CH EKM (R4)
0.0.1 - ci-build
CH EKM (R4)
0.0.1 - ci-build
CH EKM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-ekm/ and changes regularly. See the Directory of published versions
| Draft as of 2026-03-02 |
Definitions for the ch-ekm-patient-initials resource profile.
Guidance on how to interpret the contents of this table can be foundhere
| 0. Patient | |
| Definition | The CH Core Patient is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements in Switzerland. See also https://www.bfs.admin.ch/bfs/de/home/register/personenregister/registerharmonisierung/nomenklaturen.html for further information Demographics and other administrative information about an individual or animal receiving care or other health-related services. |
| Short | CH Core PatientInformation about an individual or animal receiving health care services |
| Control | 0..* |
| Is Modifier | false |
| Summary | false |
| Alternate Names | SubjectOfCare Client Resident |
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) ch-pat-1: If one ore more human names are provided, at least one human name should have a family and a given name. ( name.where(family.exists() and given.exists()).count()>0 or name.empty())ch-pat-2: gender 'unknown' is currently not used in Switzerland in eCH and the EPR ( gender.empty() or gender!='unknown')ch-ekm-gender-sync: Administrative gender must be synchronized with biologicalSex (priority) or biologicalSexAtBirth. ( ((extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').where(type.coding.code = '46098-0').exists()) or (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').where(type.coding.code = '76689-9').exists())) implies (let sourceCode = iif(extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').where(type.coding.code = '46098-0').exists(), extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').where(type.coding.code = '46098-0').value.coding.code, extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').where(type.coding.code = '76689-9').value.coding.code) in ((sourceCode = '248153007' implies gender = 'male') and (sourceCode = '248152002' implies gender = 'female') and ((sourceCode = '32570681000036106' or sourceCode = '32570691000036108') implies gender = 'other')) )) |
| 2. Patient.implicitRules | |
| Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
| Short | A set of rules under which this content was created |
| Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
| Control | 0..1 |
| Type | uri |
| Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 4. Patient.extension:placeOfBirth | |
| Slice Name | placeOfBirth |
| Definition | The registered place of birth of the patient. |
| Short | Place of birth of the patient |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(Place of Birth according to eCH-0011) (Extension Type: Address(Address for Place of Birth)) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 6. Patient.extension:placeOfOrigin | |
| Slice Name | placeOfOrigin |
| Definition | The registered place of origin of the patient. |
| Short | Place of origin(s) of the patient |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Type | Extension(Place of Origin according to eCH-0011) (Extension Type: Address) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 8. Patient.extension:citizenship | |
| Slice Name | citizenship |
| Definition | The patient's legal status as citizen of a country. |
| Short | Nation(s) where the patient claims citizenship |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(Patient Citizenship) (Complex Extension) |
| Is Modifier | false |
| Must Support | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code ( ((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))) |
| 10. Patient.extension:religion | |
| Slice Name | religion |
| Definition | The patient's professed religious affiliations. |
| Short | Religion of the patient |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(Patient Religion) (Extension Type: CodeableConcept) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 12. Patient.extension:genderIdentity | |
| Slice Name | genderIdentity |
| Definition | An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else. |
| Short | The individual's gender identity |
| Comments | This represents an individual’s identity, ascertained by asking them what that identity is. |
| Control | 0..1 |
| Type | Extension(Individual Gender Identity) (Complex Extension) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 14. Patient.extension:genderIdentity.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 10..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 16. Patient.extension:genderIdentity.extension:value | |
| Slice Name | value |
| Definition | An Extension |
| Short | ExtensionAdditional content defined by implementations |
| Control | 10..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 18. Patient.extension:genderIdentity.extension:value.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 20. Patient.extension:genderIdentity.extension:value.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | value |
| 22. Patient.extension:genderIdentity.extension:value.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Binding | The codes SHALL be taken from For codes, see Gender Identity (required to http://terminology.hl7.org/ValueSet/gender-identity) |
| Type | CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 24. Patient.extension:genderIdentity.extension:period | |
| Slice Name | period |
| Definition | The time period during which the gender identity applies to the individual |
| Short | The time period during which the gender identity applies to the individualAdditional content defined by implementations |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 26. Patient.extension:genderIdentity.extension:period.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 28. Patient.extension:genderIdentity.extension:period.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | period |
| 30. Patient.extension:genderIdentity.extension:period.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | Period, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 32. Patient.extension:genderIdentity.extension:comment | |
| Slice Name | comment |
| Definition | Text to further explain the use of the specified gender identity |
| Short | Text to further explain the use of the specified gender identityAdditional content defined by implementations |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 34. Patient.extension:genderIdentity.extension:comment.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 36. Patient.extension:genderIdentity.extension:comment.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | comment |
| 38. Patient.extension:genderIdentity.extension:comment.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 40. Patient.extension:genderIdentity.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | http://hl7.org/fhir/StructureDefinition/individual-genderIdentity |
| 42. Patient.extension:genderIdentity.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 0..01 |
| Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 44. Patient.extension:biologicalSexAtBirth | |
| Slice Name | biologicalSexAtBirth |
| Definition | A sex or gender property for the individual from a document or other record |
| Short | A recorded sex or gender property for the individual |
| Control | 0..1 |
| Type | Extension(Person Recorded Sex Or Gender) (Complex Extension) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 46. Patient.extension:biologicalSexAtBirth.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 10..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 48. Patient.extension:biologicalSexAtBirth.extension:value | |
| Slice Name | value |
| Definition | An Extension |
| Short | ExtensionAdditional content defined by implementations |
| Control | 10..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 50. Patient.extension:biologicalSexAtBirth.extension:value.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 52. Patient.extension:biologicalSexAtBirth.extension:value.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | value |
| 54. Patient.extension:biologicalSexAtBirth.extension:value.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Binding | The codes SHALL be taken from For codes, see CH EKM Biological Sex (required to http://fhir.ch/ig/ch-ekm/ValueSet/ChEkmBiologicalSex) |
| Type | CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 56. Patient.extension:biologicalSexAtBirth.extension:type | |
| Slice Name | type |
| Definition | An Extension |
| Short | ExtensionAdditional content defined by implementations |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 58. Patient.extension:biologicalSexAtBirth.extension:type.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 60. Patient.extension:biologicalSexAtBirth.extension:type.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | type |
| 62. Patient.extension:biologicalSexAtBirth.extension:type.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Binding | For example codes, see For codes, see Recorded Sex Or Gender Type (example to http://terminology.hl7.org/ValueSet/recorded-sex-or-gender-type) |
| Type | CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 64. Patient.extension:biologicalSexAtBirth.extension:effectivePeriod | |
| Slice Name | effectivePeriod |
| Definition | The time period during which the recorded sex or gender value applies to the individual |
| Short | When the recorded sex or gender value appliesAdditional content defined by implementations |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 66. Patient.extension:biologicalSexAtBirth.extension:effectivePeriod.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 68. Patient.extension:biologicalSexAtBirth.extension:effectivePeriod.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | effectivePeriod |
| 70. Patient.extension:biologicalSexAtBirth.extension:acquisitionDate | |
| Slice Name | acquisitionDate |
| Definition | The date/time when the sex or gender value was first recorded in the system. |
| Short | When the sex or gender value was recorded.Additional content defined by implementations |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 72. Patient.extension:biologicalSexAtBirth.extension:acquisitionDate.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 74. Patient.extension:biologicalSexAtBirth.extension:acquisitionDate.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | acquisitionDate |
| 76. Patient.extension:biologicalSexAtBirth.extension:acquisitionDate.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | dateTime, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 78. Patient.extension:biologicalSexAtBirth.extension:source | |
| Slice Name | source |
| Definition | A reference to the source of the Recorded Sex or Gender value. |
| Short | The source of the Recorded Sex or Gender value.Additional content defined by implementations |
| Comments | Unlike the sourceDocument element, this element can reference non-document sources including applications, organisations or individuals. For example, if the Recored Sex or Gender value is recorded in a national patient identifier system this element may reference that system. This element can also be the source of the document referred to in the sourceDocument element. If values for sourceDocument and source are both present, then the sourceDocument may be assumed to have originated from the source e.g. a clinical document in an electronic health record system. |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 80. Patient.extension:biologicalSexAtBirth.extension:source.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 82. Patient.extension:biologicalSexAtBirth.extension:source.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | source |
| 84. Patient.extension:biologicalSexAtBirth.extension:source.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | Choice of: CodeableConcept, Reference(Organization, Device, RelatedPerson, Practitioner), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 86. Patient.extension:biologicalSexAtBirth.extension:sourceDocument | |
| Slice Name | sourceDocument |
| Definition | The reference to the source document or the code representing the type of document where this sex or gender property is initially recorded. |
| Short | The document the sex or gender property was acquired from.Additional content defined by implementations |
| Comments | For example, if a driver's license is scanned, this property may reference that scanned document. If values for sourceDocument and source are both present, then the sourceDocument may be assumed to have originated from the source e.g. a clinical document in an electronic health record system. |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 88. Patient.extension:biologicalSexAtBirth.extension:sourceDocument.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 90. Patient.extension:biologicalSexAtBirth.extension:sourceDocument.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | sourceDocument |
| 92. Patient.extension:biologicalSexAtBirth.extension:sourceDocument.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | Choice of: CodeableConcept, Reference(DocumentReference), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 94. Patient.extension:biologicalSexAtBirth.extension:sourceField | |
| Slice Name | sourceField |
| Definition | The name of the field within the source document where this sex or gender property is initially recorded. |
| Short | The name of the field within the source document where this sex or gender property is initially recorded.Additional content defined by implementations |
| Comments | For example, if a sex value is acquired from a driver's license, and the name of the field on that driver's license is 'SEX', then a code describing that field can be provided. If the semantics of the field are known, they may be described in the comment. For example, if the 'SEX' field on a license in a particular state or province is populated based on an individual's indication of what gender they consider themselves to be, but the field label is 'SEX' for historical reasons, a comment describing that the semantics of the field align with gender identity, even though the field name is 'SEX' can be provided. |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 96. Patient.extension:biologicalSexAtBirth.extension:sourceField.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 98. Patient.extension:biologicalSexAtBirth.extension:sourceField.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | sourceField |
| 100. Patient.extension:biologicalSexAtBirth.extension:sourceField.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 102. Patient.extension:biologicalSexAtBirth.extension:jurisdiction | |
| Slice Name | jurisdiction |
| Definition | Jurisdiction responsible for the source and/or the sourceDocument where the recored sex or gender value was acquired. |
| Short | Who issued the document where the sex or gender was aquiredAdditional content defined by implementations |
| Comments | For example, a individual's driver's license or passport would be issued by a specific state or country. |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 104. Patient.extension:biologicalSexAtBirth.extension:jurisdiction.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 106. Patient.extension:biologicalSexAtBirth.extension:jurisdiction.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | jurisdiction |
| 108. Patient.extension:biologicalSexAtBirth.extension:jurisdiction.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Binding | Unless not suitable, these codes SHALL be taken from For codes, see Jurisdiction ValueSet (extensible to http://terminology.hl7.org/ValueSet/jurisdiction) |
| Type | CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 110. Patient.extension:biologicalSexAtBirth.extension:comment | |
| Slice Name | comment |
| Definition | Further explanation about the context or source of the recorded sex or gender value |
| Short | Context or source information about the recorded sex or genderAdditional content defined by implementations |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 112. Patient.extension:biologicalSexAtBirth.extension:comment.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 114. Patient.extension:biologicalSexAtBirth.extension:comment.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | comment |
| 116. Patient.extension:biologicalSexAtBirth.extension:comment.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 118. Patient.extension:biologicalSexAtBirth.extension:genderElementQualifier | |
| Slice Name | genderElementQualifier |
| Definition | Instances of the individual-recordedSexOrGender extension with this value set to 'true' provides additional semantics or provenance of the data communicated in the relevant '.gender' property in the resource. For example, if a system populates Patient.gender using a sex assigned at birth value, the individual-recordedSexOrGender extension with genderElementQualifier=true can provide that context. |
| Short | Whether this recorded sex or gender value qualifies the .gender element.Additional content defined by implementations |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 120. Patient.extension:biologicalSexAtBirth.extension:genderElementQualifier.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 122. Patient.extension:biologicalSexAtBirth.extension:genderElementQualifier.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | genderElementQualifier |
| 124. Patient.extension:biologicalSexAtBirth.extension:genderElementQualifier.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | boolean, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 126. Patient.extension:biologicalSexAtBirth.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender |
| 128. Patient.extension:biologicalSexAtBirth.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 0..01 |
| Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 130. Patient.extension:biologicalSex | |
| Slice Name | biologicalSex |
| Definition | A sex or gender property for the individual from a document or other record |
| Short | A recorded sex or gender property for the individual |
| Control | 0..1 |
| Type | Extension(Person Recorded Sex Or Gender) (Complex Extension) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 132. Patient.extension:biologicalSex.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 10..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 134. Patient.extension:biologicalSex.extension:value | |
| Slice Name | value |
| Definition | An Extension |
| Short | ExtensionAdditional content defined by implementations |
| Control | 10..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 136. Patient.extension:biologicalSex.extension:value.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 138. Patient.extension:biologicalSex.extension:value.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | value |
| 140. Patient.extension:biologicalSex.extension:value.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Binding | The codes SHALL be taken from For codes, see CH EKM Biological Sex (required to http://fhir.ch/ig/ch-ekm/ValueSet/ChEkmBiologicalSex) |
| Type | CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 142. Patient.extension:biologicalSex.extension:type | |
| Slice Name | type |
| Definition | An Extension |
| Short | ExtensionAdditional content defined by implementations |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 144. Patient.extension:biologicalSex.extension:type.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 146. Patient.extension:biologicalSex.extension:type.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | type |
| 148. Patient.extension:biologicalSex.extension:type.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Binding | For example codes, see For codes, see Recorded Sex Or Gender Type (example to http://terminology.hl7.org/ValueSet/recorded-sex-or-gender-type) |
| Type | CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 150. Patient.extension:biologicalSex.extension:effectivePeriod | |
| Slice Name | effectivePeriod |
| Definition | The time period during which the recorded sex or gender value applies to the individual |
| Short | When the recorded sex or gender value appliesAdditional content defined by implementations |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 152. Patient.extension:biologicalSex.extension:effectivePeriod.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 154. Patient.extension:biologicalSex.extension:effectivePeriod.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | effectivePeriod |
| 156. Patient.extension:biologicalSex.extension:acquisitionDate | |
| Slice Name | acquisitionDate |
| Definition | The date/time when the sex or gender value was first recorded in the system. |
| Short | When the sex or gender value was recorded.Additional content defined by implementations |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 158. Patient.extension:biologicalSex.extension:acquisitionDate.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 160. Patient.extension:biologicalSex.extension:acquisitionDate.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | acquisitionDate |
| 162. Patient.extension:biologicalSex.extension:acquisitionDate.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | dateTime, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 164. Patient.extension:biologicalSex.extension:source | |
| Slice Name | source |
| Definition | A reference to the source of the Recorded Sex or Gender value. |
| Short | The source of the Recorded Sex or Gender value.Additional content defined by implementations |
| Comments | Unlike the sourceDocument element, this element can reference non-document sources including applications, organisations or individuals. For example, if the Recored Sex or Gender value is recorded in a national patient identifier system this element may reference that system. This element can also be the source of the document referred to in the sourceDocument element. If values for sourceDocument and source are both present, then the sourceDocument may be assumed to have originated from the source e.g. a clinical document in an electronic health record system. |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 166. Patient.extension:biologicalSex.extension:source.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 168. Patient.extension:biologicalSex.extension:source.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | source |
| 170. Patient.extension:biologicalSex.extension:source.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | Choice of: CodeableConcept, Reference(Organization, Device, RelatedPerson, Practitioner), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 172. Patient.extension:biologicalSex.extension:sourceDocument | |
| Slice Name | sourceDocument |
| Definition | The reference to the source document or the code representing the type of document where this sex or gender property is initially recorded. |
| Short | The document the sex or gender property was acquired from.Additional content defined by implementations |
| Comments | For example, if a driver's license is scanned, this property may reference that scanned document. If values for sourceDocument and source are both present, then the sourceDocument may be assumed to have originated from the source e.g. a clinical document in an electronic health record system. |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 174. Patient.extension:biologicalSex.extension:sourceDocument.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 176. Patient.extension:biologicalSex.extension:sourceDocument.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | sourceDocument |
| 178. Patient.extension:biologicalSex.extension:sourceDocument.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | Choice of: CodeableConcept, Reference(DocumentReference), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 180. Patient.extension:biologicalSex.extension:sourceField | |
| Slice Name | sourceField |
| Definition | The name of the field within the source document where this sex or gender property is initially recorded. |
| Short | The name of the field within the source document where this sex or gender property is initially recorded.Additional content defined by implementations |
| Comments | For example, if a sex value is acquired from a driver's license, and the name of the field on that driver's license is 'SEX', then a code describing that field can be provided. If the semantics of the field are known, they may be described in the comment. For example, if the 'SEX' field on a license in a particular state or province is populated based on an individual's indication of what gender they consider themselves to be, but the field label is 'SEX' for historical reasons, a comment describing that the semantics of the field align with gender identity, even though the field name is 'SEX' can be provided. |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 182. Patient.extension:biologicalSex.extension:sourceField.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 184. Patient.extension:biologicalSex.extension:sourceField.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | sourceField |
| 186. Patient.extension:biologicalSex.extension:sourceField.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 188. Patient.extension:biologicalSex.extension:jurisdiction | |
| Slice Name | jurisdiction |
| Definition | Jurisdiction responsible for the source and/or the sourceDocument where the recored sex or gender value was acquired. |
| Short | Who issued the document where the sex or gender was aquiredAdditional content defined by implementations |
| Comments | For example, a individual's driver's license or passport would be issued by a specific state or country. |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 190. Patient.extension:biologicalSex.extension:jurisdiction.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 192. Patient.extension:biologicalSex.extension:jurisdiction.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | jurisdiction |
| 194. Patient.extension:biologicalSex.extension:jurisdiction.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Binding | Unless not suitable, these codes SHALL be taken from For codes, see Jurisdiction ValueSet (extensible to http://terminology.hl7.org/ValueSet/jurisdiction) |
| Type | CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 196. Patient.extension:biologicalSex.extension:comment | |
| Slice Name | comment |
| Definition | Further explanation about the context or source of the recorded sex or gender value |
| Short | Context or source information about the recorded sex or genderAdditional content defined by implementations |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 198. Patient.extension:biologicalSex.extension:comment.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 200. Patient.extension:biologicalSex.extension:comment.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | comment |
| 202. Patient.extension:biologicalSex.extension:comment.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 204. Patient.extension:biologicalSex.extension:genderElementQualifier | |
| Slice Name | genderElementQualifier |
| Definition | Instances of the individual-recordedSexOrGender extension with this value set to 'true' provides additional semantics or provenance of the data communicated in the relevant '.gender' property in the resource. For example, if a system populates Patient.gender using a sex assigned at birth value, the individual-recordedSexOrGender extension with genderElementQualifier=true can provide that context. |
| Short | Whether this recorded sex or gender value qualifies the .gender element.Additional content defined by implementations |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 206. Patient.extension:biologicalSex.extension:genderElementQualifier.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 208. Patient.extension:biologicalSex.extension:genderElementQualifier.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | genderElementQualifier |
| 210. Patient.extension:biologicalSex.extension:genderElementQualifier.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | boolean, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 212. Patient.extension:biologicalSex.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender |
| 214. Patient.extension:biologicalSex.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 0..01 |
| Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 216. Patient.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
| Summary | false |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 218. Patient.identifier | |
| Definition | An identifier for this patient. |
| Short | An identifier for this patient |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1* |
| Type | Identifier |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Patients are almost always assigned specific numerical identifiers. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on Patient.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 220. Patient.identifier:EPR-SPID | |
| Slice Name | EPR-SPID |
| Definition | EPR-SPID: The Central Compensation Office (ZAS; CCO) assigns and manages the new patient identification number according to the EPRA (EPR-SPID), which is only linked internally in the CCO with the AHV number. It maintains the UPI identification database (Unique Personal Identifier Database), which the EPR communities may access. The law regulates how the the EPR-SPID can be used. SR 816.111 states (Art. 10 para. 3 EPDV) that communities must ensure that the EPR-SPID number cannot be not stored in document repositories or document registries. An identifier for this patient. |
| Short | EPR-SPIDAn identifier for this patient |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..0* |
| Type | Identifier(EPR-SPID Identifier) |
| Is Modifier | false |
| Summary | true |
| Requirements | Patients are almost always assigned specific numerical identifiers. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 222. Patient.identifier:AHVN13 | |
| Slice Name | AHVN13 |
| Definition | The AHVN13 / NAVS13 - (abbreviation for new thirteen-digit Social Security number) - is an administrative identifier for natural persons in Switzerland. It is issued, announced and administered by the Central Compensation Office. It is available to all organisations and communities for which there is a legal basis. An identifier for this patient. |
| Short | OASI Number SwitzerlandAn identifier for this patient |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1* |
| Type | Identifier(AHVN13 / NAVS13 Identifier) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Patients are almost always assigned specific numerical identifiers. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 224. Patient.identifier:LocalPid | |
| Slice Name | LocalPid |
| Definition | An identifier for this patient. |
| Short | Local patient identifier(s)An identifier for this patient |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..0* |
| Type | Identifier |
| Is Modifier | false |
| Summary | true |
| Requirements | Patients are almost always assigned specific numerical identifiers. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 229. Patient.identifier:insuranceCardNumber | |
| Slice Name | insuranceCardNumber |
| Definition | Cardnumber Swiss insurance card v1 An identifier for this patient. |
| Short | Insurance card number of the patient (20 digits)An identifier for this patient |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..0* |
| Type | Identifier(Insurance Card Number (Identifier)) |
| Is Modifier | false |
| Summary | true |
| Requirements | Patients are almost always assigned specific numerical identifiers. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 231. Patient.active | |
| Definition | Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death. |
| Short | Whether this patient's record is in active use |
| Comments | If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient. |
| Control | 0..1 |
| Type | boolean |
| Is Modifier | true because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be able to mark a patient record as not to be used because it was created in error. |
| Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 233. Patient.name | |
| Definition | A name associated with the individual. |
| Short | Whether the personal data is transmitted by using initials or full name is described under 'Guidance - Personal Data (Patient Name)'A name associated with the patient |
| Comments | A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns. |
| Control | 10..1* |
| Type | HumanName(Human Name) |
| Is Modifier | false |
| Summary | true |
| Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) name-initials: a name with initials ( given.exists() and given.first().exists() and (''+given.first()).length() = 1 and family.exists() and (''+family).length() = 1) |
| 235. Patient.name.use | |
| Definition | Identifies the purpose for this name. |
| Short | usual | official | temp | nickname | anonymous | old | maiden |
| Comments | Applications can assume that a name is current unless it explicitly says that it is temporary or old. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1 (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)The use of a human name. |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 237. Patient.name.family | |
| Definition | The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father. |
| Short | Family name (often called 'Surname') |
| Comments | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures). |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Alternate Names | surname |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 239. Patient.name.family.extension:ech11name | |
| Slice Name | ech11name |
| Definition | Extension for eCH-0011 - namedatatype |
| Short | Extension |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(Name) (Extension Type: Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 241. Patient.name.given | |
| Definition | Given name. |
| Short | Given names (not always 'first'). Includes middle names |
| Comments | If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first. |
| Control | 10..1* |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Alternate Names | first name, middle name |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 243. Patient.name.given.extension:ech11firstname | |
| Slice Name | ech11firstname |
| Definition | eCH-0011: Extension to define first name type |
| Short | Extension |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(First Name) (Extension Type: code) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 245. Patient.telecom | |
| Definition | A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. |
| Short | A contact detail for the individual |
| Comments | A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone). |
| Control | 0..0* |
| Type | ContactPoint |
| Is Modifier | false |
| Summary | true |
| Requirements | People have (primary) ways to contact them in some way such as phone, email. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on Patient.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 247. Patient.telecom:email | |
| Slice Name | |
| Definition | A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. |
| Short | A contact detail for the individual |
| Comments | A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone). |
| Control | 0..0* |
| Type | ContactPoint(CH Core ContactPoint eCH-0046 Email) |
| Is Modifier | false |
| Summary | true |
| Requirements | People have (primary) ways to contact them in some way such as phone, email. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 253. Patient.telecom:phone | |
| Slice Name | phone |
| Definition | A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. |
| Short | A contact detail for the individual |
| Comments | A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone). |
| Control | 0..0* |
| Type | ContactPoint(CH Core ContactPoint eCH-0046 Phone) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | People have (primary) ways to contact them in some way such as phone, email. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 259. Patient.telecom:internet | |
| Slice Name | internet |
| Definition | A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. |
| Short | A contact detail for the individual |
| Comments | A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone). |
| Control | 0..0* |
| Type | ContactPoint(CH Core ContactPoint eCH-0046 Internet) |
| Is Modifier | false |
| Summary | true |
| Requirements | People have (primary) ways to contact them in some way such as phone, email. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 265. Patient.gender | |
| Definition | Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes. |
| Short | Administrative gendermale | female | other | unknown |
| Comments | The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex. |
| Control | 10..1 |
| Binding | The codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)The gender of a person used for administrative purposes. |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Needed for identification of the individual, in combination with (at least) name and birth date. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 267. Patient.birthDate | |
| Definition | The date of birth for the individual. |
| Short | The date of birth for the individual |
| Comments | At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems). |
| Control | 10..1 |
| Type | date |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Age of the individual drives many clinical processes. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ch-ekm-dateTime: At least the format YYYY-MM-DD is required. ( $this.toString().length() >= 10) |
| LOINC Code | 21112-8 |
| 269. Patient.deceased[x] | |
| Definition | Indicates if the individual is deceased or not. |
| Short | Indicates if the individual is deceased or not |
| Comments | If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive. |
| Control | 0..1 |
| Type | Choice of: boolean, dateTime |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different. |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 271. Patient.address | |
| Definition | An address for the individual. |
| Short | An address for the individual |
| Comments | Patient may have multiple addresses with different uses or applicable periods. |
| Control | 0..1* |
| Type | Address(CH Core Address) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on Patient.address. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 273. Patient.address:home | |
| Slice Name | home |
| Definition | An address for the individual. |
| Short | Residential addressAn address for the individual |
| Comments | Patient may have multiple addresses with different uses or applicable periods. |
| Control | 0..1* |
| Type | Address(CH Core Address) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 275. Patient.address:home.use | |
| Definition | The purpose of this address. |
| Short | home | work | temp | old | billing - purpose of this address |
| Comments | Applications can assume that an address is current unless it explicitly says that it is temporary or old. |
| Control | 10..1 |
| Binding | The codes SHALL be taken from AddressUsehttp://hl7.org/fhir/ValueSet/address-use|4.0.1 (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)The use of an address. |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Allows an appropriate address to be chosen from a list of many. |
| Pattern Value | home |
| Example | General: home |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 277. Patient.address:home.line | |
| Definition | This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information. |
| Short | Street name, number, direction & P.O. Box etc. |
| Control | 0..0* |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Example | General: 137 Nowhere Street |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 303. Patient.address:home.city | |
| Definition | The name of the city, town, suburb, village or other community or delivery center. |
| Short | Name of city, town etc. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Alternate Names | Municpality |
| Example | General: Erewhon |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 305. Patient.address:home.city.extension:bfs | |
| Slice Name | bfs |
| Definition | Extension for eCH-0011 - bfs number (ministry of statistics number) |
| Short | Extension |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(eCH-0007 Municipality Id – BFS Gemeindenummer) (Extension Type: string) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 307. Patient.address:home.state | |
| Definition | Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes). |
| Short | sub-unit of country. canton-abbreviation is expected for a Swiss or Liechtenstein address.Sub-unit of country (abbreviations ok) |
| Control | 0..1 |
| Binding | For example codes, see For codes, see eCH-0007 Canton Abbreviation (example to http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation)Use these values for a Swiss or Liechtenstein address |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Alternate Names | Province, Territory |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 309. Patient.address:home.postalCode | |
| Definition | A postal code designating a region defined by the postal service. |
| Short | Postal code for area |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Alternate Names | Zip |
| Example | General: 9132 |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 311. Patient.address:home.country | |
| Definition | Country - a nation as commonly understood or generally accepted. |
| Short | Country (e.g. can be ISO 3166 2 or 3 letter code) |
| Comments | ISO 3166 3 letter codes can be used in place of a human readable country name. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 313. Patient.address:home.country.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 10..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.address.country.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 315. Patient.address:home.country.extension:countrycode | |
| Slice Name | countrycode |
| Definition | Provides a coded expression for the content represented in a string. |
| Short | code for string |
| Control | 1..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(Coded string) (Extension Type: Coding) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ch-addr-1: ISO Country Alpha-2 or ISO Country Alpha-3 code ( ((value.code.length()=2) and value.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((value.code.length() = 3) and value.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3')))ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 317. Patient.address:home.country.extension:countrycode.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Patient.address.country.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 319. Patient.address:home.country.extension:countrycode.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | http://hl7.org/fhir/StructureDefinition/iso21090-codedString |
| 321. Patient.address:home.country.extension:countrycode.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Binding | The codes SHALL be taken from For codes, see BFS Verzeichnis der Staaten und Gebiete (required to http://fhir.ch/ig/ch-term/ValueSet/bfs-country-codes) |
| Type | Coding, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 323. Patient.contact | |
| Definition | A contact party (e.g. guardian, partner, friend) for the patient. |
| Short | A contact party (e.g. guardian, partner, friend) for the patient |
| Comments | Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact. |
| Control | 0..* |
| Type | BackboneElement |
| Is Modifier | false |
| Summary | false |
| Requirements | Need to track people you can contact about the patient. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) pat-1: 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())pat-1: 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()) |
| Slicing | This element introduces a set of slices on Patient.contact. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 325. Patient.contact.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 327. Patient.contact:contact | |
| Slice Name | contact |
| Definition | A contact party (e.g. guardian, partner, friend) for the patient. |
| Short | Contact data if it is not the address of the patientA contact party (e.g. guardian, partner, friend) for the patient |
| Comments | Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact. |
| Control | 0..1* |
| Type | BackboneElement |
| Is Modifier | false |
| Summary | false |
| Requirements | Need to track people you can contact about the patient. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) pat-1: 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())pat-1: 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()) |
| 329. Patient.contact:contact.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 331. Patient.contact:contact.relationship | |
| Definition | The nature of the relationship between the patient and the contact person. |
| Short | The kind of relationship |
| Control | 10..1* |
| Binding | Unless not suitable, these codes SHALL be taken from PatientContactRelationshiphttp://hl7.org/fhir/ValueSet/patient-contactrelationship|4.0.1 (extensible to http://hl7.org/fhir/ValueSet/patient-contactrelationship|4.0.1)The nature of the relationship between a patient and a contact person for that patient. |
| Type | CodeableConcept |
| Is Modifier | false |
| Summary | false |
| Requirements | Used to determine which contact person is the most relevant to approach, depending on circumstances. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 333. Patient.contact:contact.telecom | |
| Definition | A contact detail for the person, e.g. a telephone number or an email address. |
| Short | A contact detail for the person |
| Comments | Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification. |
| Control | 0..0* |
| Type | ContactPoint |
| Is Modifier | false |
| Summary | false |
| Requirements | People have (primary) ways to contact them in some way such as phone, email. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 335. Patient.contact:contact.address | |
| Definition | Address for the contact person. |
| Short | Address for the contact person |
| Control | 10..1 |
| Type | Address(CH Core Postal Address) |
| Is Modifier | false |
| Summary | false |
| Requirements | Need to keep track where the contact person can be contacted per postal mail or visited. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 337. Patient.contact:nameOfParent | |
| Slice Name | nameOfParent |
| Definition | A contact party (e.g. guardian, partner, friend) for the patient. |
| Short | Name of parentA contact party (e.g. guardian, partner, friend) for the patient |
| Comments | Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact. |
| Control | 0..* |
| Type | BackboneElement |
| Is Modifier | false |
| Summary | false |
| Requirements | Need to track people you can contact about the patient. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) pat-1: 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())pat-1: 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()) |
| 339. Patient.contact:nameOfParent.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 341. Patient.contact:nameOfParent.relationship | |
| Definition | The nature of the relationship between the patient and the contact person. |
| Short | The kind of relationship |
| Control | 10..1* |
| Binding | Unless not suitable, these codes SHALL be taken from PatientContactRelationshiphttp://hl7.org/fhir/ValueSet/patient-contactrelationship|4.0.1 (extensible to http://hl7.org/fhir/ValueSet/patient-contactrelationship|4.0.1)The nature of the relationship between a patient and a contact person for that patient. |
| Type | CodeableConcept |
| Is Modifier | false |
| Summary | false |
| Requirements | Used to determine which contact person is the most relevant to approach, depending on circumstances. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 343. Patient.contact:nameOfParent.name | |
| Definition | A name associated with the contact person. |
| Short | A name associated with the contact person |
| Control | 10..1 |
| Type | HumanName |
| Is Modifier | false |
| Summary | false |
| Requirements | Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 345. Patient.link | |
| Definition | Link to another patient resource that concerns the same actual patient. |
| Short | Link to another patient resource that concerns the same actual person |
| Comments | There is no assumption that linked patient records have mutual links. |
| Control | 0..* |
| Type | BackboneElement |
| Is Modifier | true because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by' |
| Summary | true |
| Requirements | There are multiple use cases:
|
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 347. Patient.link.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 349. Patient.link.other | |
| Definition | The other patient resource that the link refers to. |
| Short | The other patient or related person resource that the link refers to |
| Comments | Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual. |
| Control | 1..1 |
| Type | Reference(Patient, RelatedPerson) |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 351. Patient.link.type | |
| Definition | The type of link between this patient resource and another patient resource. |
| Short | replaced-by | replaces | refer | seealso |
| Control | 1..1 |
| Binding | The codes SHALL be taken from LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1 (required to http://hl7.org/fhir/ValueSet/link-type|4.0.1)The type of link between this patient resource and another patient resource. |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be foundhere
| 0. Patient | |
| 2. Patient.name | |
| Invariants | name-initials: a name with initials (given.exists() and given.first().exists() and (''+given.first()).length() = 1 and family.exists() and (''+family).length() = 1) |
| 4. Patient.telecom | |
| Control | 0..0 |
| 6. Patient.telecom:email | |
| Slice Name | |
| Control | 0..0 |
| 8. Patient.telecom:phone | |
| Slice Name | phone |
| Control | 0..0 |
| 10. Patient.telecom:internet | |
| Slice Name | internet |
| Control | 0..0 |
| 12. Patient.address:home | |
| Slice Name | home |
| 14. Patient.address:home.line | |
| Control | 0..0 |
Guidance on how to interpret the contents of this table can be foundhere
| 0. Patient | |||||
| Definition | The CH Core Patient is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements in Switzerland. See also https://www.bfs.admin.ch/bfs/de/home/register/personenregister/registerharmonisierung/nomenklaturen.html for further information | ||||
| Short | CH Core Patient | ||||
| Control | 0..* | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | SubjectOfCare Client Resident | ||||
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty())dom-6: A resource should have narrative for robust management ( text.`div`.exists())ch-pat-1: If one ore more human names are provided, at least one human name should have a family and a given name. ( name.where(family.exists() and given.exists()).count()>0 or name.empty())ch-pat-2: gender 'unknown' is currently not used in Switzerland in eCH and the EPR ( gender.empty() or gender!='unknown')ch-ekm-gender-sync: Administrative gender must be synchronized with biologicalSex (priority) or biologicalSexAtBirth. ( ((extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').where(type.coding.code = '46098-0').exists()) or (extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').where(type.coding.code = '76689-9').exists())) implies (let sourceCode = iif(extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').where(type.coding.code = '46098-0').exists(), extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').where(type.coding.code = '46098-0').value.coding.code, extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').where(type.coding.code = '76689-9').value.coding.code) in ((sourceCode = '248153007' implies gender = 'male') and (sourceCode = '248152002' implies gender = 'female') and ((sourceCode = '32570681000036106' or sourceCode = '32570691000036108') implies gender = 'other')) )) | ||||
| 2. Patient.id | |||||
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
| Short | Logical id of this artifact | ||||
| Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
| Control | 0..1 | ||||
| Type | id | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| 4. Patient.meta | |||||
| Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
| Short | Metadata about the resource | ||||
| Control | 0..1 | ||||
| Type | Meta | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 6. Patient.implicitRules | |||||
| Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
| Short | A set of rules under which this content was created | ||||
| Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 8. Patient.language | |||||
| Definition | The base language in which the resource is written. | ||||
| Short | Language of the resource content | ||||
| Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
| Control | 0..1 | ||||
| Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)A human language.
| ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 10. Patient.text | |||||
| Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
| Short | Text summary of the resource, for human interpretation | ||||
| Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
| Control | 0..1 | ||||
| Type | Narrative | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | narrative, html, xhtml, display | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 12. Patient.contained | |||||
| Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
| Short | Contained, inline Resources | ||||
| Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
| Control | 0..* | ||||
| Type | Resource | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | inline resources, anonymous resources, contained resources | ||||
| 14. Patient.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 16. Patient.extension:placeOfBirth | |||||
| Slice Name | placeOfBirth | ||||
| Definition | The registered place of birth of the patient. | ||||
| Short | Place of birth of the patient | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(Place of Birth according to eCH-0011) (Extension Type: Address(Address for Place of Birth)) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 18. Patient.extension:placeOfOrigin | |||||
| Slice Name | placeOfOrigin | ||||
| Definition | The registered place of origin of the patient. | ||||
| Short | Place of origin(s) of the patient | ||||
| Control | 0..* This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(Place of Origin according to eCH-0011) (Extension Type: Address) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 20. Patient.extension:citizenship | |||||
| Slice Name | citizenship | ||||
| Definition | The patient's legal status as citizen of a country. | ||||
| Short | Nation(s) where the patient claims citizenship | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(Patient Citizenship) (Complex Extension) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code ( ((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))) | ||||
| 22. Patient.extension:religion | |||||
| Slice Name | religion | ||||
| Definition | The patient's professed religious affiliations. | ||||
| Short | Religion of the patient | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(Patient Religion) (Extension Type: CodeableConcept) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 24. Patient.extension:genderIdentity | |||||
| Slice Name | genderIdentity | ||||
| Definition | An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else. | ||||
| Short | The individual's gender identity | ||||
| Comments | This represents an individual’s identity, ascertained by asking them what that identity is. | ||||
| Control | 0..1 | ||||
| Type | Extension(Individual Gender Identity) (Complex Extension) | ||||
| Is Modifier | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 26. Patient.extension:genderIdentity.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 28. Patient.extension:genderIdentity.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 1..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 30. Patient.extension:genderIdentity.extension:value | |||||
| Slice Name | value | ||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 1..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 32. Patient.extension:genderIdentity.extension:value.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 34. Patient.extension:genderIdentity.extension:value.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 36. Patient.extension:genderIdentity.extension:value.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | value | ||||
| 38. Patient.extension:genderIdentity.extension:value.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from Gender Identity (required to http://terminology.hl7.org/ValueSet/gender-identity) | ||||
| Type | CodeableConcept | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 40. Patient.extension:genderIdentity.extension:period | |||||
| Slice Name | period | ||||
| Definition | The time period during which the gender identity applies to the individual | ||||
| Short | The time period during which the gender identity applies to the individual | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 42. Patient.extension:genderIdentity.extension:period.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 44. Patient.extension:genderIdentity.extension:period.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 46. Patient.extension:genderIdentity.extension:period.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | period | ||||
| 48. Patient.extension:genderIdentity.extension:period.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | Period | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 50. Patient.extension:genderIdentity.extension:comment | |||||
| Slice Name | comment | ||||
| Definition | Text to further explain the use of the specified gender identity | ||||
| Short | Text to further explain the use of the specified gender identity | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 52. Patient.extension:genderIdentity.extension:comment.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 54. Patient.extension:genderIdentity.extension:comment.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 56. Patient.extension:genderIdentity.extension:comment.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | comment | ||||
| 58. Patient.extension:genderIdentity.extension:comment.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 60. Patient.extension:genderIdentity.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | http://hl7.org/fhir/StructureDefinition/individual-genderIdentity | ||||
| 62. Patient.extension:genderIdentity.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 0..0 | ||||
| Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 64. Patient.extension:biologicalSexAtBirth | |||||
| Slice Name | biologicalSexAtBirth | ||||
| Definition | A sex or gender property for the individual from a document or other record | ||||
| Short | A recorded sex or gender property for the individual | ||||
| Control | 0..1 | ||||
| Type | Extension(Person Recorded Sex Or Gender) (Complex Extension) | ||||
| Is Modifier | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 66. Patient.extension:biologicalSexAtBirth.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 68. Patient.extension:biologicalSexAtBirth.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 1..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 70. Patient.extension:biologicalSexAtBirth.extension:value | |||||
| Slice Name | value | ||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 1..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 72. Patient.extension:biologicalSexAtBirth.extension:value.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 74. Patient.extension:biologicalSexAtBirth.extension:value.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 76. Patient.extension:biologicalSexAtBirth.extension:value.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | value | ||||
| 78. Patient.extension:biologicalSexAtBirth.extension:value.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from CH EKM Biological Sex (required to http://fhir.ch/ig/ch-ekm/ValueSet/ChEkmBiologicalSex) | ||||
| Type | CodeableConcept | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 80. Patient.extension:biologicalSexAtBirth.extension:type | |||||
| Slice Name | type | ||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 82. Patient.extension:biologicalSexAtBirth.extension:type.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 84. Patient.extension:biologicalSexAtBirth.extension:type.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 86. Patient.extension:biologicalSexAtBirth.extension:type.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | type | ||||
| 88. Patient.extension:biologicalSexAtBirth.extension:type.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Binding | For example codes, see Recorded Sex Or Gender Type (example to http://terminology.hl7.org/ValueSet/recorded-sex-or-gender-type) | ||||
| Type | CodeableConcept | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 90. Patient.extension:biologicalSexAtBirth.extension:effectivePeriod | |||||
| Slice Name | effectivePeriod | ||||
| Definition | The time period during which the recorded sex or gender value applies to the individual | ||||
| Short | When the recorded sex or gender value applies | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 92. Patient.extension:biologicalSexAtBirth.extension:effectivePeriod.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 94. Patient.extension:biologicalSexAtBirth.extension:effectivePeriod.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 96. Patient.extension:biologicalSexAtBirth.extension:effectivePeriod.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | effectivePeriod | ||||
| 98. Patient.extension:biologicalSexAtBirth.extension:effectivePeriod.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 100. Patient.extension:biologicalSexAtBirth.extension:acquisitionDate | |||||
| Slice Name | acquisitionDate | ||||
| Definition | The date/time when the sex or gender value was first recorded in the system. | ||||
| Short | When the sex or gender value was recorded. | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 102. Patient.extension:biologicalSexAtBirth.extension:acquisitionDate.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 104. Patient.extension:biologicalSexAtBirth.extension:acquisitionDate.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 106. Patient.extension:biologicalSexAtBirth.extension:acquisitionDate.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | acquisitionDate | ||||
| 108. Patient.extension:biologicalSexAtBirth.extension:acquisitionDate.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | dateTime | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 110. Patient.extension:biologicalSexAtBirth.extension:source | |||||
| Slice Name | source | ||||
| Definition | A reference to the source of the Recorded Sex or Gender value. | ||||
| Short | The source of the Recorded Sex or Gender value. | ||||
| Comments | Unlike the sourceDocument element, this element can reference non-document sources including applications, organisations or individuals. For example, if the Recored Sex or Gender value is recorded in a national patient identifier system this element may reference that system. This element can also be the source of the document referred to in the sourceDocument element. If values for sourceDocument and source are both present, then the sourceDocument may be assumed to have originated from the source e.g. a clinical document in an electronic health record system. | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 112. Patient.extension:biologicalSexAtBirth.extension:source.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 114. Patient.extension:biologicalSexAtBirth.extension:source.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 116. Patient.extension:biologicalSexAtBirth.extension:source.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | source | ||||
| 118. Patient.extension:biologicalSexAtBirth.extension:source.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | Choice of: CodeableConcept, Reference(Organization, Device, RelatedPerson, Practitioner) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 120. Patient.extension:biologicalSexAtBirth.extension:sourceDocument | |||||
| Slice Name | sourceDocument | ||||
| Definition | The reference to the source document or the code representing the type of document where this sex or gender property is initially recorded. | ||||
| Short | The document the sex or gender property was acquired from. | ||||
| Comments | For example, if a driver's license is scanned, this property may reference that scanned document. If values for sourceDocument and source are both present, then the sourceDocument may be assumed to have originated from the source e.g. a clinical document in an electronic health record system. | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 122. Patient.extension:biologicalSexAtBirth.extension:sourceDocument.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 124. Patient.extension:biologicalSexAtBirth.extension:sourceDocument.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 126. Patient.extension:biologicalSexAtBirth.extension:sourceDocument.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | sourceDocument | ||||
| 128. Patient.extension:biologicalSexAtBirth.extension:sourceDocument.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | Choice of: CodeableConcept, Reference(DocumentReference) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 130. Patient.extension:biologicalSexAtBirth.extension:sourceField | |||||
| Slice Name | sourceField | ||||
| Definition | The name of the field within the source document where this sex or gender property is initially recorded. | ||||
| Short | The name of the field within the source document where this sex or gender property is initially recorded. | ||||
| Comments | For example, if a sex value is acquired from a driver's license, and the name of the field on that driver's license is 'SEX', then a code describing that field can be provided. If the semantics of the field are known, they may be described in the comment. For example, if the 'SEX' field on a license in a particular state or province is populated based on an individual's indication of what gender they consider themselves to be, but the field label is 'SEX' for historical reasons, a comment describing that the semantics of the field align with gender identity, even though the field name is 'SEX' can be provided. | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 132. Patient.extension:biologicalSexAtBirth.extension:sourceField.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 134. Patient.extension:biologicalSexAtBirth.extension:sourceField.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 136. Patient.extension:biologicalSexAtBirth.extension:sourceField.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | sourceField | ||||
| 138. Patient.extension:biologicalSexAtBirth.extension:sourceField.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 140. Patient.extension:biologicalSexAtBirth.extension:jurisdiction | |||||
| Slice Name | jurisdiction | ||||
| Definition | Jurisdiction responsible for the source and/or the sourceDocument where the recored sex or gender value was acquired. | ||||
| Short | Who issued the document where the sex or gender was aquired | ||||
| Comments | For example, a individual's driver's license or passport would be issued by a specific state or country. | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 142. Patient.extension:biologicalSexAtBirth.extension:jurisdiction.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 144. Patient.extension:biologicalSexAtBirth.extension:jurisdiction.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 146. Patient.extension:biologicalSexAtBirth.extension:jurisdiction.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | jurisdiction | ||||
| 148. Patient.extension:biologicalSexAtBirth.extension:jurisdiction.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from Jurisdiction ValueSet (extensible to http://terminology.hl7.org/ValueSet/jurisdiction) | ||||
| Type | CodeableConcept | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 150. Patient.extension:biologicalSexAtBirth.extension:comment | |||||
| Slice Name | comment | ||||
| Definition | Further explanation about the context or source of the recorded sex or gender value | ||||
| Short | Context or source information about the recorded sex or gender | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 152. Patient.extension:biologicalSexAtBirth.extension:comment.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 154. Patient.extension:biologicalSexAtBirth.extension:comment.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 156. Patient.extension:biologicalSexAtBirth.extension:comment.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | comment | ||||
| 158. Patient.extension:biologicalSexAtBirth.extension:comment.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 160. Patient.extension:biologicalSexAtBirth.extension:genderElementQualifier | |||||
| Slice Name | genderElementQualifier | ||||
| Definition | Instances of the individual-recordedSexOrGender extension with this value set to 'true' provides additional semantics or provenance of the data communicated in the relevant '.gender' property in the resource. For example, if a system populates Patient.gender using a sex assigned at birth value, the individual-recordedSexOrGender extension with genderElementQualifier=true can provide that context. | ||||
| Short | Whether this recorded sex or gender value qualifies the .gender element. | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 162. Patient.extension:biologicalSexAtBirth.extension:genderElementQualifier.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 164. Patient.extension:biologicalSexAtBirth.extension:genderElementQualifier.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 166. Patient.extension:biologicalSexAtBirth.extension:genderElementQualifier.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | genderElementQualifier | ||||
| 168. Patient.extension:biologicalSexAtBirth.extension:genderElementQualifier.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | boolean | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 170. Patient.extension:biologicalSexAtBirth.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender | ||||
| 172. Patient.extension:biologicalSexAtBirth.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 0..0 | ||||
| Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 174. Patient.extension:biologicalSex | |||||
| Slice Name | biologicalSex | ||||
| Definition | A sex or gender property for the individual from a document or other record | ||||
| Short | A recorded sex or gender property for the individual | ||||
| Control | 0..1 | ||||
| Type | Extension(Person Recorded Sex Or Gender) (Complex Extension) | ||||
| Is Modifier | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 176. Patient.extension:biologicalSex.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 178. Patient.extension:biologicalSex.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 1..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 180. Patient.extension:biologicalSex.extension:value | |||||
| Slice Name | value | ||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 1..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 182. Patient.extension:biologicalSex.extension:value.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 184. Patient.extension:biologicalSex.extension:value.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 186. Patient.extension:biologicalSex.extension:value.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | value | ||||
| 188. Patient.extension:biologicalSex.extension:value.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from CH EKM Biological Sex (required to http://fhir.ch/ig/ch-ekm/ValueSet/ChEkmBiologicalSex) | ||||
| Type | CodeableConcept | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 190. Patient.extension:biologicalSex.extension:type | |||||
| Slice Name | type | ||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 192. Patient.extension:biologicalSex.extension:type.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 194. Patient.extension:biologicalSex.extension:type.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 196. Patient.extension:biologicalSex.extension:type.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | type | ||||
| 198. Patient.extension:biologicalSex.extension:type.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Binding | For example codes, see Recorded Sex Or Gender Type (example to http://terminology.hl7.org/ValueSet/recorded-sex-or-gender-type) | ||||
| Type | CodeableConcept | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 200. Patient.extension:biologicalSex.extension:effectivePeriod | |||||
| Slice Name | effectivePeriod | ||||
| Definition | The time period during which the recorded sex or gender value applies to the individual | ||||
| Short | When the recorded sex or gender value applies | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 202. Patient.extension:biologicalSex.extension:effectivePeriod.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 204. Patient.extension:biologicalSex.extension:effectivePeriod.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 206. Patient.extension:biologicalSex.extension:effectivePeriod.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | effectivePeriod | ||||
| 208. Patient.extension:biologicalSex.extension:effectivePeriod.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 210. Patient.extension:biologicalSex.extension:acquisitionDate | |||||
| Slice Name | acquisitionDate | ||||
| Definition | The date/time when the sex or gender value was first recorded in the system. | ||||
| Short | When the sex or gender value was recorded. | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 212. Patient.extension:biologicalSex.extension:acquisitionDate.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 214. Patient.extension:biologicalSex.extension:acquisitionDate.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 216. Patient.extension:biologicalSex.extension:acquisitionDate.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | acquisitionDate | ||||
| 218. Patient.extension:biologicalSex.extension:acquisitionDate.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | dateTime | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 220. Patient.extension:biologicalSex.extension:source | |||||
| Slice Name | source | ||||
| Definition | A reference to the source of the Recorded Sex or Gender value. | ||||
| Short | The source of the Recorded Sex or Gender value. | ||||
| Comments | Unlike the sourceDocument element, this element can reference non-document sources including applications, organisations or individuals. For example, if the Recored Sex or Gender value is recorded in a national patient identifier system this element may reference that system. This element can also be the source of the document referred to in the sourceDocument element. If values for sourceDocument and source are both present, then the sourceDocument may be assumed to have originated from the source e.g. a clinical document in an electronic health record system. | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 222. Patient.extension:biologicalSex.extension:source.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 224. Patient.extension:biologicalSex.extension:source.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 226. Patient.extension:biologicalSex.extension:source.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | source | ||||
| 228. Patient.extension:biologicalSex.extension:source.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | Choice of: CodeableConcept, Reference(Organization, Device, RelatedPerson, Practitioner) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 230. Patient.extension:biologicalSex.extension:sourceDocument | |||||
| Slice Name | sourceDocument | ||||
| Definition | The reference to the source document or the code representing the type of document where this sex or gender property is initially recorded. | ||||
| Short | The document the sex or gender property was acquired from. | ||||
| Comments | For example, if a driver's license is scanned, this property may reference that scanned document. If values for sourceDocument and source are both present, then the sourceDocument may be assumed to have originated from the source e.g. a clinical document in an electronic health record system. | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 232. Patient.extension:biologicalSex.extension:sourceDocument.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 234. Patient.extension:biologicalSex.extension:sourceDocument.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 236. Patient.extension:biologicalSex.extension:sourceDocument.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | sourceDocument | ||||
| 238. Patient.extension:biologicalSex.extension:sourceDocument.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | Choice of: CodeableConcept, Reference(DocumentReference) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 240. Patient.extension:biologicalSex.extension:sourceField | |||||
| Slice Name | sourceField | ||||
| Definition | The name of the field within the source document where this sex or gender property is initially recorded. | ||||
| Short | The name of the field within the source document where this sex or gender property is initially recorded. | ||||
| Comments | For example, if a sex value is acquired from a driver's license, and the name of the field on that driver's license is 'SEX', then a code describing that field can be provided. If the semantics of the field are known, they may be described in the comment. For example, if the 'SEX' field on a license in a particular state or province is populated based on an individual's indication of what gender they consider themselves to be, but the field label is 'SEX' for historical reasons, a comment describing that the semantics of the field align with gender identity, even though the field name is 'SEX' can be provided. | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 242. Patient.extension:biologicalSex.extension:sourceField.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 244. Patient.extension:biologicalSex.extension:sourceField.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 246. Patient.extension:biologicalSex.extension:sourceField.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | sourceField | ||||
| 248. Patient.extension:biologicalSex.extension:sourceField.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 250. Patient.extension:biologicalSex.extension:jurisdiction | |||||
| Slice Name | jurisdiction | ||||
| Definition | Jurisdiction responsible for the source and/or the sourceDocument where the recored sex or gender value was acquired. | ||||
| Short | Who issued the document where the sex or gender was aquired | ||||
| Comments | For example, a individual's driver's license or passport would be issued by a specific state or country. | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 252. Patient.extension:biologicalSex.extension:jurisdiction.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 254. Patient.extension:biologicalSex.extension:jurisdiction.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 256. Patient.extension:biologicalSex.extension:jurisdiction.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | jurisdiction | ||||
| 258. Patient.extension:biologicalSex.extension:jurisdiction.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from Jurisdiction ValueSet (extensible to http://terminology.hl7.org/ValueSet/jurisdiction) | ||||
| Type | CodeableConcept | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 260. Patient.extension:biologicalSex.extension:comment | |||||
| Slice Name | comment | ||||
| Definition | Further explanation about the context or source of the recorded sex or gender value | ||||
| Short | Context or source information about the recorded sex or gender | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 262. Patient.extension:biologicalSex.extension:comment.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 264. Patient.extension:biologicalSex.extension:comment.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 266. Patient.extension:biologicalSex.extension:comment.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | comment | ||||
| 268. Patient.extension:biologicalSex.extension:comment.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 270. Patient.extension:biologicalSex.extension:genderElementQualifier | |||||
| Slice Name | genderElementQualifier | ||||
| Definition | Instances of the individual-recordedSexOrGender extension with this value set to 'true' provides additional semantics or provenance of the data communicated in the relevant '.gender' property in the resource. For example, if a system populates Patient.gender using a sex assigned at birth value, the individual-recordedSexOrGender extension with genderElementQualifier=true can provide that context. | ||||
| Short | Whether this recorded sex or gender value qualifies the .gender element. | ||||
| Control | 0..1 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 272. Patient.extension:biologicalSex.extension:genderElementQualifier.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 274. Patient.extension:biologicalSex.extension:genderElementQualifier.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 276. Patient.extension:biologicalSex.extension:genderElementQualifier.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | genderElementQualifier | ||||
| 278. Patient.extension:biologicalSex.extension:genderElementQualifier.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | boolean | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 280. Patient.extension:biologicalSex.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender | ||||
| 282. Patient.extension:biologicalSex.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 0..0 | ||||
| Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 284. Patient.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
| Short | Extensions that cannot be ignored | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
| Summary | false | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 286. Patient.identifier | |||||
| Definition | An identifier for this patient. | ||||
| Short | An identifier for this patient | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on Patient.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 288. Patient.identifier:EPR-SPID | |||||
| Slice Name | EPR-SPID | ||||
| Definition | EPR-SPID: The Central Compensation Office (ZAS; CCO) assigns and manages the new patient identification number according to the EPRA (EPR-SPID), which is only linked internally in the CCO with the AHV number. It maintains the UPI identification database (Unique Personal Identifier Database), which the EPR communities may access. The law regulates how the the EPR-SPID can be used. SR 816.111 states (Art. 10 para. 3 EPDV) that communities must ensure that the EPR-SPID number cannot be not stored in document repositories or document registries. | ||||
| Short | EPR-SPID | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..0 | ||||
| Type | Identifier(EPR-SPID Identifier) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 290. Patient.identifier:AHVN13 | |||||
| Slice Name | AHVN13 | ||||
| Definition | The AHVN13 / NAVS13 - (abbreviation for new thirteen-digit Social Security number) - is an administrative identifier for natural persons in Switzerland. It is issued, announced and administered by the Central Compensation Office. It is available to all organisations and communities for which there is a legal basis. | ||||
| Short | OASI Number Switzerland | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier(AHVN13 / NAVS13 Identifier) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 292. Patient.identifier:LocalPid | |||||
| Slice Name | LocalPid | ||||
| Definition | An identifier for this patient. | ||||
| Short | Local patient identifier(s) | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..0 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 302. Patient.identifier:insuranceCardNumber | |||||
| Slice Name | insuranceCardNumber | ||||
| Definition | Cardnumber Swiss insurance card v1 | ||||
| Short | Insurance card number of the patient (20 digits) | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..0 | ||||
| Type | Identifier(Insurance Card Number (Identifier)) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Patients are almost always assigned specific numerical identifiers. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 304. Patient.active | |||||
| Definition | Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death. | ||||
| Short | Whether this patient's record is in active use | ||||
| Comments | If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | true because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be able to mark a patient record as not to be used because it was created in error. | ||||
| Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 306. Patient.name | |||||
| Definition | A name associated with the individual. | ||||
| Short | Whether the personal data is transmitted by using initials or full name is described under 'Guidance - Personal Data (Patient Name)' | ||||
| Comments | A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns. | ||||
| Control | 1..1 | ||||
| Type | HumanName(Human Name) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))name-initials: a name with initials ( given.exists() and given.first().exists() and (''+given.first()).length() = 1 and family.exists() and (''+family).length() = 1) | ||||
| 308. Patient.name.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 310. Patient.name.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 312. Patient.name.use | |||||
| Definition | Identifies the purpose for this name. | ||||
| Short | usual | official | temp | nickname | anonymous | old | maiden | ||||
| Comments | Applications can assume that a name is current unless it explicitly says that it is temporary or old. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from NameUse (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)The use of a human name. | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 314. Patient.name.text | |||||
| Definition | Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts. | ||||
| Short | Text representation of the full name | ||||
| Comments | Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | A renderable, unencoded form. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 316. Patient.name.family | |||||
| Definition | The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father. | ||||
| Short | Family name (often called 'Surname') | ||||
| Comments | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures). | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Alternate Names | surname | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 318. Patient.name.family.id | |||||
| Definition | unique id for the element within a resource (for internal references) | ||||
| Short | xml:id (or equivalent in JSON) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 320. Patient.name.family.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.name.family.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 322. Patient.name.family.extension:ech11name | |||||
| Slice Name | ech11name | ||||
| Definition | Extension for eCH-0011 - namedatatype | ||||
| Short | Extension | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(Name) (Extension Type: Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 324. Patient.name.family.value | |||||
| Definition | The actual value | ||||
| Short | Primitive value for string | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Max Length: | 1048576 | ||||
| 326. Patient.name.given | |||||
| Definition | Given name. | ||||
| Short | Given names (not always 'first'). Includes middle names | ||||
| Comments | If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Alternate Names | first name, middle name | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 328. Patient.name.given.id | |||||
| Definition | unique id for the element within a resource (for internal references) | ||||
| Short | xml:id (or equivalent in JSON) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 330. Patient.name.given.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.name.given.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 332. Patient.name.given.extension:ech11firstname | |||||
| Slice Name | ech11firstname | ||||
| Definition | eCH-0011: Extension to define first name type | ||||
| Short | Extension | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(First Name) (Extension Type: code) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 334. Patient.name.given.value | |||||
| Definition | The actual value | ||||
| Short | Primitive value for string | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Max Length: | 1048576 | ||||
| 336. Patient.name.prefix | |||||
| Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name. | ||||
| Short | For a salutation use a prefix without the iso21090-EN-qualifier extension. For academical titles and legal status use the http://hl7.org/fhir/ExtensionDefinition/iso21090-EN-qualifier with the codes AC, LS. | ||||
| Control | 0..* | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 338. Patient.name.prefix.id | |||||
| Definition | unique id for the element within a resource (for internal references) | ||||
| Short | xml:id (or equivalent in JSON) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 340. Patient.name.prefix.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.name.prefix.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 342. Patient.name.prefix.extension:salutationandtitle | |||||
| Slice Name | salutationandtitle | ||||
| Definition | A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. | ||||
| Short | For academical titles and legal status use the http://hl7.org/fhir/ExtensionDefinition/iso21090-EN-qualifier with the codes AC, LS. | ||||
| Comments | Used to indicate additional information about the name part and how it should be used. | ||||
| Control | 0..* This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(EN Qualifier) (Extension Type: code) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 344. Patient.name.prefix.value | |||||
| Definition | The actual value | ||||
| Short | Primitive value for string | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Max Length: | 1048576 | ||||
| 346. Patient.name.suffix | |||||
| Definition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name. | ||||
| Short | Parts that come after the name | ||||
| Control | 0..* | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 348. Patient.name.period | |||||
| Definition | Indicates the period of time when this name was valid for the named person. | ||||
| Short | Time period when name was/is in use | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows names to be placed in historical context. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 350. Patient.telecom | |||||
| Definition | A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. | ||||
| Short | A contact detail for the individual | ||||
| Comments | A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone). | ||||
| Control | 0..0 | ||||
| Type | ContactPoint | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | People have (primary) ways to contact them in some way such as phone, email. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on Patient.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 352. Patient.telecom:email | |||||
| Slice Name | |||||
| Definition | A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. | ||||
| Short | A contact detail for the individual | ||||
| Comments | A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone). | ||||
| Control | 0..0 | ||||
| Type | ContactPoint(CH Core ContactPoint eCH-0046 Email) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | People have (primary) ways to contact them in some way such as phone, email. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 369. Patient.telecom:phone | |||||
| Slice Name | phone | ||||
| Definition | A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. | ||||
| Short | A contact detail for the individual | ||||
| Comments | A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone). | ||||
| Control | 0..0 | ||||
| Type | ContactPoint(CH Core ContactPoint eCH-0046 Phone) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | People have (primary) ways to contact them in some way such as phone, email. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 386. Patient.telecom:internet | |||||
| Slice Name | internet | ||||
| Definition | A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. | ||||
| Short | A contact detail for the individual | ||||
| Comments | A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone). | ||||
| Control | 0..0 | ||||
| Type | ContactPoint(CH Core ContactPoint eCH-0046 Internet) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | People have (primary) ways to contact them in some way such as phone, email. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 403. Patient.gender | |||||
| Definition | Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes. | ||||
| Short | Administrative gender | ||||
| Comments | The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex. | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from AdministrativeGender (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)The gender of a person used for administrative purposes. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Needed for identification of the individual, in combination with (at least) name and birth date. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 405. Patient.birthDate | |||||
| Definition | The date of birth for the individual. | ||||
| Short | The date of birth for the individual | ||||
| Comments | At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems). | ||||
| Control | 1..1 | ||||
| Type | date | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Age of the individual drives many clinical processes. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ch-ekm-dateTime: At least the format YYYY-MM-DD is required. ( $this.toString().length() >= 10) | ||||
| LOINC Code | 21112-8 | ||||
| 407. Patient.deceased[x] | |||||
| Definition | Indicates if the individual is deceased or not. | ||||
| Short | Indicates if the individual is deceased or not | ||||
| Comments | If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive. | ||||
| Control | 0..1 | ||||
| Type | Choice of: boolean, dateTime | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different. | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 409. Patient.address | |||||
| Definition | An address for the individual. | ||||
| Short | An address for the individual | ||||
| Comments | Patient may have multiple addresses with different uses or applicable periods. | ||||
| Control | 0..1 | ||||
| Type | Address(CH Core Address) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on Patient.address. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 411. Patient.address:home | |||||
| Slice Name | home | ||||
| Definition | An address for the individual. | ||||
| Short | Residential address | ||||
| Comments | Patient may have multiple addresses with different uses or applicable periods. | ||||
| Control | 0..1 | ||||
| Type | Address(CH Core Address) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 413. Patient.address:home.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 415. Patient.address:home.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 417. Patient.address:home.use | |||||
| Definition | The purpose of this address. | ||||
| Short | home | work | temp | old | billing - purpose of this address | ||||
| Comments | Applications can assume that an address is current unless it explicitly says that it is temporary or old. | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from AddressUse (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)The use of an address. | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Allows an appropriate address to be chosen from a list of many. | ||||
| Pattern Value | home | ||||
| Example | General: home | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 419. Patient.address:home.type | |||||
| Definition | Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. | ||||
| Short | postal | physical | both | ||||
| Comments | The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource). | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from AddressType (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)The type of an address (physical / postal). | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Example | General: both | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 421. Patient.address:home.text | |||||
| Definition | Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. | ||||
| Short | Text representation of the address | ||||
| Comments | Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | A renderable, unencoded form. | ||||
| Example | General: 137 Nowhere Street, Erewhon 9132 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 423. Patient.address:home.line | |||||
| Definition | This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information. | ||||
| Short | Street name, number, direction & P.O. Box etc. | ||||
| Control | 0..0 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Example | General: 137 Nowhere Street | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 456. Patient.address:home.city | |||||
| Definition | The name of the city, town, suburb, village or other community or delivery center. | ||||
| Short | Name of city, town etc. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Alternate Names | Municpality | ||||
| Example | General: Erewhon | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 458. Patient.address:home.city.id | |||||
| Definition | unique id for the element within a resource (for internal references) | ||||
| Short | xml:id (or equivalent in JSON) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 460. Patient.address:home.city.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.address.city.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 462. Patient.address:home.city.extension:bfs | |||||
| Slice Name | bfs | ||||
| Definition | Extension for eCH-0011 - bfs number (ministry of statistics number) | ||||
| Short | Extension | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(eCH-0007 Municipality Id – BFS Gemeindenummer) (Extension Type: string) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 464. Patient.address:home.city.value | |||||
| Definition | The actual value | ||||
| Short | Primitive value for string | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Max Length: | 1048576 | ||||
| 466. Patient.address:home.district | |||||
| Definition | The name of the administrative area (county). | ||||
| Short | District name (aka county) | ||||
| Comments | District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Alternate Names | County | ||||
| Example | General: Madison | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 468. Patient.address:home.state | |||||
| Definition | Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes). | ||||
| Short | sub-unit of country. canton-abbreviation is expected for a Swiss or Liechtenstein address. | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see eCH-0007 Canton Abbreviation (example to http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation)Use these values for a Swiss or Liechtenstein address | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Alternate Names | Province, Territory | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 470. Patient.address:home.postalCode | |||||
| Definition | A postal code designating a region defined by the postal service. | ||||
| Short | Postal code for area | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Alternate Names | Zip | ||||
| Example | General: 9132 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 472. Patient.address:home.country | |||||
| Definition | Country - a nation as commonly understood or generally accepted. | ||||
| Short | Country (e.g. can be ISO 3166 2 or 3 letter code) | ||||
| Comments | ISO 3166 3 letter codes can be used in place of a human readable country name. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 474. Patient.address:home.country.id | |||||
| Definition | unique id for the element within a resource (for internal references) | ||||
| Short | xml:id (or equivalent in JSON) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 476. Patient.address:home.country.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 1..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.address.country.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 478. Patient.address:home.country.extension:countrycode | |||||
| Slice Name | countrycode | ||||
| Definition | Provides a coded expression for the content represented in a string. | ||||
| Short | code for string | ||||
| Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(Coded string) (Extension Type: Coding) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ch-addr-1: ISO Country Alpha-2 or ISO Country Alpha-3 code ( ((value.code.length()=2) and value.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((value.code.length() = 3) and value.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))) | ||||
| 480. Patient.address:home.country.extension:countrycode.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 482. Patient.address:home.country.extension:countrycode.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.address.country.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 484. Patient.address:home.country.extension:countrycode.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | http://hl7.org/fhir/StructureDefinition/iso21090-codedString | ||||
| 486. Patient.address:home.country.extension:countrycode.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from BFS Verzeichnis der Staaten und Gebiete (required to http://fhir.ch/ig/ch-term/ValueSet/bfs-country-codes) | ||||
| Type | Coding | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 488. Patient.address:home.country.value | |||||
| Definition | The actual value | ||||
| Short | Primitive value for string | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Max Length: | 1048576 | ||||
| 490. Patient.address:home.period | |||||
| Definition | Time period when address was/is in use. | ||||
| Short | Time period when address was/is in use | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows addresses to be placed in historical context. | ||||
| Example | General: { "start" : "2010-03-23", "end" : "2010-07-01" } | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 492. Patient.maritalStatus | |||||
| Definition | This field contains a patient's most recent marital (civil) status. | ||||
| Short | Marital (civil) status of a patient | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from ChCoreMaritalStatus (extensible to http://fhir.ch/ig/ch-core/ValueSet/ch-core-maritalstatus) | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Most, if not all systems capture it. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 494. Patient.maritalStatus.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 496. Patient.maritalStatus.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on Patient.maritalStatus.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 498. Patient.maritalStatus.extension:maritalDataSeparation | |||||
| Slice Name | maritalDataSeparation | ||||
| Definition | Extension for eCH-0011 - MaritalData - separation | ||||
| Short | MaritalData Separation | ||||
| Control | 0..1 | ||||
| Type | Extension(Marital Data - Separation Type) (Extension Type: CodeableConcept) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 500. Patient.maritalStatus.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
| Control | 0..* | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 502. Patient.maritalStatus.text | |||||
| Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 504. Patient.multipleBirth[x] | |||||
| Definition | Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer). | ||||
| Short | Whether patient is part of a multiple birth | ||||
| Comments | Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated). | ||||
| Control | 0..1 | ||||
| Type | Choice of: boolean, integer | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Requirements | For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 506. Patient.photo | |||||
| Definition | Image of the patient. | ||||
| Short | Image of the patient | ||||
| Comments | Guidelines:
| ||||
| Control | 0..* | ||||
| Type | Attachment | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 508. Patient.contact | |||||
| Definition | A contact party (e.g. guardian, partner, friend) for the patient. | ||||
| Short | A contact party (e.g. guardian, partner, friend) for the patient | ||||
| Comments | Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact. | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Need to track people you can contact about the patient. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))pat-1: 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()) | ||||
| Slicing | This element introduces a set of slices on Patient.contact. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 510. Patient.contact.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 512. Patient.contact.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 514. Patient.contact.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 516. Patient.contact.relationship | |||||
| Definition | The nature of the relationship between the patient and the contact person. | ||||
| Short | The kind of relationship | ||||
| Control | 0..* | ||||
| Binding | Unless not suitable, these codes SHALL be taken from PatientContactRelationship (extensible to http://hl7.org/fhir/ValueSet/patient-contactrelationship|4.0.1)The nature of the relationship between a patient and a contact person for that patient. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Used to determine which contact person is the most relevant to approach, depending on circumstances. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 518. Patient.contact.name | |||||
| Definition | A name associated with the contact person. | ||||
| Short | A name associated with the contact person | ||||
| Control | 0..1 | ||||
| Type | HumanName | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 520. Patient.contact.telecom | |||||
| Definition | A contact detail for the person, e.g. a telephone number or an email address. | ||||
| Short | A contact detail for the person | ||||
| Comments | Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification. | ||||
| Control | 0..* | ||||
| Type | ContactPoint | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | People have (primary) ways to contact them in some way such as phone, email. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 522. Patient.contact.address | |||||
| Definition | Address for the contact person. | ||||
| Short | Address for the contact person | ||||
| Control | 0..1 | ||||
| Type | Address | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Need to keep track where the contact person can be contacted per postal mail or visited. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 524. Patient.contact.gender | |||||
| Definition | Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes. | ||||
| Short | male | female | other | unknown | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from AdministrativeGender (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)The gender of a person used for administrative purposes. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Requirements | Needed to address the person correctly. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 526. Patient.contact.organization | |||||
| Definition | Organization on behalf of which the contact is acting or for which the contact is working. | ||||
| Short | Organization that is associated with the contact | ||||
| Control | 0..1 This element is affected by the following invariants: pat-1 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | For guardians or business related contacts, the organization is relevant. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 528. Patient.contact.period | |||||
| Definition | The period during which this contact person or organization is valid to be contacted relating to this patient. | ||||
| Short | The period during which this contact person or organization is valid to be contacted relating to this patient | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 530. Patient.contact:contact | |||||
| Slice Name | contact | ||||
| Definition | A contact party (e.g. guardian, partner, friend) for the patient. | ||||
| Short | Contact data if it is not the address of the patient | ||||
| Comments | Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact. | ||||
| Control | 0..1 | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Need to track people you can contact about the patient. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))pat-1: 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()) | ||||
| 532. Patient.contact:contact.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 534. Patient.contact:contact.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 536. Patient.contact:contact.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 538. Patient.contact:contact.relationship | |||||
| Definition | The nature of the relationship between the patient and the contact person. | ||||
| Short | The kind of relationship | ||||
| Control | 1..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from PatientContactRelationship (extensible to http://hl7.org/fhir/ValueSet/patient-contactrelationship|4.0.1)The nature of the relationship between a patient and a contact person for that patient. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Used to determine which contact person is the most relevant to approach, depending on circumstances. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 540. Patient.contact:contact.name | |||||
| Definition | A name associated with the contact person. | ||||
| Short | A name associated with the contact person | ||||
| Control | 0..1 | ||||
| Type | HumanName | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 542. Patient.contact:contact.telecom | |||||
| Definition | A contact detail for the person, e.g. a telephone number or an email address. | ||||
| Short | A contact detail for the person | ||||
| Comments | Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification. | ||||
| Control | 0..0 | ||||
| Type | ContactPoint | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | People have (primary) ways to contact them in some way such as phone, email. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 544. Patient.contact:contact.address | |||||
| Definition | Address for the contact person. | ||||
| Short | Address for the contact person | ||||
| Control | 1..1 | ||||
| Type | Address(CH Core Postal Address) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Need to keep track where the contact person can be contacted per postal mail or visited. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 546. Patient.contact:contact.gender | |||||
| Definition | Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes. | ||||
| Short | male | female | other | unknown | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from AdministrativeGender (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)The gender of a person used for administrative purposes. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Requirements | Needed to address the person correctly. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 548. Patient.contact:contact.organization | |||||
| Definition | Organization on behalf of which the contact is acting or for which the contact is working. | ||||
| Short | Organization that is associated with the contact | ||||
| Control | 0..1 This element is affected by the following invariants: pat-1 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | For guardians or business related contacts, the organization is relevant. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 550. Patient.contact:contact.period | |||||
| Definition | The period during which this contact person or organization is valid to be contacted relating to this patient. | ||||
| Short | The period during which this contact person or organization is valid to be contacted relating to this patient | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 552. Patient.contact:nameOfParent | |||||
| Slice Name | nameOfParent | ||||
| Definition | A contact party (e.g. guardian, partner, friend) for the patient. | ||||
| Short | Name of parent | ||||
| Comments | Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact. | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Need to track people you can contact about the patient. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))pat-1: 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()) | ||||
| 554. Patient.contact:nameOfParent.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 556. Patient.contact:nameOfParent.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 558. Patient.contact:nameOfParent.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 560. Patient.contact:nameOfParent.relationship | |||||
| Definition | The nature of the relationship between the patient and the contact person. | ||||
| Short | The kind of relationship | ||||
| Control | 1..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from PatientContactRelationship (extensible to http://hl7.org/fhir/ValueSet/patient-contactrelationship|4.0.1)The nature of the relationship between a patient and a contact person for that patient. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Used to determine which contact person is the most relevant to approach, depending on circumstances. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 562. Patient.contact:nameOfParent.name | |||||
| Definition | A name associated with the contact person. | ||||
| Short | A name associated with the contact person | ||||
| Control | 1..1 | ||||
| Type | HumanName | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 564. Patient.contact:nameOfParent.telecom | |||||
| Definition | A contact detail for the person, e.g. a telephone number or an email address. | ||||
| Short | A contact detail for the person | ||||
| Comments | Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification. | ||||
| Control | 0..* | ||||
| Type | ContactPoint | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | People have (primary) ways to contact them in some way such as phone, email. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 566. Patient.contact:nameOfParent.address | |||||
| Definition | Address for the contact person. | ||||
| Short | Address for the contact person | ||||
| Control | 0..1 | ||||
| Type | Address | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Need to keep track where the contact person can be contacted per postal mail or visited. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 568. Patient.contact:nameOfParent.gender | |||||
| Definition | Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes. | ||||
| Short | male | female | other | unknown | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from AdministrativeGender (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)The gender of a person used for administrative purposes. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Requirements | Needed to address the person correctly. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 570. Patient.contact:nameOfParent.organization | |||||
| Definition | Organization on behalf of which the contact is acting or for which the contact is working. | ||||
| Short | Organization that is associated with the contact | ||||
| Control | 0..1 This element is affected by the following invariants: pat-1 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | For guardians or business related contacts, the organization is relevant. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 572. Patient.contact:nameOfParent.period | |||||
| Definition | The period during which this contact person or organization is valid to be contacted relating to this patient. | ||||
| Short | The period during which this contact person or organization is valid to be contacted relating to this patient | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 574. Patient.communication | |||||
| Definition | A language which may be used to communicate with the patient about his or her health. | ||||
| Short | A language which may be used to communicate with the patient about his or her health | ||||
| Comments | If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required. | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 576. Patient.communication.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 578. Patient.communication.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 580. Patient.communication.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 582. Patient.communication.language | |||||
| Definition | The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English. | ||||
| Short | The language which can be used to communicate with the patient about his or her health | ||||
| Comments | The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type. | ||||
| Control | 1..1 | ||||
| Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)A human language.
| ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 584. Patient.communication.preferred | |||||
| Definition | Indicates whether or not the patient prefers this language (over other languages he masters up a certain level). | ||||
| Short | Language preference indicator | ||||
| Comments | This language is specifically identified for communicating healthcare information. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Requirements | People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 586. Patient.generalPractitioner | |||||
| Definition | Patient's nominated care provider. | ||||
| Short | Patient's nominated primary care provider | ||||
| Comments | This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type. | ||||
| Control | 0..* | ||||
| Type | Reference(Organization, Practitioner, PractitionerRole) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | careProvider | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 588. Patient.managingOrganization | |||||
| Definition | Organization that is the custodian of the patient record. | ||||
| Short | Organization that is the custodian of the patient record | ||||
| Comments | There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association). | ||||
| Control | 0..1 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Need to know who recognizes this patient record, manages and updates it. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 590. Patient.link | |||||
| Definition | Link to another patient resource that concerns the same actual patient. | ||||
| Short | Link to another patient resource that concerns the same actual person | ||||
| Comments | There is no assumption that linked patient records have mutual links. | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | true because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by' | ||||
| Summary | true | ||||
| Requirements | There are multiple use cases:
| ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 592. Patient.link.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 594. Patient.link.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 596. Patient.link.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 598. Patient.link.other | |||||
| Definition | The other patient resource that the link refers to. | ||||
| Short | The other patient or related person resource that the link refers to | ||||
| Comments | Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual. | ||||
| Control | 1..1 | ||||
| Type | Reference(Patient, RelatedPerson) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 600. Patient.link.type | |||||
| Definition | The type of link between this patient resource and another patient resource. | ||||
| Short | replaced-by | replaces | refer | seealso | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from LinkType (required to http://hl7.org/fhir/ValueSet/link-type|4.0.1)The type of link between this patient resource and another patient resource. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||