VRIS - Viljatusravi infosüsteem
0.1.0 - draft

VRIS - Viljatusravi infosüsteem, published by TEHIK. 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/TEHIK-EE/ig-ee-vris/ and changes regularly. See the Directory of published versions

## Resource Profile: Patient: EE VRIS Patient

Official URL: https://fhir.ee/vris/StructureDefinition/ee-vris-patient-universal | Version: 0.1.0
Draft as of 2026-07-16 | Computable Name: EEVRISPatient

VRIS patient profile. (ee VRIS patsiendi profiil. Roll modifierExtension'ina ning link viitab MPI ametlikule patsiendikirjele.)

Usages:

- This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

### 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: vris-patient-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:role |  | 1..* | CodeableConcept | (ee Patsiendi roll VRIS-is: retsipient/doonor/partner/anonüümne doonor/säilitaja. Mõjutab andmete tõlgendamist ja privaatsust!) URL: https://fhir.ee/vris/StructureDefinition/ee-vris-role
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension:nationality |  | 0..1 | (Complex) | Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthSex |  | 0..1 | CodeableConcept | Birth sex. (ee Sünnisugu) URL: https://fhir.ee/vris/StructureDefinition/ee-vris-birth-sex
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | (ee Kohalik VRIS identifikaator. Ametlikud isikuandmed pärinevad MPI-st läbi link.other viite.)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | Σ | 0..* | HumanName | (ee Kui vajalik lühiviide, muidu ametlik nimi tuleb MPI-st)
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
managingOrganization | Σ | 0..1 | Reference(Organization) | (ee Siia tuleb viide, millise konkreetse asutuse/kliinikuga on patsient seotud. See asutus saab rohkem andmeid näha patsiendi kohta!)
Slices for link | ?!Σ | 1..* | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual Slice: Unordered, Open by profile:other.resolve()
link:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | (ee Kohustuslik viide MPI ametlikule patsiendikirjele. Kõik ametlikud isikuandmed pärinevad sealt.)
type | Σ | 1..1 | code | (ee Fikseeritud: #refer, kuna VRIS Patient viitab MPI ametlikule kirjele) Binding: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code Required Pattern: refer
link:verifiedPatient | ?!Σ | 0..1 | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(EE MPI Patient Verified) | (ee Viide MPI verified patsiendile retsipient, partner, säilitaja)
type | Σ | 1..1 | code | (ee Fikseeritud: #refer, kuna VRIS Patient viitab MPI ametlikule kirjele) Binding: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code Required Pattern: refer
link:unknownPatient | ?!Σ | 0..1 | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(EE MPI Patient Unknown) | (ee Viide MPI unknown patsiendile, ainult ANONÜÜMNE doonor)
type | Σ | 1..1 | code | (ee Fikseeritud: #refer, kuna VRIS Patient viitab MPI ametlikule kirjele) Binding: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code Required Pattern: refer
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.link.type | Base | required | Link Type | 📍5.0.0 | FHIR Std.
Patient.link:verifiedPatient.​type | Base | required | Link Type | 📍5.0.0 | FHIR Std.
Patient.link:unknownPatient.​type | Base | required | Link Type | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()`
vris-patient-1 | error | Patient | At least one link (verified or unknown) must be present | `link.exists()`

This structure is derived from Patient

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: vris-patient-1
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:role |  | 1..* | CodeableConcept | (ee Patsiendi roll VRIS-is: retsipient/doonor/partner/anonüümne doonor/säilitaja. Mõjutab andmete tõlgendamist ja privaatsust!) URL: https://fhir.ee/vris/StructureDefinition/ee-vris-role
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension:nationality |  | 0..1 | (Complex) | Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthSex |  | 0..1 | CodeableConcept | Birth sex. (ee Sünnisugu) URL: https://fhir.ee/vris/StructureDefinition/ee-vris-birth-sex
identifier |  | 0..* | Identifier | (ee Kohalik VRIS identifikaator. Ametlikud isikuandmed pärinevad MPI-st läbi link.other viite.)
name |  | 0..* | HumanName | (ee Kui vajalik lühiviide, muidu ametlik nimi tuleb MPI-st)
managingOrganization |  | 0..1 | Reference(Organization) | (ee Siia tuleb viide, millise konkreetse asutuse/kliinikuga on patsient seotud. See asutus saab rohkem andmeid näha patsiendi kohta!)
Slices for link |  | 1..* | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual Slice: Unordered, Open by profile:other.resolve()
link:All Slices |  |  |  | Content/Rules for all slices
other |  | 1..1 | Reference(Patient | RelatedPerson) | (ee Kohustuslik viide MPI ametlikule patsiendikirjele. Kõik ametlikud isikuandmed pärinevad sealt.)
type |  | 1..1 | code | (ee Fikseeritud: #refer, kuna VRIS Patient viitab MPI ametlikule kirjele) Required Pattern: refer
link:verifiedPatient |  | 0..1 | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual
other |  | 1..1 | Reference(EE MPI Patient Verified) | (ee Viide MPI verified patsiendile retsipient, partner, säilitaja)
link:unknownPatient |  | 0..1 | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual
other |  | 1..1 | Reference(EE MPI Patient Unknown) | (ee Viide MPI unknown patsiendile, ainult ANONÜÜMNE doonor)
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
vris-patient-1 | error | Patient | At least one link (verified or unknown) must be present | `link.exists()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: vris-patient-1
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: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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:role |  | 1..* | CodeableConcept | (ee Patsiendi roll VRIS-is: retsipient/doonor/partner/anonüümne doonor/säilitaja. Mõjutab andmete tõlgendamist ja privaatsust!) URL: https://fhir.ee/vris/StructureDefinition/ee-vris-role
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension:nationality |  | 0..1 | (Complex) | Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthSex |  | 0..1 | CodeableConcept | Birth sex. (ee Sünnisugu) URL: https://fhir.ee/vris/StructureDefinition/ee-vris-birth-sex
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | (ee Kohalik VRIS identifikaator. Ametlikud isikuandmed pärinevad MPI-st läbi link.other viite.)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | Σ | 0..* | HumanName | (ee Kui vajalik lühiviide, muidu ametlik nimi tuleb MPI-st)
telecom | Σ | 0..* | ContactPoint | A contact detail for the individual
gender | Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | Σ | 0..* | Address | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: MaritalStatusCodes (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 | C | 0..1 | HumanName | A name associated with the contact person
telecom | C | 0..* | ContactPoint | A contact detail for the person
address | C | 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: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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) | (ee Siia tuleb viide, millise konkreetse asutuse/kliinikuga on patsient seotud. See asutus saab rohkem andmeid näha patsiendi kohta!)
Slices for link | ?!Σ | 1..* | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual Slice: Unordered, Open by profile:other.resolve()
link: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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | (ee Kohustuslik viide MPI ametlikule patsiendikirjele. Kõik ametlikud isikuandmed pärinevad sealt.)
type | Σ | 1..1 | code | (ee Fikseeritud: #refer, kuna VRIS Patient viitab MPI ametlikule kirjele) Binding: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code Required Pattern: refer
link:verifiedPatient | ?!Σ | 0..1 | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual 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 | Σ | 1..1 | Reference(EE MPI Patient Verified) | (ee Viide MPI verified patsiendile retsipient, partner, säilitaja)
type | Σ | 1..1 | code | (ee Fikseeritud: #refer, kuna VRIS Patient viitab MPI ametlikule kirjele) Binding: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code Required Pattern: refer
link:unknownPatient | ?!Σ | 0..1 | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual 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 | Σ | 1..1 | Reference(EE MPI Patient Unknown) | (ee Viide MPI unknown patsiendile, ainult ANONÜÜMNE doonor)
type | Σ | 1..1 | code | (ee Fikseeritud: #refer, kuna VRIS Patient viitab MPI ametlikule kirjele) Binding: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code Required Pattern: refer
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍5.0.0 | FHIR Std.
Patient.maritalStatus | Base | extensible | Marital Status Codes | 📍5.0.0 | FHIR Std.
Patient.contact.relationship | Base | extensible | Patient Contact Relationship | 📍5.0.0 | FHIR Std.
Patient.contact.gender | Base | required | AdministrativeGender | 📍5.0.0 | FHIR Std.
Patient.communication.​language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Patient.link.type | Base | required | Link Type | 📍5.0.0 | FHIR Std.
Patient.link:verifiedPatient.​type | Base | required | Link Type | 📍5.0.0 | FHIR Std.
Patient.link:unknownPatient.​type | Base | required | Link Type | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()`
vris-patient-1 | error | Patient | At least one link (verified or unknown) must be present | `link.exists()`

This structure is derived from Patient

Summary

Mandatory: 3 elements

Structures

This structure refers to these other structures:

- EE MPI Patient Verified (https://fhir.ee/mpi/StructureDefinition/ee-mpi-patient-verified)
- EE MPI Patient Unknown (https://fhir.ee/mpi/StructureDefinition/ee-mpi-patient-unknown)

Extensions

This structure refers to these extensions:

- https://fhir.ee/vris/StructureDefinition/ee-vris-role
- http://hl7.org/fhir/StructureDefinition/patient-birthPlace
- http://hl7.org/fhir/StructureDefinition/patient-nationality
- https://fhir.ee/vris/StructureDefinition/ee-vris-birth-sex

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Patient.link

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: vris-patient-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:role |  | 1..* | CodeableConcept | (ee Patsiendi roll VRIS-is: retsipient/doonor/partner/anonüümne doonor/säilitaja. Mõjutab andmete tõlgendamist ja privaatsust!) URL: https://fhir.ee/vris/StructureDefinition/ee-vris-role
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension:nationality |  | 0..1 | (Complex) | Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthSex |  | 0..1 | CodeableConcept | Birth sex. (ee Sünnisugu) URL: https://fhir.ee/vris/StructureDefinition/ee-vris-birth-sex
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | (ee Kohalik VRIS identifikaator. Ametlikud isikuandmed pärinevad MPI-st läbi link.other viite.)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | Σ | 0..* | HumanName | (ee Kui vajalik lühiviide, muidu ametlik nimi tuleb MPI-st)
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
managingOrganization | Σ | 0..1 | Reference(Organization) | (ee Siia tuleb viide, millise konkreetse asutuse/kliinikuga on patsient seotud. See asutus saab rohkem andmeid näha patsiendi kohta!)
Slices for link | ?!Σ | 1..* | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual Slice: Unordered, Open by profile:other.resolve()
link:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | (ee Kohustuslik viide MPI ametlikule patsiendikirjele. Kõik ametlikud isikuandmed pärinevad sealt.)
type | Σ | 1..1 | code | (ee Fikseeritud: #refer, kuna VRIS Patient viitab MPI ametlikule kirjele) Binding: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code Required Pattern: refer
link:verifiedPatient | ?!Σ | 0..1 | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(EE MPI Patient Verified) | (ee Viide MPI verified patsiendile retsipient, partner, säilitaja)
type | Σ | 1..1 | code | (ee Fikseeritud: #refer, kuna VRIS Patient viitab MPI ametlikule kirjele) Binding: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code Required Pattern: refer
link:unknownPatient | ?!Σ | 0..1 | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(EE MPI Patient Unknown) | (ee Viide MPI unknown patsiendile, ainult ANONÜÜMNE doonor)
type | Σ | 1..1 | code | (ee Fikseeritud: #refer, kuna VRIS Patient viitab MPI ametlikule kirjele) Binding: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code Required Pattern: refer
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.link.type | Base | required | Link Type | 📍5.0.0 | FHIR Std.
Patient.link:verifiedPatient.​type | Base | required | Link Type | 📍5.0.0 | FHIR Std.
Patient.link:unknownPatient.​type | Base | required | Link Type | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()`
vris-patient-1 | error | Patient | At least one link (verified or unknown) must be present | `link.exists()`

Differential View

This structure is derived from Patient

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: vris-patient-1
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:role |  | 1..* | CodeableConcept | (ee Patsiendi roll VRIS-is: retsipient/doonor/partner/anonüümne doonor/säilitaja. Mõjutab andmete tõlgendamist ja privaatsust!) URL: https://fhir.ee/vris/StructureDefinition/ee-vris-role
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension:nationality |  | 0..1 | (Complex) | Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthSex |  | 0..1 | CodeableConcept | Birth sex. (ee Sünnisugu) URL: https://fhir.ee/vris/StructureDefinition/ee-vris-birth-sex
identifier |  | 0..* | Identifier | (ee Kohalik VRIS identifikaator. Ametlikud isikuandmed pärinevad MPI-st läbi link.other viite.)
name |  | 0..* | HumanName | (ee Kui vajalik lühiviide, muidu ametlik nimi tuleb MPI-st)
managingOrganization |  | 0..1 | Reference(Organization) | (ee Siia tuleb viide, millise konkreetse asutuse/kliinikuga on patsient seotud. See asutus saab rohkem andmeid näha patsiendi kohta!)
Slices for link |  | 1..* | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual Slice: Unordered, Open by profile:other.resolve()
link:All Slices |  |  |  | Content/Rules for all slices
other |  | 1..1 | Reference(Patient | RelatedPerson) | (ee Kohustuslik viide MPI ametlikule patsiendikirjele. Kõik ametlikud isikuandmed pärinevad sealt.)
type |  | 1..1 | code | (ee Fikseeritud: #refer, kuna VRIS Patient viitab MPI ametlikule kirjele) Required Pattern: refer
link:verifiedPatient |  | 0..1 | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual
other |  | 1..1 | Reference(EE MPI Patient Verified) | (ee Viide MPI verified patsiendile retsipient, partner, säilitaja)
link:unknownPatient |  | 0..1 | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual
other |  | 1..1 | Reference(EE MPI Patient Unknown) | (ee Viide MPI unknown patsiendile, ainult ANONÜÜMNE doonor)
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
vris-patient-1 | error | Patient | At least one link (verified or unknown) must be present | `link.exists()`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | Information about an individual or animal receiving health care services Constraints: vris-patient-1
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: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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:role |  | 1..* | CodeableConcept | (ee Patsiendi roll VRIS-is: retsipient/doonor/partner/anonüümne doonor/säilitaja. Mõjutab andmete tõlgendamist ja privaatsust!) URL: https://fhir.ee/vris/StructureDefinition/ee-vris-role
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension:nationality |  | 0..1 | (Complex) | Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthSex |  | 0..1 | CodeableConcept | Birth sex. (ee Sünnisugu) URL: https://fhir.ee/vris/StructureDefinition/ee-vris-birth-sex
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | (ee Kohalik VRIS identifikaator. Ametlikud isikuandmed pärinevad MPI-st läbi link.other viite.)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | Σ | 0..* | HumanName | (ee Kui vajalik lühiviide, muidu ametlik nimi tuleb MPI-st)
telecom | Σ | 0..* | ContactPoint | A contact detail for the individual
gender | Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | Σ | 0..* | Address | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: MaritalStatusCodes (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 | C | 0..1 | HumanName | A name associated with the contact person
telecom | C | 0..* | ContactPoint | A contact detail for the person
address | C | 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: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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) | (ee Siia tuleb viide, millise konkreetse asutuse/kliinikuga on patsient seotud. See asutus saab rohkem andmeid näha patsiendi kohta!)
Slices for link | ?!Σ | 1..* | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual Slice: Unordered, Open by profile:other.resolve()
link: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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | (ee Kohustuslik viide MPI ametlikule patsiendikirjele. Kõik ametlikud isikuandmed pärinevad sealt.)
type | Σ | 1..1 | code | (ee Fikseeritud: #refer, kuna VRIS Patient viitab MPI ametlikule kirjele) Binding: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code Required Pattern: refer
link:verifiedPatient | ?!Σ | 0..1 | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual 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 | Σ | 1..1 | Reference(EE MPI Patient Verified) | (ee Viide MPI verified patsiendile retsipient, partner, säilitaja)
type | Σ | 1..1 | code | (ee Fikseeritud: #refer, kuna VRIS Patient viitab MPI ametlikule kirjele) Binding: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code Required Pattern: refer
link:unknownPatient | ?!Σ | 0..1 | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual 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 | Σ | 1..1 | Reference(EE MPI Patient Unknown) | (ee Viide MPI unknown patsiendile, ainult ANONÜÜMNE doonor)
type | Σ | 1..1 | code | (ee Fikseeritud: #refer, kuna VRIS Patient viitab MPI ametlikule kirjele) Binding: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code Required Pattern: refer
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍5.0.0 | FHIR Std.
Patient.maritalStatus | Base | extensible | Marital Status Codes | 📍5.0.0 | FHIR Std.
Patient.contact.relationship | Base | extensible | Patient Contact Relationship | 📍5.0.0 | FHIR Std.
Patient.contact.gender | Base | required | AdministrativeGender | 📍5.0.0 | FHIR Std.
Patient.communication.​language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Patient.link.type | Base | required | Link Type | 📍5.0.0 | FHIR Std.
Patient.link:verifiedPatient.​type | Base | required | Link Type | 📍5.0.0 | FHIR Std.
Patient.link:unknownPatient.​type | Base | required | Link Type | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()`
vris-patient-1 | error | Patient | At least one link (verified or unknown) must be present | `link.exists()`

This structure is derived from Patient

Summary

Mandatory: 3 elements

Structures

This structure refers to these other structures:

- EE MPI Patient Verified (https://fhir.ee/mpi/StructureDefinition/ee-mpi-patient-verified)
- EE MPI Patient Unknown (https://fhir.ee/mpi/StructureDefinition/ee-mpi-patient-unknown)

Extensions

This structure refers to these extensions:

- https://fhir.ee/vris/StructureDefinition/ee-vris-role
- http://hl7.org/fhir/StructureDefinition/patient-birthPlace
- http://hl7.org/fhir/StructureDefinition/patient-nationality
- https://fhir.ee/vris/StructureDefinition/ee-vris-birth-sex

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Patient.link

Other representations of profile: CSV, Excel, Schematron