FHIR Patient
  • MiddleName
  • Ssn
  • Email
  • Icn
• set .meta.profile
• Would be even better if we could use a common Patient registry.
• The Patient resource can hold much more such as religion, birth place, other identifiers, etc…
• Integration with Cerner will force even more federation of identities
• Not mapping PatientTO

Usage:

• CapabilityStatements using this Resource Profile: This indicates how MHV exposes PHR using FHIR
• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	USCorePatientProfile	Information about an individual or animal receiving health care services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management us-core-6: Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:birthsex		0..1	code	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:genderIdentity		0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. ele-1: All FHIR elements must have a @value or children Example General: 123456
identifier:PatientId	SΣ	1..1	Identifier	An identifier for this patient ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children Required Pattern: usual
system	SΣ	1..1	uri	aka 200MH ele-1: All FHIR elements must have a @value or children Required Pattern: http://va.gov/identifiers/system/200MH
value	SΣ	1..1	string	{eVault PatientID} ele-1: All FHIR elements must have a @value or children Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children Required Pattern: true
name	SΣ	1..1	HumanName	A name associated with the patient ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children
family	SΣC	1..1	string	Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children
given	SΣC	1..*	string	Given names (not always 'first'). Includes middle names ele-1: All FHIR elements must have a @value or children 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) ele-1: All FHIR elements must have a @value or children
birthDate	SΣ	1..1	date	The date of birth for the individual ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:PatientId.use	required	Pattern: usual 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.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/) http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Patient.communication.language	extensible	LanguageCodesWithLanguageAndOptionallyARegionModifier http://hl7.org/fhir/us/core/ValueSet/simple-language
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

This structure is derived from USCorePatientProfile

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	USCorePatientProfile	Information about an individual or animal receiving health care services
Slices for identifier		1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:PatientId		1..1	Identifier	An identifier for this patient
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: usual
system		1..1	uri	aka 200MH Required Pattern: http://va.gov/identifiers/system/200MH
value		1..1	string	{eVault PatientID}
active		0..1	boolean	Whether this patient's record is in active use Required Pattern: true
name		1..1	HumanName	A name associated with the patient
family		1..1	string	Family name (often called 'Surname')
given		1..*	string	Given names (not always 'first'). Includes middle names
telecom		0..0
birthDate		1..1	date	The date of birth for the individual
deceased[x]		0..0
address		0..0
maritalStatus		0..0
multipleBirth[x]		0..0
photo		0..0
contact		0..0
communication		0..0
generalPractitioner		0..0
managingOrganization		0..0
link		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	USCorePatientProfile	Information about an individual or animal receiving health care services us-core-6: Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.
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		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
extension:ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
extension:birthsex		0..1	code	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
extension:genderIdentity		0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:All Slices				Content/Rules for all slices
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.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. 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:PatientId	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 . Required Pattern: usual
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	aka 200MH Required Pattern: http://va.gov/identifiers/system/200MH
value	SΣ	1..1	string	{eVault PatientID} 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 Required Pattern: true
name	SΣ	1..1	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	SΣC	1..1	string	Family name (often called 'Surname')
given	SΣC	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
gender	SΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required)
birthDate	SΣ	1..1	date	The date of birth for the individual
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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:PatientId.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:PatientId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/) http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	extensible	LanguageCodesWithLanguageAndOptionallyARegionModifier http://hl7.org/fhir/us/core/ValueSet/simple-language
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

This structure is derived from USCorePatientProfile

Summary

Mandatory: 4 elements
Prohibited: 11 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Patient.identifier

Maturity: 3

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	USCorePatientProfile	Information about an individual or animal receiving health care services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management us-core-6: Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:birthsex		0..1	code	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:genderIdentity		0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. ele-1: All FHIR elements must have a @value or children Example General: 123456
identifier:PatientId	SΣ	1..1	Identifier	An identifier for this patient ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children Required Pattern: usual
system	SΣ	1..1	uri	aka 200MH ele-1: All FHIR elements must have a @value or children Required Pattern: http://va.gov/identifiers/system/200MH
value	SΣ	1..1	string	{eVault PatientID} ele-1: All FHIR elements must have a @value or children Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children Required Pattern: true
name	SΣ	1..1	HumanName	A name associated with the patient ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children
family	SΣC	1..1	string	Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children
given	SΣC	1..*	string	Given names (not always 'first'). Includes middle names ele-1: All FHIR elements must have a @value or children 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) ele-1: All FHIR elements must have a @value or children
birthDate	SΣ	1..1	date	The date of birth for the individual ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:PatientId.use	required	Pattern: usual 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.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/) http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Patient.communication.language	extensible	LanguageCodesWithLanguageAndOptionallyARegionModifier http://hl7.org/fhir/us/core/ValueSet/simple-language
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Differential View

This structure is derived from USCorePatientProfile

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	USCorePatientProfile	Information about an individual or animal receiving health care services
Slices for identifier		1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:PatientId		1..1	Identifier	An identifier for this patient
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: usual
system		1..1	uri	aka 200MH Required Pattern: http://va.gov/identifiers/system/200MH
value		1..1	string	{eVault PatientID}
active		0..1	boolean	Whether this patient's record is in active use Required Pattern: true
name		1..1	HumanName	A name associated with the patient
family		1..1	string	Family name (often called 'Surname')
given		1..*	string	Given names (not always 'first'). Includes middle names
telecom		0..0
birthDate		1..1	date	The date of birth for the individual
deceased[x]		0..0
address		0..0
maritalStatus		0..0
multipleBirth[x]		0..0
photo		0..0
contact		0..0
communication		0..0
generalPractitioner		0..0
managingOrganization		0..0
link		0..0
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	USCorePatientProfile	Information about an individual or animal receiving health care services us-core-6: Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.
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		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
extension:ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
extension:birthsex		0..1	code	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
extension:genderIdentity		0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:All Slices				Content/Rules for all slices
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.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. 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:PatientId	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 . Required Pattern: usual
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	aka 200MH Required Pattern: http://va.gov/identifiers/system/200MH
value	SΣ	1..1	string	{eVault PatientID} 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 Required Pattern: true
name	SΣ	1..1	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	SΣC	1..1	string	Family name (often called 'Surname')
given	SΣC	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
gender	SΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required)
birthDate	SΣ	1..1	date	The date of birth for the individual
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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:PatientId.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:PatientId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/) http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	extensible	LanguageCodesWithLanguageAndOptionallyARegionModifier http://hl7.org/fhir/us/core/ValueSet/simple-language
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

This structure is derived from USCorePatientProfile

Summary

Mandatory: 4 elements
Prohibited: 11 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Patient.identifier

Maturity: 3

Other representations of profile: CSV, Excel, Schematron